The inspection took place on 2 May 2018 and was unannounced. When we last inspected the service in March 2017 they were meeting the regulations we looked at and we rated the service Good overall and in all five key questions.Jordan Lodge provides care and support for up to 16 adults. Some of the people were living with the dual diagnosis of substance misuse and long term mental health needs. There were 11 people living at the service when we inspected it.
Jordan Lodge 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 had a registered manager. 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.
Our inspection of the home’s environment identified the need for redecoration and refurbishment in a number of different areas of the home because of the potential for infection and the potential risk to people and to their mental well-being. The provider told us they had identified the need for significant refurbishment of the home and had implemented a plan to carry out appropriate works designed to address these needs. We saw evidence of the work already started in the home. A number of improvements were noted. The registered manager and the regional manager told us the plan was to complete the works before the end of the year.
People who used the service were safe. The home’s equipment was well maintained. Staff understood the importance of people’s safety and knew how to report any concerns they may have. Risks to people’s health, safety and wellbeing had been assessed and plans were in place which instructed staff how to minimise any identified risks to keep people safe from harm or injury. The provider ensured these were kept up to date so that staff had access to the latest information about how to minimise identified risks. The premises and equipment were regularly serviced and checked to ensure these did not pose unnecessary risks to people. Staff were well informed about how to safeguard people from abuse and knew what actions to take if they had concerns.
There were enough staff on duty to keep people safe and meet their individual needs. The provider had a safe recruitment process to ensure they employed staff who had the right skills and experience and as far as possible were suited to supporting the people who used the service.
People received their medicines as prescribed. The provider had relevant protocols for the safe management of people's medicines.
Staff had the relevant skills to help meet people's needs. They had access to effective training that equipped them with the skills they required to look after people. They had a good understanding of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. They supported people in accordance with the relevant legislation and guidance.
People had access to a variety of healthy and well balanced meals. Staff provided appropriate support to people so they had timely access to health care services.
Staff supported people in a kind and compassionate manner. They treated people with dignity and respect. They were knowledgeable about the needs of the people they supported and ensured that wherever possible people or their relatives were involved in decisions about their care. Relatives and health and social care professionals told us they were always made to feel welcome when they visited the home. We have made a recommendation about involving people in decisions about their care.
People's care plans reflected their choices, their individual needs and preferences. Their care was provided in a person centred manner. They had access to social activities of their choice. The provider encouraged feedback from people using the service and their relatives. There was an appropriate complaints procedure in place that people knew about and felt confident that the provider would respond appropriately to any concerns they raised.
Staff felt they were well supported. There was a shared ethos of providing person-centred care. The registered manager supported staff to meet the standards expected of them which enabled them to deliver a good standard of care.
The provider did not have quality assurance systems in place that effectively identified problems and issues with the service. Where problems were identified they were not always addressed promptly. Issues to with the focus of the service in terms of the target client group need clarifying.
During this inspection, we identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report. Full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.