J.C. Michael Groups Wandsworth retained an overall Good rating at this focused KLOE inspection, with Safe deteriorating to Requires Improvement due to inconsistent visit timing, gaps in staff knowledge of the Mental Capacity Act and whistleblowing, inadequate interview evaluation processes, and unrecorded manager audits. Well-Led remained Good, supported by strong management structure, person-centred culture, and effective partnership working, though CQC notification failures and lack of audit records were identified as areas requiring improvement.
Concerns (5)
moderateMissed or late visits: “They are due at 9 am and arrive at 10.30 am... My evening call is supposed to be 7 pm and the arrive at 5.30 pm.”
moderateStaff competency: “not all staff knew what the Mental Capacity Act (2005) stood for... some staff did not know what whistleblowing was about”
moderateGovernance: “Audits carried out by the registered manager were not always recorded. CQC records were not always up to date because the provider had not notified us”
minorRecord keeping: “regular checks were completed by the registered manager... but there wasn't a record made to evidence this which meant it was difficult to track any actions”
minorOther: “candidates were not appropriately evaluated during the interview process which the provider told us would be addressed immediately”
Strengths
· Safe medicines management practices were followed, with MAR records showing people received medicines as prescribed and regular audits conducted.
· People and relatives reported feeling safe and that staff understood their care and support needs well.
· Good staff retention ensured continuity of care provision.
· Robust infection prevention and control practices, with staff having adequate PPE supply.
· Good management structure with shared responsibilities and strong staff support from the management team.
Quality-Statement breakdown (9)
safe: Staffing and recruitmentRequires improvement
safe: Systems and processes to safeguard people from the risk of abuse; Learning lessons when things go wrongGood
safe: Assessing risk, safety monitoring and managementRequires improvement
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
well-led: Planning and promoting person-centred, high-quality care; Engaging and involving people using the serviceGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Continuous learning and improving careGood
well-led: Working in partnership with others; Duty of CandourGood