Jubilee House Care Trust - 29 Jonquil Close

Updated 18 December 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

Jubilee House Care Trust - 29 Jonquil Close is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. A new manager had been appointed and was in the process of registering. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

The people living at Jubilee Trust – 29 Jonquil Close communicate with facial expressions, sounds and gestures. We observed the care and support provided to help us understand the experiences of people who could not talk with us. We contacted two relatives about their experience of the care provided. We spoke with five members of staff including the manager and the chief executive from the provider organisation.

We reviewed a range of records. This included two people’s care records and medication records. We looked at files in relation to recruitment, staff training and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. Documentation was provided as requested and this enabled us to look at training data, meeting minutes and quality assurance records. These records were reviewed on 1st November 2019.

Updated 18 December 2019

About the service

Jubilee House Care Trust – 29 Jonquil Close is a residential care home providing personal care to six people with complex and profound learning disabilities. The service can support up to six people.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service and what we found

People were calm, relaxed and comfortable in the presence of staff. Staff had undergone training in the safeguarding people and had a good understanding of the reporting processes. Risks to people’s safety and well-being had been identified and assessed. Staff knew the action they should take and followed the guidance provided to them.

There were sufficient staff on duty in the service to meet people’s needs when needed. Staff confirmed they were also able to spend time engaged with people in meaningful activities. Staff were recruited were safely and received an in-depth induction and ongoing training to provide them with the skills required for their roles.

Medicines were stored and managed safely. The manager and provider analysed accidents and incidents for trends and patterns and lessons learnt were shared with staff. People lived in a clean well-maintained environment.

People had lived at the service for a number of years. Detailed plans of care and support that guided staff in how people preferred their support to be delivered were in place. Staff were knowledgeable about the people that they were supporting and provided personalised care. People’s health and wellbeing was closely monitored and staff supported them to access healthcare services, when required.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People’s concerns were listened to and acted upon. There was a robust system in place to gather feedback from people, relatives and professionals. No formal complaints had been raised at the service; however, there was a procedure in place should any concerns be raised.

There was a positive culture of person-centred, quality care throughout the organisation. The robust quality assurance system in place provided the manager and provider with a detailed overview of service quality and where improvements needed to be made. Senior staff were dedicated to maintaining high standards.

There was strong leadership at the service and staff spoke highly of the manager and provider.

The service applied the principles and values of Registering the Right Support and other best practice guidance. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

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

Rating at last inspection

The last rating for this service was good (published 28 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.