Jaysh Care Services

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people were safe and protected from avoidable harm. The provider was previously in breach of the legal regulations in relation to safe care and treatment and staffing. Improvements were found at this inspection and the provider was no longer in breach of these regulations.

This service scored 72 (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 had a proactive and positive culture of safety, based on openness and honesty. They listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice. The provider had processes in place for staff to report incidents and near misses. This included reviewing and learning from incidents and adjusting people’s care accordingly to keep them safe. Staff confirmed they would report any concerns to the office straight away.

The service worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services. This included completing a comprehensive initial assessment with the person and their representatives. This ensured information regarding all health and social care professionals involved in people’s care were up to date and routinely reviewed.

The service worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. They concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The service shared concerns quickly and appropriately. Staff and the registered manager knew how to recognise the signs and what to do if they suspected someone was at risk of abuse or neglect. One relative told us, “There are a team of carers that mum sees regularly and they really understand her safety which is important to me.”

Improvements had been made to the assessment and management of risks relating to people’s care. The service worked with people to understand and manage risks. Assessments were undertaken to identify risks to people and to the care staff who supported them. Areas covered by these assessments included risks associated with the environment, personal care and moving and handling. However, where people had bed rails in place, there was no risk assessment in place to ensure the risks such as entrapment had been considered. Following our feedback the registered manager took action to address this shortfall. Time was needed for this newly introduced system to embed in practice.

The service detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care. The provider carried out assessments of people’s home environments to identify and reduce any risks related to the delivery of care. The registered manager understood who to contact should they feel people may benefit from additional aids or equipment. There were clear instructions for staff, outlining the safe use of any care related equipment, Staff were trained and routinely checked when using equipment which helped to ensure it was used appropriately.

The service made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs. Staff training and support had improved following the last inspection. People told us they received consistent staff at the agreed times and staff were well trained and competent in their role. Staff received training relevant to their role and systems were in place to promote their ongoing learning and development, including regular supervision, checks of their competency and shared learning through team meetings. Staff were recruited safely.

The service assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly. People raised no concerns in relation to infection control. They told us staff wore appropriate personal protective equipment (PPE) whilst they were providing care. The provider had effective infection control policies and procedures in place.

Medicines management had improved following our last inspection and risk assessments were now in place. The service made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. They involved people in planning, including when changes happened. The provider had policies and procedures developed in line with national guidance, to help ensure staff were following best practice. People’s care plans detailed the support people needed to manage their medicines and the support their relatives provided, any associated risks and levels of independence people wished to maintain. Records showed people received their medicines safely as prescribed. Staff had a good understanding of best practice in medicines administration. One relative told us, “The carers deal with all the medication and there have never been any problems.”