Jireh Homecare

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed autistic people and people with a learning disability respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found the provider was meeting the principles of Right support, right care, right culture. Staff had received training to ensure they had the skills to support people with a learning disability.However, care plans needed to be more person centred.

Lessons were learnt following incidents and information shared with the appropriate agencies. When new people started at the service care staff introductions were carried out so staff knew people’s needs before working with them. Staff received safeguarding training and systems protected people from abuse. Risk assessments were carried out in people’s homes, and people were supported to keep their homes clean and tidy if required. Pre-employment checks were carried out, and staff had a thorough induction. Medicines were managed safely.

Appropriate referrals had been made to healthcare professionals and staff worked in line with requirements and recommendations they suggested. People were safeguarded from the risk of abuse and staff understood their responsibility to report any concerns

People and relatives were involved in assessments and regular reviews. Care was provided in-line with best practice guidance. Communication amongst the team was good and information was shared effectively. Staff observed changes in people’s health and wellbeing and supported people to stay healthy.

The service achieved positive outcomes for people and improved their quality of life. Staff demonstrated an understanding of the importance of consent in line with the Mental Capacity Act 2005 (MCA). However, care plans required clearer, decision‑specific MCA assessments and more consistent documentation of best interest decisions. The provider was proactive in recognising this area for improvement and had plans in place to strengthen recording practices to ensure people’s rights, wishes and best interests were fully evidenced and protected.

Staff were kind and caring and respected people’s privacy and dignity. People were treated as individuals and their religious and cultural needs were met. Staff supported people to be independent and have control over their lives. Care plans included information about people’s communication needs so staff could better understand when they needed help and respond quickly. Managers supported staff wellbeing and ensured staff were safe at work.

People and relatives were involved in decision making. Support was flexible and small teams helped promote continuity. Information was provided to people in a way they could understand. People had access to care and support when they needed it, and managers advocated for people to improve outcomes.

There was a shared vision and positive culture at the service and managers had the right skills, knowledge and experience. Staff felt able to speak up about any concerns and were treated fairly. Staff spoke positively about managers and liked working at Jireh Home Care. Systems were in place to assess performance and improve standards to safety and quality of care. Managers worked closely with other services, groups and commissioners to improve people’s outcomes; and there was an emphasis on continuous improvement at the service.