# Joelma Limited

Joelma Limited is a CQC-regulated home-care agency in Luton.

## CQC Ratings

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

Rating published: 16/08/2023

## Practical info

- Postcode: LU1 3PE
- Registered manager: Enie, Thelma
- Local authority: Luton
- Region: East
- City: Luton
- Last CQC check: 16/Aug/2023 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: The registered manager worked with health and social care professionals and responded to people's changing needs.
  - Published: 2024-03-13
- Finding
  - Evidence: Staff were supported through regular team meetings and one to one supervision sessions.
  - Published: 2024-03-13
- Finding
  - Evidence: The registered manager was committed to ensuring people received good quality care and received largely positive feedback from people, relatives and staff.
  - Published: 2024-03-13
- Finding
  - Evidence: Processes were in place for the reporting and follow up of any accidents or incidents.
  - Published: 2024-03-13
- Finding
  - Evidence: Staff used personal protective equipment (PPE) including gloves and aprons when supporting people with personal care.
  - Published: 2024-03-13
- Finding
  - Evidence: People and relatives told us people felt safe with the care and support provided.
  - Published: 2024-03-13
- Finding
  - Evidence: Staff were reliable, usually arrived on time and stayed for the full length of the scheduled visit.
  - Published: 2024-03-13
- **supervision_appraisal** _(minor)_
  - Evidence: Staff also received one to one supervision sessions which were scheduled 6 monthly. The registered manager agreed more regularly was likely to be beneficial.
  - Published: 2024-03-13
- **governance** _(moderate)_
  - Evidence: Audits of care records did not pick up the concerns we found about the lack of information and guidance for staff.
  - Published: 2024-03-13
- **consent_capacity** _(moderate)_
  - Evidence: MCA assessments were not carried out to document people's decision making abilities or any support they needed in this area.
  - Published: 2024-03-13
- **staff_competency** _(moderate)_
  - Evidence: Staff files we looked at contained gaps in staff employment histories and the reasons were not explored during the recruitment process.
  - Published: 2024-03-13
- **record_keeping** _(critical)_
  - Evidence: When people made a decision about DNACPR...this information was not stated in their care plan.
  - Published: 2024-03-13
- **medication_management** _(critical)_
  - Evidence: There was no guidance for staff to follow when people had medicines to be taken 'as required.'
  - Published: 2024-03-13
- **medication_management** _(critical)_
  - Evidence: Medicine administration records (MAR) contained gaps which were not picked up during audits.
  - Published: 2024-03-13
- **care_planning** _(critical)_
  - Evidence: Risk assessments did not always include enough information for staff about people's known areas of risk.
  - Published: 2024-03-13

### safe

- Finding
  - Learning lessons when things go wrong
  - Published: 2024-03-13
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2024-03-13
- Finding
  - Preventing and controlling infection
  - Published: 2024-03-13
- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2024-03-13
- Finding
  - Staffing and recruitment
  - Published: 2024-03-13
- Finding
  - Using medicines safely
  - Published: 2024-03-13
- Finding
  - Assessing risk, safety monitoring and management
  - Published: 2024-03-13

### well_led

- Finding
  - Working in partnership with others
  - Published: 2024-03-13
- Finding
  - Continuous learning and improving care
  - Published: 2024-03-13
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2024-03-13
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2024-03-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2024-03-13
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2024-03-13
- Finding
  - Working in partnership with others
  - Published: 2022-12-29
- Finding
  - Continuous learning and improving care
  - Published: 2022-12-29

## 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/1-5033346067

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