Archived: Jigsaw Project

Updated 25 April 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

This comprehensive inspection took place on 15 and 17 February 2017 and was unannounced.

The inspection was carried out by an inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection, we reviewed information we held about the service including statutory notifications sent to us by the registered manager about incidents and events that had occurred at the service. Statutory notifications include information about important events which the provider is required to send us by law. We used this information to plan the inspection.

During the inspection, we spoke with nine people using the service. We also spoke with five members of staff, the registered manager and the service manager who was responsible for the day to day management of the service. We looked at 10 people's care records and their medicines management records. We looked at 10 staff files, training schedule and duty rotas. We reviewed management information on the quality of service and complaints and incidents. We read feedback people had given about the service.

After the visit, we received feedback from two healthcare professionals who were involved with people living at the service.

Updated 25 April 2017

Jigsaw Project provides outreach recovery and rehabilitation support for people with complex mental health needs living in the community. At the time of our inspection, Jigsaw Project was providing support to 35 people.

At the last Care Quality Commission (CQC) inspection in January 2015, the overall rating for the service was Good.

We carried out this unannounced inspection of the service on 15 and 17 February 2017. At this inspection, we found the service remained Good. The registered manager and provider showed the service continued to meet CQC regulations and fundamental standards.

People remained safe at Jigsaw Project. Staff knew how to identify and protect people from the risk of abuse. Risks to people were identified and managed appropriately to keep them safe from avoidable harm at the service and while in the community.

The provider ensured the service continued to have sufficient numbers of suitable staff deployed to meet people’s needs. Recruitment procedures remained safe to protect people from unsuitable staff. People continued to receive care from knowledgeable and skilled staff who were supported in their role. Staff supported people to take their medicines when needed. Medicines were managed and administered appropriately by staff who were trained and assessed as competent to do so. Staff had received regular supervision and support to monitor their performance and development needs. They attended regular training to help them undertake their role.

People’s dignity and privacy was upheld. Staff delivered people’s care and support in a caring and compassionate manner.

People were supported to access healthcare services to maintain their health and well-being. Staff encouraged people to eat healthy foods. People prepared their own meals as they lived independently in the community.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff continued to provide people’s support in line with the requirements of the Mental Capacity Act 2005. People consented to care and treatment.

People received individualised care that met their needs and reflected their preferences and choices. Staff had sufficient guidance on how to provide support to people and to meet their needs. People were involved in making day to day decisions about their care. Staff regularly reviewed people’s needs and updated their care plans to reflect their changing needs and the support they required.

People continued to take part activities of their choosing and were supported to pursue their interests. People knew how to make a complaint about the quality of care and felt confident their concerns would be resolved. People had an opportunity to share their views about the quality of the care and their feedback was considered.

The service continued to be managed well. The registered manager drove improvements of the service through regular checks and audits of the quality of care. The service maintained close partnerships with other healthcare professionals in the delivery of good care to people.

Further information is in the detailed findings below.