Jaysh Care Services

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this. The provider was previously in breach of the legal regulation in relation to need for consent. Improvements were found at this inspection and the provider was no longer in breach of this regulation.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. This included initial assessments of people’s needs prior to care packages commencing as well as reviews of people’s care at agreed intervals or when people’s needs changed. This helped to ensure care plans and assessments were kept current and reflective of people’s needs. One person told us, “Jaysh asked lots of questions at the outset and there was a care plan worked-up which has had a tweak now and again as she has needed it. It’s all in hand and I am included all the way.”

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Senior staff conducted competency assessments to ensure staff were following best practice and the advice provided by relevant health professionals.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. A relative told us, “Carers know about mum’s tendency to have blood clots and keep a close eye on her. They did get in touch with her GP recently when they noticed how swollen her legs were and the necessary action was taken quickly.” Records showed the service worked closely with many health professionals, including social workers, occupational therapists, community nurses and doctors.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People's care records demonstrated they had been supported to access relevant health services, including GP and community nurses. Information about people's diagnosed health care needs were recorded in their care plans and included information about how this might impact on them. For example, for one person their health condition meant they may got out of breath if they over exert themselves. Staff were guided to encourage them to take short breaks in order to catch their breath in between tasks during all visits.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. A relative told us, “The care is absolutely excellent. They have produced a care plan and are so thorough with everything about mum’s care that we never have to worry. They spot anything happening quickly and organise treatment if necessary. We (family) are very grateful.” Staff recorded details of the care and support provided during each care visit. Office staff monitored these to confirm people’s needs were being met.

Systems to gain and record consent had improved following our last inspection. The service told people about their rights around consent and respected these when delivering person-centred care and treatment. A relative told us, “Observed staff being so gentle and kind with mum, always chatting away to her and making sure they get consent before performing any tasks.” There were policies and procedures in place to ensure valid consent to care was obtained. People told us staff sought their consent before delivering care. Staff had a good knowledge around the Mental Capacity Act 2005 (MCA) and how to practically apply this in their everyday roles. Where people had appointed a power of attorney, the provider ensured this legal authority to act on a person’s behalf was verified. This helped to ensure the provider was following the correct procedures around gaining consent to care.