Joy Caring Services Limited

We received feedback from 4 staff, 3 people who used the service and 2 relatives.

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We identified a breach of regulations in relation to governance.

The provider had not ensured recruitment processes were robust and oversight of staff training was not effective. People’s risk assessments and care records were not always sufficiently detailed or personalised to guide staff in supporting people with complex needs.

Staf did not complete medicine records well; we found gaps and inconsistencies in medication administration charts. People’s records did not consistently reflect their aspirations, future plans or decision-making arrangements, and there were missed opportunities to promote independence and develop daily living skills.

The provider’s auditing processes and governance systems had not identified the issues we found during the inspection. They were receptive to our feedback and had already begun taking action to address concerns.

People and relatives gave positive feedback about the support provided. We observed kind and respectful interactions, with staff promoting people’s dignity and responding promptly to needs. The environments were clean, well-maintained and met people’s sensory and physical needs.

Staff spoke positively about the culture of the service and described supportive leadership. The service demonstrated a commitment to learning and improvement, but stronger governance arrangements were required to ensure risks were identified, monitored and addressed consistently to support the delivery of safe, person-centred care.