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Care Services

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J.C.Michael Groups Ltd Wandsworth, London.

J.C.Michael Groups Ltd Wandsworth in London is a Homecare agencies and Supported living specialising in the provision of services relating to caring for adults over 65 yrs, nursing care and personal care. The last inspection date here was 22nd November 2019

J.C.Michael Groups Ltd Wandsworth is managed by J.C.Michael Groups Ltd who are also responsible for 7 other locations

Contact Details:

    Address:
      J.C.Michael Groups Ltd Wandsworth
      182 The Broadway
      London
      SW19 1RY
      United Kingdom
    Telephone:
      02085408441
    Website:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Good
Caring: Good
Responsive: Good
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-11-22
    Last Published 2018-10-23

Local Authority:

    Merton

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

17th September 2018 - During a routine inspection pdf icon

J.C. Michael Groups Ltd is a domiciliary care agency. This service provides personal care to people living in their own houses and flats. It provides a service to older adults, some of whom are living with dementia and those with a learning and physical disability. At the time of inspection 58 adults were receiving support from this service.

This inspection took place on 17 and 18 September 2018 and was announced. 48 hours before the inspection we contacted the service to let them know that we will be coming to inspect them. We wanted to make sure that the management team would be available on the day of inspection.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

This was the first inspection of the service after they changed the name from Aquaflo Care Limited to J.C. Michael Groups Ltd. At the last inspection on 17 and 21 August 2017 the service was rated overall Requires Improvement, with Requires Improvement in safe and well-led. We found two breaches of Regulations relating to people’s care records and quality assurance processes.

At this inspection we found that the service continued requiring improvement. We identified a breach of regulation and rated the service Requires Improvement, with Requires Improvement in safe and well-led. This was in relation to people’s safe care and treatment and good governance. You can see the action we have told the provider to take with regard to these breaches at the back of the full version of this report.

Risks to people's health and safety were not sufficiently identified and there were no appropriate risk management plans in place to mitigate potential risks to people.

The provider did not have robust systems in place to monitor the quality of the services provided for people, including accuracy of care records and reviewing of incidents and accidents, safeguarding and complaints.

The service used a new electronic system to monitor staff’s punctuality and length of their visits. However, the monitoring system was not used appropriately to monitor staff's scheduled visits. We made a recommendation about this.

Staff had to undertake appropriate checks before they were employed by the service. Staff followed the service’s processes to provide immediate support to people if they noticed people being at risk to harm or when incidents and accidents took place. People told us that staff arrived for their shifts mostly on time and they were told if they were running late. People were supported to manage their medicines safely.

Systems were in place to review and monitor staff developmental needs. Staff completed appropriate training on the Mental Capacity Act (2005) to ensure they had the required knowledge and skills to support people effectively. Where people required support to prepare their meals or attend to their health needs, staff had provided them with the assistance as required.

People were treated with dignity and kindness. People’s views were listened to and staff had time to have conversations with people. Staff provided support that was respectful towards people’s care needs and privacy. Staff encouraged people to be as independent as possible and make choices about their daily activities.

People were involved in planning their care and staff were provided with a care plan that included information on how people wanted to be supported. People’s care records had information about people’s health conditions and the support they required to manage their health needs. People provided feedback about the services they were provided with. Staff received training and had skills to support people at the end of their lives.

People felt tha

17th August 2017 - During a routine inspection pdf icon

Aquaflo Care Limited is a domiciliary care agency that provides personal care and support to people living at home. At the time of our inspection 23 mainly older people with a wide range of health care needs and conditions were receiving a service from this agency. This included two people who received 24 hour home care support from their live-in carers and an individual who lived in a care home.

The service had a new registered manager who had been in post since May 2017. A registered manager is a person who has registered with the Care Quality Commission (CQC). Registered managers like registered providers are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The newly registered manager was also responsible for managing another of this provider's similar sized domiciliary care agency’s located in the neighbouring London Borough of Croydon.

At our last comprehensive inspection of this service, which we carried out on 3 May 2016, we rated them ‘requires improvement’ overall and for two key questions is the service ‘safe’ and ‘well-led?’ This was because we found the provider had failed to always check the suitability and fitness of new staff they employed or notify the CQC in a timely manner about significant incidents that adversely affected the health and welfare of people using the agency.

We carried out a focused inspection on 2 December 2016 to check the provider had improved their arrangements for checking the suitability of new staff and submitting statutory notifications to us without delay. At the time of our focused inspection we found the provider had resolved the aforementioned issues and now met the regulations and fundamental standards. However, we continued to rate them 'requires improvement' overall because we needed to see the service could consistently maintain these improvements over a more sustained period of time.

At this comprehensive inspection we found the provider had maintained improvements in the way they assessed the suitability of new staff and dealt with statutory notifications. However, we have continued to rate the service 'requires improvement’ overall and for two key questions is the service ‘safe’ and ‘well-led?’ This was because we found the provider to be in breach of two new regulations in relation to the way they managed risk and oversight of the service.

Specifically, the provider failed to ensure all the risks people might face had been properly assessed and that adequate risk management guidelines were always in place for staff to follow and ensure identified risks were managed safely. This meant the provider had not done all that they should to identify and manage risks to people using the service and ensure they were sufficiently protected from the risk of injury and harm.

Furthermore, although the provider had established some good governance system to assess and monitor the quality and safety of the care and support people using the service received; we found these measures were not always operated effectively. Moreover, these governance systems had failed to identify a number of the issues we identified during our inspection in relation to guidance for staff to help them prevent or mitigate risks people might face and ensuring staff kept up to date with their core training and annual work performance appraisals. In addition, in the last 12 months managers had failed to carry out direct observations of all their staffs working practises during scheduled visit, contrary to the provider’s staff performance monitoring policy. This meant the provider lacked the ability to effectively challenge staff providing poor care to people as they did not have documentary evidence to support any issues or concerns they may have identified.

These failings represent two breaches of the Health and Social Care (Regulated Activities) Regulations 2014

2nd December 2016 - During an inspection to make sure that the improvements required had been made pdf icon

This inspection took place on 2 December 2016 and was announced. The last Care Quality Commission (CQC) comprehensive inspection of the service was carried on 3 May 2016. At that time we rated the service as 'Requires Improvement' overall because we found the provider to be in breach of two regulations we looked at. Specifically, we found the provider failed to operate safe staff recruitment procedures or notify the CQC without delay about an allegation of abuse involving a person who received a service from this agency.

This report only covers our findings in relation to this inspection. You can read the report from our previous comprehensive and focused inspections, by selecting the 'all reports' link for ‘Aquaflo Care Limited’ on our website at www.cqc.org.uk.

Aquaflo Care Limited is a domiciliary care agency located in Wimbledon that provides personal care and support to people living at home in and around South West London. At the time of our inspection approximately 40 people received a service from this agency, which included two people who lived in residential care homes in the area. Most people receiving a service from the agency were older adults who had a range of health care needs and conditions, including dementia care needs.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC). Registered managers like registered providers are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was responsible for the day-to-day running of this agency in Wimbledon, as well as another of the provider’s South London branches located in Croydon. Both the Wimbledon and Croydon branches are of a similar in size and are within close proximity to one another.

During this focused inspection, we found that the provider had followed their action plan and now met legal requirements. Specifically, the provider had improved their staff recruitment practices. Appropriate employment and criminal records checks had been carried out on all new staff to ensure they were suitable and fit to work for the agency. In addition, we found the provider had notified the CQC in a timely way about the occurrence of any incidents and events that affected the health, safety and welfare of people using the service, which they are legally required to do.

3rd May 2016 - During a routine inspection pdf icon

This inspection took place on 03 May 2016 and was announced. The provider was given 48 hours’ notice because the location provides domiciliary care and we needed to be sure that someone would be available in the office so we could look at certain documentation. The service was registered by the Care Quality Commission (CQC) in October 2015 and this was their first inspection.

Aquaflo Care Limited is a domiciliary care agency that provides personal care and support to people living in their own homes in and around South West London. A few people who receive one-to-one personal care and support from this agency live in residential care homes. Most people using the service are older people living with a range of health needs and conditions, including dementia and end of life care. When we inspected the agency 32 people were receiving a service from the Wimbledon branch of Aquaflo Care Limited.

The service had a registered manager in post. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found the provider did not operate effective staff recruitment procedures. This was because the provider had failed to undertake all the relevant employment checks on prospective new staff before they started working for the agency. This meant people might be at risk of receiving care from staff who were not fit to work in the adult social care sector.

The provider had also failed to notify the CQC without delay about the occurrence of a safeguarding incident involving a person who used the service. This meant the CQC had not been able to check if the action taken by the provider to deal with these incidents was appropriate at the time because we were unaware of their occurrences.

We identified two breaches of the Health and Social Care (Regulated Activities) Regulations 2014 and the Care Quality Commission (Registration) Regulations 2009 during our inspection. You can see what action we told the provider to take at the back of the full version of the report.

People’s relatives told us they were happy with the standard of care and support their family members received from Aquaflo Care. They also said staff who worked for the agency were kind and caring, and always respected their family member’s privacy and dignity.

The registered manager and staff knew what constituted abuse and who to report it to if they suspected people were at risk. They had all received training in safeguarding adults at risk. Staff had access to appropriate guidance to ensure identified risks to people were minimised. Regular maintenance and service checks were carried out on equipment used by staff in people’s homes, which included mobile hoists. This ensures equipment remains fit for purpose and safe for people receiving a service to use.

People were supported to stay healthy and well. Staff were knowledgeable about the signs and symptoms to look out for that indicated a person’s health may be deteriorating. If staff had any concerns about a person’s health, appropriate professional advice and support was sought. People were supported to eat healthily, where the agency was responsible for this. Staff also took account of people’s food and drink preferences when they prepared meals. People received their medicines as prescribed and safe medicines management processes were followed.

Staff were knowledgeable about the people they supported. This included their preferences, routines and their support needs. Staff provided people with the support they required in line with their care plans. Staff regularly discussed people’s needs to identify if the level of support they required had changed, and care plans were updated accordingly.

People were involved in decisions about their care. Wh

 

 

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