Archived: Jubilee Gardens

Updated 24 June 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook an unannounced inspection on 20 May 2016. The inspection was undertaken by an adult social care inspector.

During our inspection we met three of the people who were staying at Jubilee Gardens. We also undertook a number of informal observations in order to see how staff interacted with people and see how care was provided. We spoke with the two members of support staff who were on duty for the majority of our inspection, the cook and the project lead, who oversaw the day to day running and management of the service. We also spoke with another two project leads, who were visiting from other similar services run by the provider.

We reviewed a range of records during our inspection visit, including two people’s outcome plans, daily records of people’s care and treatment, medication management records and policies and procedures relating to the running of the service. These included quality assurance documents and staff training records.

We also contacted members of two social work teams in order to obtain their views about the support provided by Jubilee Gardens and received feedback from a team manager and a clinical lead, who had involvement with the service.

Updated 24 June 2016

This inspection took place on 20 May 2016. The inspection was unannounced which meant the staff and provider did not know we would be inspecting the service.

The service was last inspected in May 2015. At that inspection we found the service was in breach of regulations in that some checks had not been undertaken in order to ensure that people were being supported in a safe, suitable environment. For example, the window restrictors that were in place were not effective and did not meet published guidance; this was because the mechanism could be overridden. You can read the report from our last inspections, by selecting the 'all reports' link for ‘Jubilee.Gardens’ on our website at www.cqc.org.uk

Jubilee Gardens provides supported accommodation and personal care for up to 16 people with enduring mental health needs aged 18 years and over. People access the service for a maximum of two years; within this period of time they receive support to develop their skills in order to live independently. Staff are based on site 24 hours a day and provide practical and emotional support to people. At the time of this inspection 6 people were using the service.

The home had a registered manager. However, they were on leave at the time of the inspection and we were supported in the inspection by the project lead. 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.

At this inspection we found improvements had been made since our last inspection in May 2015 and no further breaches were identified. The window restrictors had been replaced, audit system checks for the window restrictors introduced, and staff awareness of the associated risks had been raised.

People received their medicines safety and appropriately and were supported to manage their own medicines in a planned way. Changes had been made, and the room used to store medicines helped to ensure they were always stored at the required temperature.

We found that some areas of the building were in need of refurbishment to help maintain good standards of cleanliness. For instance, in the kitchen used by the people for making breakfast, snacks and drinks the kitchen units were tired and the work surface was worn.

People told us they felt safe at Jubilee Gardens. Staff knew how to recognise and report signs of abuse. They understood the individual risks associated with people’s care and protected them from harm. An effective recruitment procedure was in place to minimise the risk of abuse.

Staff were knowledgeable about the Mental Capacity Act 2005.

There were enough staff with the right skills and competencies on duty to meet people’s needs.

Staff received regular supervision and an annual appraisal of their work performance. They spoke positively about the training they received.

Healthy eating was promoted and people were encouraged to make healthy food choices, as well as to develop their cooking skills.

The service promoted and encouraged people to develop their independence skills in readiness for moving on from the project.

People’s needs were assessed before they entered the service. People told us they were fully involved in their support plans and were provided with opportunities to express their views about the support they received.

The staff team worked closely and effectively with health and social care professionals to make sure that people’s needs were met. Staff supported people to attend and access health and medical appointments when needed.

The support plans were centred on people’s individual needs and included information about their preferences, backgrounds and interests. People spoke positively about the social, therapeutic and educational activities and opportunities within and outside of Jubilee Gardens.

The staff had a clear understanding of the diverse needs of people using the service and we saw them responded to people in a caring, sensitive, patient and understanding manner.

A range of checks were undertaken by the registered manager, the project lead and staff to monitor the quality of the service. The results of these checks were then fed into a monthly monitoring visit undertaken by the provider’s quality assurance lead.