- Homecare service
Jigsaw Creative Care limited
Report from 5 April 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 18 April 2024 to 11 June 2024. This assessment was prompted by concerns about the culture, people’s ability to have choice and control and the overarching governance of the service. We assessed 10 quality statements and 31 corresponding evidence categories in the safe, effective and well led key questions and found areas of concern and area of good practice. The scores for these areas have been combined with scores based on the rating from the last inspection. We met and spoke with people, their loved ones, staff, the provider and local authorities. We visited 5 locations and went to the provider’s head office. Feedback we received was mixed, some people had a good experience and others not so good. Though our assessment indicated areas of concern since the last inspection, our rating overall remains good. We assessed the service against our Statutory guidance ‘Right support, right care, right culture.’ We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People's experience of this service
Two inspectors visited people in their homes, carried out observations and spoke with people and staff to get an understanding of people’s experience. People appeared to be and said they were happy with their support. People said they liked the staff. While the people we spoke with expressed that they were generally happy with their support, our assessment found elements of support did not meet the expected standard. Feedback from relatives was mixed in that some relatives were happy with their loved one’s support. Other relatives said communication with the provider needed to improve, the cleanliness of people’s homes could be better and there had been a slow response from the provider to issues they raised. Some restrictions had been imposed that had not always been agreed to and were not always the least restrictive option. The restrictions related to monitoring what food and what quantities people ate and the use of ‘Ring’ doorbells. During the assessment, the provider reviewed and removed the restrictions that were not necessary.