JaMax Homecare improved from Requires Improvement to Good following a focused follow-up inspection, having successfully addressed previous breaches of Regulations 12 and 17. Minor issues around call timeliness were identified but promptly acted upon by the registered manager.
Concerns (2)
minorMissed or late visits: “Timely calls were not always in place to provide people with the personal care they needed. The registered manager swiftly followed up this issue with a small number of people.”
minorGovernance: “Systems measured the quality of the care provided by the service. Some of these lacked detail about issues such as timeliness of call times.”
Strengths
· Risks to people had been assessed and mitigated, with health-specific care plans and risk assessments now in place following previous breaches of Regulation 12.
· Safe recruitment practices were in place with good character and criminal records checks completed before staff began working.
· People and relatives reported feeling very safe, with staff described as kind, caring and excellent by multiple respondents.
· The registered manager understood duty of candour responsibilities and submitted statutory notifications to CQC as required.
· Infection control measures were in place, including PPE use and COVID-19 training, with sufficient PPE always available.
JaMax Homecare was rated Requires Improvement overall following a January 2023 inspection, with breaches of Regulation 12 (safe care and treatment) and Regulation 17 (good governance) identified due to inadequate risk assessments, insufficient care plan detail, and ineffective governance and audit systems. Strengths included consistent staffing, positive person-centred culture, and good partnership working with healthcare professionals.
Concerns (8)
criticalCare planning: “Care plans did not include sufficient information to support safe care. For example, one person had been assessed as requiring a hoist to transfer. Their care plan lacked details of what type of hoist, size and type of sling was to be used.”
criticalGovernance: “Systems were not in place to effectively assess, monitor and improve the quality and safety of the service and there was a lack of management oversight in relation to care plans and care records.”
criticalRecord keeping: “Audits and checks did not identify the issues we found during the inspection including insufficient information in people's risk assessments and care plans and out of date policies and procedures.”
moderateStaff training: “Staff had not completed training in other areas to enable them to meet people's individual needs safely, for example catheter care.”
moderateSupervision / appraisal: “The registered manager told us staff had received one to one supervision meetings. However, these had not been documented.”
moderateConsent / capacity: “Where people's mental capacity fluctuated, care plans did not include an assessment of their mental capacity to support effective decision making and ensure best interest processes were followed.”
minorSafeguarding: “The provider's safeguarding policy and procedure required review and update to reflect current guidance and local safeguarding protocols.”
minorInfection control: “The provider had an infection control policy in place but this had not been updated for some time and did not make any reference to current infections, including COVID-19.”
Strengths
· People were supported by consistent staff who knew them well, which helped mitigate some risks found.
· People and relatives felt safe and spoke positively about the management team and care staff.
· Staff supported people alongside other healthcare professionals to maintain health and well-being.
· Sufficient PPE stocks were in place and staff followed infection prevention practices during visits.
· Pre-employment and DBS checks were completed on staff before they started working for the service.
Quality-Statement breakdown (15)
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseRequires improvement
safe: Preventing and controlling infectionRequires improvement
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
effective: Staff support: induction, training, skills and experienceRequires improvement
effective: Staff working with other agencies to provide consistent, effective, timely careRequires improvement
PDF cached but not yet analysed by Claude; set ANTHROPIC_API_KEY and re-run npm run etl:reports -- --location 1-1184330788.
effective: Ensuring consent to care and treatment in line with law and guidanceRequires improvement
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsRequires improvement
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candour; continuous learning and improving careGood