J&R Care Services is a small domiciliary care provider rated Good across all five key questions at its March 2023 inspection, having remediated previous breaches of Regulations 17 and 19 identified in 2019. The service demonstrated safe recruitment, personalised care planning, effective governance and a positive, person-centred culture.
Strengths
· Safe recruitment system in place with appropriate pre-employment checks ensuring fit and proper persons employed
· Personalised, detailed care plans co-produced with people, reflecting diverse needs, daily routines, past occupation and personal interests
· Medication administration records completed in line with best practice with regular audits and prompt corrective action
· Provider sought regular feedback via client satisfaction questionnaires and people reported high satisfaction
· Improved governance since last inspection: regular audits of care plans and MARs, structured accident/incident recording
Quality-Statement breakdown (23)
safe: Staffing and recruitmentGood
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Using medicines safelyGood
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
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
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 candourGood
well-led: Continuous learning and improving careGood