CQC report explained · a residential care home
What the CQC found at Joyleen
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm. Inspectors found suitable risk assessments, safe recruitment, enough staff and medicines given safely and as prescribed.
- Effective?
- Good
- Care was based on people's assessed needs and choices. Staff were trained and supported people with healthcare, diet and decisions about their care.
- Caring?
- Good
- Staff were kind and compassionate and knew people well. People's privacy, dignity, independence and involvement in decisions were respected.
- Responsive?
- Good
- Care plans were detailed and personalised, with regular reviews. People were supported with activities, communication needs and complaints.
- Well-led?
- Good
- The home had a positive culture, clear staff roles and regular quality checks. People, relatives and staff were involved and felt listened to.
What inspectors found, June 2019
Joyleen was rated Good overall; inspectors found kind, safe and personalised care across all five areas.
This was a planned inspection on 17 May 2019. One inspector visited the home, spoke with people, relatives, staff and the manager, and checked care, medicines, recruitment, training and management records.
The three people living at the home were supported by staff who knew them well. Inspectors found that people were treated with kindness and respect, had their choices supported, and received care that followed their plans.
Inspectors found safe medicines practice, suitable staffing, good staff training and effective systems for managing risks and complaints. The home also worked with health and social care professionals.
The home was rated Good in every area: Safe, Effective, Caring, Responsive and Well-led. It had also been rated Good at the previous inspection, published on 9 December 2016.
Kind and respectful care
Staff formed caring relationships with people and treated them with warmth, dignity and respect.
“We observed staff were kind and compassionate and showed they had formed a strong relationship with people and knew them well.” from the report
Personalised support
Care plans reflected people's needs, preferences and choices. People were supported to remain independent and take part in activities that mattered to them.
“People's care plans were detailed and personalised. There was evidence that relatives were invited to participate in care plan reviews with people.” from the report
Safe medicines and staffing
Inspectors found that medicines were stored and given safely. Staff were trained and there were enough staff to support people's needs.
“People received their medicines safely and as prescribed.” from the report
Good management
The home had effective audits and acted on improvements. People, relatives and staff could raise comments and felt listened to.
“The quality, safety and effectiveness of the service provided was monitored through regular audits.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's care needs before they move in?
- 02How will you support my relative's specific communication needs and choices?
- 03How will you manage any dietary requirements and support access to healthcare?
- 04How often will care plans be reviewed, and how will relatives be involved?
- 05What training and supervision do staff receive for my relative's needs?
This was a planned inspection covering the overall quality of the care home and all five CQC questions, including the premises and care provided. This explanation was written from the published report of 15 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2016
Rated Good in all five areas; inspectors found safe, kind and person-centred care, with detailed records and regular checks.
This was an unannounced inspection on 13 October 2016. One inspector reviewed records, staffing information, policies, training and quality checks. They observed people, spoke with two residents, three staff members, the manager, two relatives and three health and social care professionals.
The home supported three people with mental health needs and/or a learning disability. Inspectors found suitable staffing, safe medicines procedures, current risk assessments and trained staff. People were treated with dignity, involved in decisions and supported to keep relationships, follow their routines and take part in activities.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. The previous inspection was in July 2014, when there were no breaches of regulations.
Safe care and medicines
Inspectors found that risks were assessed and updated. Medicines were stored, given and recorded safely, with regular competency checks and audits.
“Medicine administration, recording and storage were safe.” from the report
Kind and respectful staff
People appeared relaxed with staff. Staff explained what they were doing, asked permission and protected people's privacy.
“Staff treated people with understanding, kindness, respect and dignity.” from the report
Personalised care
Care plans described people's needs, preferences, routines and behaviours in detail. People and families were involved in planning and reviews.
“Each person had a detailed care plan around behaviours which may be challenging.” from the report
Meaningful activities
People had individual activity timetables and were supported to try activities linked to their interests, including sailing, gardening and day services.
“People were supported on a regular basis to participate in meaningful activities.” from the report
Good management checks
The manager and staff were described as approachable. Regular audits were used to identify and act on improvements.
“Quality assurance systems were in place to monitor the quality of the service provided.” from the report
Inspectors raised no specific concerns in this report.
- 01How are medicines audits and staff competency checks carried out now?
- 02How are care plans updated when a person's health, behaviour or daily routine changes?
- 03What activities are available now, and how are people's individual choices recorded?
- 04How are families involved in care reviews and decisions about changing needs?
- 05Who should we contact if we have a complaint, and how will it be investigated?
This was an unannounced inspection covering the overall quality of the home and all five CQC questions. This explanation was written from the published report of 9 December 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Joyleen
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- October 2012
Registered with the Care Quality Commission on 26 October 2012.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.