St Anne's Community Services - Jenkin Lodge

Updated 30 August 2018

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.

This comprehensive inspection took place on 03 July 2018 and was announced.

We gave the service 48 hours’ notice of the inspection visit because the location was a small care home for adults who are often out during the day. We needed to be sure that they would be in. The inspection was carried out by one inspector.

Before the inspection we reviewed all the information we held about the service including statutory notifications. Notifications are changes, events or incidents the provider is legally obliged to tell us about within required timescales. We contacted relevant agencies such as the local authority safeguarding and commissioners. Commissioners are people who work to find appropriate care and support services for people and fund the care provided.

The provider had completed a Provider Information Return (PIR). We used information the provider sent us in the PIR when planning the inspection. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

Due to the complex needs of the people living at Jenkin Lodge we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

During the inspection, we spoke with the registered manager and three staff. We spoke with one relative who was visiting the service and four by telephone. We also spoke with two health and social care professionals to gather their feedback about the service.

We looked at a range of documents and records related to people's care and the management of the service. We looked at three care plans, two staff recruitment records, training records, quality assurance audits, minutes of staff meetings, complaints records, policies and procedures.

Updated 30 August 2018

This inspection took place on 03 July and was announced.

St Anne's Community Services – Jenkin Lodge is a residential care home for 5 people with a learning disability. People in care homes receive accommodation and 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 provides residential and personal care in a purpose built bungalow. There were five people living at the service at the time of our inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

A registered manager was in post. 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 our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were cared for safely by staff who were trained and knowledgeable about their needs. There were systems and processes in place to protect people from the risk of harm. Staff were able to tell us about different types of abuse and were confident that the registered manager would address any concerns. Staff received regular supervision meetings and appraisals and staffing levels were sufficient to meet people's needs. There were safe recruitment and selection procedures in place and appropriate checks had been undertaken before staff began work.

Medicines were administered safely by staff who were trained and assessed as being competent to do this. People were provided with sufficient food and drink to maintain their health and wellbeing and staff supported people to access healthcare professionals and services.

People’s needs were assessed and reviewed and care records contained information about people's needs, preferences, likes and dislikes. Staff understood people were individuals and would not tolerate discrimination. People received person centred care, their independence was promoted and they had access to a wide range of activities

There were positive interactions between people and staff. Staff knew people well and promoted their independence. Care was person-centred and people were provided with choice. Staff were kind and treated people with dignity and respect. 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.

The premises were well maintained to keep people safe and the provider had a system in place for responding to people's concerns and complaints.

There were positive working relationships with other professionals which promoted people’s well-being. The registered manager and provider monitored the quality of service provided to ensure that people received safe and effective support which met their needs.

Further information is in the detailed findings below.