# Julee Care Limited

Julee Care Limited is a CQC-regulated home-care agency in Harpenden.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Requires improvement |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 25/11/2022

## Practical info

- Postcode: AL5 4US
- Registered manager: Oginni, Juliana
- Local authority: Hertfordshire
- Region: East
- City: Harpenden
- Last CQC check: 25/Nov/2022 - 00:00

## Inspection findings

### effective

- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-12-13
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-12-13
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-12-13

### Other

- Finding
  - Evidence: The provider had worked in partnership with health professionals including GPs and pharmacy services.
  - Published: 2022-12-13
- Finding
  - Evidence: The registered manager was open and honest throughout the inspection and responded immediately to concerns raised.
  - Published: 2022-12-13
- Finding
  - Evidence: Staff supported people with meal preparation based on individual needs and preferences, placing drinks and snacks within reach.
  - Published: 2022-12-13
- Finding
  - Evidence: The provider undertook appropriate pre-employment checks including DBS and right to work documentation.
  - Published: 2022-12-13
- Finding
  - Evidence: Staff were clear on infection prevention and control requirements including PPE use and hand washing.
  - Published: 2022-12-13
- Finding
  - Evidence: People told us they felt safe with the care provided.
  - Published: 2022-12-13
- **communication_with_families** _(moderate)_
  - Evidence: Staff shared intimate information relating to people's choices and care with family and friends...no discussions with people to ensure they were happy to share their information.
  - Published: 2022-12-13
- **staff_competency** _(moderate)_
  - Evidence: The registered manager was not aware of the differences between prompting or administering medicines...Staff were equally unaware of the difference.
  - Published: 2022-12-13
- **record_keeping** _(moderate)_
  - Evidence: Some daily logs of the care provided were ineligible and could not be read.
  - Published: 2022-12-13
- **incident_learning** _(moderate)_
  - Evidence: Procedures to learn and develop staff practise when things went wrong were not in place...meetings with staff did not discuss any concerns, accidents or incidents.
  - Published: 2022-12-13
- **governance** _(critical)_
  - Evidence: Audits in place to assess the quality and safety of the care provided were not effective in identifying improvements.
  - Published: 2022-12-13
- **staff_training** _(moderate)_
  - Evidence: Staff had not completed training in other areas...These included risks of choking, diabetes and skin integrity.
  - Published: 2022-12-13
- **consent_capacity** _(critical)_
  - Evidence: They continued to apply a blanket assessment to people who had capacity to make their own decisions...had not completed these at the time of the inspection.
  - Published: 2022-12-13
- **missed_or_late_visits** _(critical)_
  - Evidence: I expect them at 5pm and they turn up at 6pm...Sometimes I can end up with a wet bed and that is not good.
  - Published: 2022-12-13
- **medication_management** _(critical)_
  - Evidence: Some put them in a tumbler and I try to get them out with my fingers...they don't make sure I am ok, some are better than others and I need more help than just popping them on the table.
  - Published: 2022-12-13
- **care_planning** _(critical)_
  - Evidence: People's care plans included a list of healthcare conditions. The provider had assessed and planned for some, but not all of these.
  - Published: 2022-12-13

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2022-12-13
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-12-13
- Finding
  - Staffing and recruitment
  - Published: 2022-12-13
- Finding
  - Using medicines safely
  - Published: 2022-12-13
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2022-12-13

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-12-13
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-12-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-12-13
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-12-13
- Finding
  - Working in partnership with others
  - Published: 2019-11-20
- Finding
  - Continuous learning and improving care
  - Published: 2019-11-20

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-2327843941

HomeCare Compass is an independent guide and is not affiliated with the CQC.