OOJ Homecare is a domiciliary care agency that provides personal care to people living in their own home. It provides a service to adults and people with dementia and people living with sensory disabilities. The service's office is based in Leeds. Care is provided in the areas of Leeds and Scarborough. The assessment was completed between 23 September and 1 October 2025. The assessment was to follow up on our previous inspection where the provider was rated requires improvement. The provider was previously in breach of the legal regulations in relation to safe care and treatment and good governance. Improvements were found at this assessment, and the provider was no longer in breach of these regulations. At the time of the assessment, 19 people were being supported by the service. 17 people were receiving support with personal care. Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care, this includes support with tasks related to personal hygiene and eating. We visited the service on 23 September 2025. People received safe care. Staff felt well supported and had received appropriate training. There were policies and procedures in place in relation to safeguarding and whistleblowing. Medicines were administered safely but improvements continued to be required in the level of detail in some records linked to medication administration and medication audits. The registered manager had developed a good oversight of the service and had an improvement plan in place, where some of the areas for improvement identified at this assessment had already been listed. During the assessment, we looked at 17 quality statements. Our assessment was announced. This meant we gave the service 48 hours' notice prior to our visit taking place. This was because we wanted to make sure someone would be available to support us with the inspection.
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OOJ Homecare Services Limited was rated Requires Improvement overall following a focused July 2023 inspection, with regulatory breaches identified in safe care and treatment (Regulation 12) and good governance (Regulation 17). Key failures included unsafe medication record-keeping, ineffective quality assurance audits, late visits, gaps in staff recruitment checks, and care plans lacking person-centred detail.
Concerns (8)
criticalMedication management: “MARs did not provide clear information about how to administer people's medication, including route or time of administration. Staff were not completing records in full.”
criticalGovernance: “Quality assurance arrangements were not always applied consistently and were ineffective. The provider carried out audits of MARs and staff files however, we found these did not highlight concerns.”
moderateRecord keeping: “Care plans and daily records lacked detail and legibility. Records for people with nutritional needs did not always include specific information required around fluid intake.”
moderateMissed or late visits: “There were concerns with staff arriving late. We were not assured people always received their care on time.”
moderateStaff training: “We could not be assured the service had oversight of specialist training completion or renewal. Certificates of completion were not available for specific training such as PEG or catheter care.”
moderateConsent / capacity: “The service was not always working within the principles of the MCA. The registered manager had carried out some capacity assessments where relevant however, this was not the case for all people.”
moderateStaff competency: “Staff recruitment checks were not always carried out in full. We found gaps in employment history were not always explained prior to appointment.”
minorCare planning: “Care records were not always written in a person-centred way. Some records used generic statements to describe people's goals and objectives.”
Strengths
· People told us they felt safe and well supported; one person said 'These guys they are like family to tell you the truth.'
· The provider had effective safeguarding systems, policies, and procedures in place and collaborated well with the local authority.
· Staff were trained in preventing and controlling infection and had access to PPE.
· The provider demonstrated good partnership working, impressing at least one healthcare professional.
· The registered manager spoke passionately about continuous learning and improvement and was implementing a new call monitoring system with electronic recording.
Quality-Statement breakdown (8)
safe: Using medicines safelyRequires improvement
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and management; Learning lessons when things go wrongRequires improvement
safe: Staffing and recruitmentRequires improvement
safe: Preventing and controlling infectionGood
well-led: Managers and staff being clear about their roles; continuous learning and improving care; promoting a positive cultureRequires improvement
well-led: Engaging and involving people using the service; duty of candourGood