About the service: Jayrima Care Limited is registered as a domiciliary care agency providing the regulated activity ‘personal care’ to the people who live in their own homes. At the time of our inspection, the service was providing personal care to six people.

People’s experience of using this service:

Whilst we found no evidence to suggest medicines were not administered safely, issues were noted with some records related to medicines management. For example, hand written medicine entries on the administration records had not always been transcribed accurately. Risks to people were assessed but some risk assessments were either not required or did not contain sufficient information.

There was no staff training programme or support to enable them to perform their roles effectively. There was a recruitment processes in place but some of the information relating to safe recruitment had not been documented.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff gained people's consent before providing support. Although, mental capacity assessment or best interest decisions had not been completed for one person.

There was a system in place to respond to any complaints, however, not all information was documented. There was no effective system in place to monitor the quality of service and identify areas for improvement.

There were enough staff to meet people’s needs. An induction was completed by all staff.

People told us they felt safe and staff knew how to respond to possible harm. Staff followed infection prevention and control practices when supporting people in their own homes.

Staff involved healthcare professionals to ensure people's health care needs were met. People received support with eating and drinking, when required.

People and relatives said staff were reliable, kind and caring. Staff understood how individual people preferred their care and support delivered and the importance of treating people with dignity and respect. People's care plans were personalised, with enough detail for staff to provide effective care and support.

People and relatives had the opportunity to provide feedback on the service received. Information was provided so people knew who to speak with if they had concerns.

Rating at last inspection: The service was registered in June 2018, and this was the services first inspection.

Why we inspected: This was a planned inspection based on when the service was registered with the Care Quality Commission.

Enforcement: We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 around staffing and good governance. Please see the ‘action we have told the provider to take’ section towards the end of the report. We also recommended the provider considers guidance and best practice on the Mental Capacity Act 2005, in relation to people who lack capacity, and act to update their knowledge and documentation appropriately.

Follow up: We will continue to monitor the service through information we receive. Further inspections will be planned for future dates as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk