18 April 2023
During a routine inspection
Josben Care Southampton is a domiciliary care agency which provides support and personal care to people living in their own home. The service provides support to older adults who may be living with dementia. At the time of our inspection there were 9 people using the service.
People’s experience of using this service and what we found
The provider’s systems and processes to monitor and improve the safety and quality of the service were not effective. The provider had not always maintained an accurate, complete and contemporaneous record in respect of each service user.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
People's care needs were assessed before their care started. Staff completed induction and training designed to give them the knowledge and skills needed to meet people's care needs. Staff understood and promoted people's independence.
People's individual communication needs were assessed and taken into consideration. Staff felt supported by the management team.
People said they felt safe when being supported by staff. People were protected from avoidable harm because staff knew how to identify and report any concerns relating to the risk of abuse.
Staff knew people well and were able to promptly identify when people's needs changed, and they sought professional advice appropriately.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 14 January 2022 and this is the first inspection.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Enforcement and Recommendations
We have identified breaches in relation to need for consent and good governance at this inspection. We recommend that the provider refers to best practice and up to date guidance in relation to staff recruitment.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.
This was an ‘inspection using remote technology’. This means we did not visit the office location and instead used technology such as electronic file sharing to gather information, and video and phone calls to engage with people using the service as part of this performance review and assessment.