Just ONE Recruitment and Training Limited

Updated 25 October 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 24 and 25 September 2018 and was unannounced. The inspection team included two adult social care inspectors.

Before our inspection we reviewed the information we held about the service. This included the statutory notifications sent to us by the provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send to us by law. We also contacted the commissioners of the service to gain their views.

The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We used all of this information to plan how the inspection should be conducted.

During the inspection we spoke with the registered manager, one of the directors, the quality lead and received feedback from six members of staff. We met with five people who used the service to gather their views and spoke with two relatives.

We looked at the care files of five people receiving support from the service, six staff recruitment files, medicine administration charts and other records relevant to the quality monitoring of the service. We also observed interactions between staff and the people they supported.

Updated 25 October 2018

This inspection took place on 24 and 25 September 2018 and was unannounced.

Just ONE Recruitment and Training Limited is a domiciliary care agency registered to provide personal care to people in their own homes, including supported living settings. The service also provided 24-hour staffing in a building called Oakfield, where people owned their own flats, but shared some communal space. The agency office is based in Wavertree, Liverpool. The service supports people who live in Liverpool, Wirral and St Helens. At the time of the inspection they were supporting 64 people, however only 29 of those people were in receipt of a regulated activity; personal care. This inspection only looked at the support provided to people who received a regulated activity.

At the last inspection in July 2017, the provider was found to be in breach or Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the systems in place to monitor the quality and safety of the service were not always effective. We asked the provider to complete an action plan to show what they would do and by when, to make the required improvements and we received this. During this inspection we looked to see if the improvements had been made and found that they had.

A registered manager was in post and feedback regarding the management of the service was positive. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection we found that the provider was in breach of Regulation 17 as staff training records were fragmented and the registered provider did not have a clear oversight to ensure it remained up to date. During this inspection we found that improvements had been made. Staff completed training relevant to their role and the needs of the people they supported and the registered manager maintained a matrix to oversee when refresher training was due.

Improvements had been made regarding the recording of medicines and the provider was no longer in breach of Regulation, however further improvements were still required as stocks of medicines were not always recorded and monitored appropriately. Following the inspection, the registered manager shared with us a new system that had been introduced to further improve the management of medicines.

In July 2017 we found that systems in place to monitor the quality and safety of the service were not always effective. During this inspection we saw that improvements had been made. Systems were in place to regularly review care files, medicine records and accidents/incidents. Weekly management meetings were held to discuss any staffing issues, concerns regarding packages of care, complaints, safeguarding incidents or accidents. The provider was no longer in breach of Regulation regarding this.

People we spoke with told us they felt the support they received helped to keep them safe. Risks to people had been assessed on an individual basis depending on the needs of each person and clear guidance was available about how staff could reduce the risk. Staff were knowledgeable about safeguarding processes, were aware of how to identify possible safeguarding concerns and told us they would not hessite to report any concerns they had.

People told us they received support from the same consistent staff team and that staff always arrived when expected. We saw that appropriate checks had been made when recruiting staff, to ensure they were suitable to work with vulnerable people.

Staff were supported through a comprehensive induction and regular supervision sessions. They told us they could always contact senior staff if they needed advice.

People’s needs were assessed prior to support being provided and staff liaised with other health professionals to maintain people’s health and wellbeing. People received appropriate support to meet their nutritional needs.

Records showed that consent was gained in line with the principles of the Mental Capacity Act 2005.

People told us that staff were kind and caring and their relatives agreed. We saw that staff had built good relationships with the people they supported. Staff had a good knowledge of the people they supported and how to provide the support in the way the person preferred.

People told us they were involved in their care and were able to make their own decisions. People using the service had been involved in the recruitment process for new staff and were involved in the development of their care and support plans. People told us they were happy with the care and support they received.

Care plans guided staff to provide support in ways that encouraged people to be as independent as they could be. They were written in a way that protected people’s dignity and staff we spoke with clearly explained how they maintained people’s privacy and dignity. Records relating to the care people received were stored securely to ensure people’s confidential information was protected.

We found that people were supported to achieve things that were important to them, such as accessing education or being involved in the local community. When required, staff supported people to participate in activities both within their homes and in the local community.

A complaints policy was available within people’s care plans and people told us that they knew how to raise any concerns or complaints that they had.

Systems were in place to gather feedback from people, such as surveys, telephone reviews and meetings.

The registered manager has developed links with external agencies such as the LA and CCG and safeguarding teams to ensure high quality, joined up care is provided.

The provider had a range of policies and procedures available to help guide staff in their practice and ensure they were aware of the responsibilities of their role and what was expected of them.

The registered manager had notified the Care Quality Commission (CQC) of events and incidents that occurred in the service in accordance with our statutory requirements.