25 May 2023
During a routine inspection
About the service
Jadee’s Nursing Agency is a home care agency providing personal care to 24 people at the time of the inspection. There were 2 people with a learning disability being supported by the service. The service also supported people with physical disabilities, sensory impairments and people living with dementia.
People’s experience of using this service and what we found
Right Support: Improvements had been made to the model of care to maximise people’s choice, control and independence, including in relation to the Mental Capacity Act. Visits were being organised, monitored and delivered safely through effective use of an electronic call monitoring system, which meant people could organise their day as they wished. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right Care: Staff were described as caring, compassionate, and kind. People told us they were involved in the planning of their own care, and feedback given to the service was listened to and acted on. Improvements had been made to care planning and risk assessments, although further development was still required as some language used was outdated. We have made a recommendation the provider consults best practice guidance as a result. Staff received training on how to meet people’s needs, including specialist training in how to support autistic people and people with a learning disability.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff supported people using services to have good outcomes. There had been numerous changes and improvements made at the service since the last inspection, and the provider was committed to continuous development and working with others. Some new systems and processes still needed further development to show they were embedded and sustained in the longer term. We have made a recommendation about consistent analysis to identify and act on themes and trends. Whilst some regulatory requirements were not fully met, the provider acted promptly when this was raised.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was inadequate (published 28 January 2023). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 16 January 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was prompted by a review of the information we held about this service. We also undertook this inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.
Recommendations
We have made a recommendation on the consistent use of person-centred language in care records, development of end of life care plans, and a recommendation on the meaningful analysis of themes and trends to drive improvement.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.