About the service:Jubilee House is registered to provide accommodation and personal care for up to six people living with learning disabilities, autism and sensory and communication impairments. The service is intended for those individuals who require a high level of support to live within a community setting. The service is made up of six individual studio apartments, with access to community facilities such as a dining area, lounge, fitted kitchen and two gardens. At the time of the inspection there were six people living at the service.
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:
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.
People at risk were supervised during the day and night on a one to one basis or two to one basis by staff. There were enough staff to keep people safe and meet their needs. People did not express any concerns about their safety. People were encouraged and supported to engage in activities within the community. Two people had gone out shopping on the day of the inspection. Another person was supported to go to the local shops to buy a newspaper. One person was celebrating their birthday with people and staff.
There were systems in place to safeguard people from abuse. Staff had undertaken safeguarding training and were knowledgeable about their roles and responsibilities in keeping people safe from harm. Risk assessments and support plans showed how people might behave when they were well, or when they were potentially becoming unwell. Support plans gave guidance to staff in how they should respond to promote well-being and how they should react to de-escalate increasing agitation and anxiety.
Staff respected people’s privacy and dignity. Staff communicated with people in a friendly and warm manner that reflected their communication needs. The service had received positive feedback from one person's relatives about the quality of care provided. One person told us they were happy living at the service and shared their plans to go out shopping with staff.
A relative had complimented the service on the quality of care provided to their family member. People were supported to keep in touch with their relatives and people important to them.
Systems were in place to make sure managers and staff learned from events such as incidents, concerns and investigations. The provider completed pre-employment checks for new staff, to make sure they were suitable to work at the service.
Medicines were managed safely at the service. The service was clean and had a welcoming atmosphere.
Staff had undertaken mandatory and specialist training which was regularly updated to ensure they had the skills and knowledge to support people effectively.
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.
There was a range of easy read documentation available for people to look at. There was an easy read complaints procedure displayed in the dining area. People were encouraged to raise any concerns or worries they had.
Staff spoken with made positive comments about the staff team and new manager. Staff felt respected, listened to and influential. The service had an open culture. The new manager was committed to providing person-centred care and learning from any incidents.
There were planned and regular checks completed at the service to check the quality and safety of the service provided.
Rating at last inspection:
The service was registered with us on 7 February 2019 and this is the first inspection.
Why we inspected:
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.