Jump 2 Independence Limited received a Good rating overall following a focused inspection of Safe and Well-led domains, prompted by concerns about people's safety which were not substantiated. The service demonstrated safe care practices, strong leadership, a positive culture, and effective partnership working.
Concerns (1)
minorMissed or late visits: “Some people, however, told us they were not always sure what time staff would arrive. We raised this with the registered manager who confirmed they would look into this.”
Strengths
· People felt safe with consistent staff and good continuity of care
· Safe recruitment processes and in-depth induction for staff
· Medicines administered safely with clear guidance and accurate records
· Staff followed safe infection prevention and control practices with access to PPE
· Incidents and accidents reviewed with referrals made to appropriate agencies
Jump 2 Independence Limited received an overall rating of Requires Improvement at its October 2017 inspection, with persistent concerns around medication recording, inconsistent risk guidance in care plans, and ineffective audit systems failing to identify omissions. The service demonstrated clear strengths in safeguarding, staff compassion, dignity, MCA compliance, and external partnership working, though governance and medicines management required embedding of newly introduced improvement measures.
Concerns (8)
criticalMedication management: “Some of the MAR charts that we checked had missing information such as the dosage, where a topical medicine should be applied and it wasn't clear if a medicine was PRN or a regular prescription.”
criticalRecord keeping: “There were gaps in the recording in people's MAR charts and there were no explanations so we could not be sure that all people were consistently having their medicines as prescribed.”
moderateCare planning: “One person could sometimes become agitated however there was no information about what may cause the person to become upset or what staff could do to try and calm the person down again.”
moderateCare planning: “One person was supported to monitor their blood sugar levels for their diabetes. There was no guidance available in the care file about what a safe range the blood sugar reading should be.”
moderateStaffing levels: “Calls sometimes overlap but you can't get to them...It is definitely common to have overlapping calls, especially at weekends. I asked the care coordinator and they told me to cut my break short.”
moderateGovernance: “The medicines audits did not identify missing information regarding the medicine and poor recording about administration of medicine by some staff.”
moderateGovernance: “Some care plans had not been audited for several months and therefore some omissions had not been identified.”
minorPerson-centred care: “The service also did not consistently collect or utilise information relating to people's sexuality...could not always be sure they were effectively supporting people with maintaining same-sex relationships.”
Strengths
· People and relatives consistently reported feeling safe and that staff were kind, caring and respectful of dignity and independence.
· Safe recruitment practices were followed including DBS checks, application forms, interviews and references.
· Staff understood safeguarding responsibilities and incidents were referred appropriately to the local safeguarding authority.
· The principles of the Mental Capacity Act 2005 were being followed, resolving a previous breach of Regulation 11.
· People were supported to access other health professionals including GPs, occupational therapists, social workers and opticians.
Quality-Statement breakdown (21)
safe: Medicines management and MAR recordingRequires improvement
safe: Staff deployment and rota managementRequires improvement
safe: Risk assessment and care plan guidanceRequires improvement
Jump 2 Independence Limited improved from Requires Improvement to Good across all five key questions at this March 2019 inspection, demonstrating sustained progress in safety, governance and quality assurance since the previous 2017 report. Minor concerns remain around staff continuity at weekends, management responsiveness to telephone calls, and recording practices, but no regulatory breaches were identified.
Concerns (3)
minorPerson-centred care: “we received a mixed response in relation to people receiving continuity of calls from the same member of staff”
minorCommunication with families: “registered mangers were not always pro-active at returning calls when people or their relatives had contacted the office by telephone”
minorRecord keeping: “Recording can sometimes be an issue so we are working hard on that too.”
Strengths
· Sufficient staffing levels with enough travel time between calls and ability to stay with people as long as needed
· Robust recruitment policy preventing unsuitable staff from working with vulnerable people
· Detailed risk assessments in place with clear protocols for specific health conditions
· Medication administered safely with MAR records evidencing oral and topical medicines
· Staff received both mandatory and optional training including management and leadership qualifications
Quality-Statement breakdown (22)
safe: Staffing and recruitmentGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
Jump 2 Independence Limited was rated Requires Improvement overall following a June 2016 inspection, with a regulatory breach of Regulation 11 identified due to failure to consistently follow the Mental Capacity Act 2005, and weaknesses in care plan accuracy and quality audit effectiveness. The service demonstrated strengths in safeguarding, staffing consistency, person-centred responsive care, and partnership working, achieving Good ratings for caring and responsive domains.
Concerns (8)
criticalConsent / capacity: “The service did not always act in accordance with the Mental Capacity Act 2005 when people were unable to consent to their own care and treatment.”
criticalConsent / capacity: “relatives had signed consent on behalf of people without the necessary legal powers to do so...they had not asked for the relevant documentation to evidence this.”
moderateCare planning: “In two care plans it was not clear about whether one or two members of staff were needed to support people.”
moderateCare planning: “The audits that had been completed had not identified that some care plans did not contain up to date information or did not detail the specific support that people required.”
moderateMedication management: “there were no specific plans in place to guide staff on when or where they needed to apply these creams...people could not be assured they were getting their creams as prescribed.”
moderateStaff training: “some staff told us they could not remember anything about the MCA, some were not sure whether they had received training.”
moderateGovernance: “care plans and medicines administration record audits were completed but they did not clearly show which records had been reviewed as part of the audits.”
minorStaff training: “The manual handling training is done online and it should be face to face, that would be much better.”
Strengths
· People felt safe and staff demonstrated good understanding of safeguarding procedures and how to recognise and report abuse.
· Sufficient staffing levels with consistent, familiar staff and effective bank rota to cover emergencies.
· Safe recruitment practices including DBS checks and references were followed.
· Staff received supervision, appraisal and supported completion of health and social care diplomas.
· People were treated with kindness and compassion; privacy, dignity and independence were promoted.
Quality-Statement breakdown (17)
safe: Medicines managementRequires improvement
safe: Care planning accuracy and staffing detailRequires improvement