Just Call 4 Care Services

The service is a domiciliary care agency and provides personal care to people living in their own homes. CQC only inspects where people are receiving the regulated activity personal care. This is help with tasks related to personal hygiene and eating. Where they do, we consider any wider social care provided. At the time of this inspection 89 people were receiving support with personal care.

The assessment was prompted following a review of information we held about the service. We found 3 breaches of regulation in relation to safe care and treatment, staffing, and good governance.

Where quality audits had been completed, these failed to demonstrate they were meaningful and effective. Some aspects of the service, such as care plans and care calls, were not robustly audited.

Not all risks to people had been identified and mitigated, and where risks had been identified, staff did not have all the information, guidance and training needed to support people safely.

Care plans did not always demonstrate people received person-centred care and they did not contain all the information needed for staff to be able to provide care and support that was safe, consistent and effective.

Medicines care plans needed more details on levels of support people needed. Whilst staff had training on administering medicines safely, the provider had not always carried out medicines competence checks to check the effectiveness of this training. Staff had access to personal protective equipment and had been provided with training on infection prevention and control.

There was only a small number of people with a learning disability receiving support at the time of our inspection. We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support - Staff ensured they communicated and shared information with people in a way they could understand. People were encouraged to maintain relationships with family and friends. Governance systems and audits were not always effective in identifying or addressing areas for improvement. New staff were not always inducted robustly so they knew how to support people effectively.

Right Care - Staff followed current best practice guidelines regarding infection prevention and control. People told us staff were kind and caring and staff protected their privacy and dignity but had not received all the training needed to carry out their role safely.

Right culture–There was a registered manager in place and a stable management team. Governance systems were not robust. People spoke highly of some staff members.