Jamesons Care

Updated 6 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

This inspection was completed by two inspectors and an Expert by Experience who made telephone calls to people and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service provided care and support to people living in shared houses known as ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave notice of the inspection as we needed information about people who used the service and to ensure the registered management would be available on the day. We asked the registered manager to arrange for people to come to the office and meet with us if they wished.

Inspection activity started on 28 March 2022 and ended on 11 April 2022. We visited the office on 30 March 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

At the office visit, we met five people and one relative. We also met the registered manager, two team leaders, a business assistant and two care staff. We spoke with two people and eight relatives over the telephone about their experience of the care provided. We had email information from two members of staff and from one social care professional.

We looked at a range of records including people's care plans and staff recruitment files.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 6 May 2022

About the service

Jamesons Care is registered to provide personal care to people with a learning disability, physical disability and autistic people. The service has been set up to provide supported living to people who have their own tenancies but who share their home with others. At the time of the inspection, 20 people were using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

People, their relatives and staff were very complimentary about the service. The registered manager promoted an open and inclusive culture where people had support to be themselves and develop their own skills and abilities. The service was well-run with processes in place to promote safety and ensure people received consistent good quality care. The provider supported the registered manager to develop the service in line with good practice guidance.

There was a focus on enabling people to make decisions about how to minimise risk. Staff supported people safely with their medicines. There were enough staff who were safely recruited to provide a flexible service. The provider followed national guidance on managing the risks from COVID-19.

Staff had the necessary skills to meet people’s individual needs. They were well supported in their role. Guidance and training were of a good quality. Staff worked well with external agencies to promote people’s health and wellbeing.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were kind and treated people with dignity. They knew people well and developed respectful relationships with them. Independence and positive outcomes for people were actively promoted.

Support had been developed flexibly to meet people’s needs in a personalised way. Staff adjusted their support when people’s needs changed. The provider ensured people received information in a manner they could understand. People and their representatives felt able to complain and be confident they would be listened to.

Staff were trained in supporting people at the end of their life. People received dignified care at the end of life and their wishes were recorded and respected.

We expect health and social care providers to guarantee people with a learning disability and autistic people the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and autistic people.

The service was able to demonstrate that the service had been set up in line with the underpinning principles of Right support, right care, right culture.

Right support:

The model of care and setting had been designed to maximise people’s choice, control and independence. There was an emphasis on promoting inclusion into the local community.

Right care:

Staff were supported to provide care which was person-centred and promoted people’s dignity, privacy and human rights.

Right culture:

The ethos, values, attitudes and behaviours of leaders and care staff created a culture focused on enabling people to lead confident, inclusive and empowered lives.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Why we inspected

This was a planned inspection of a newly registered service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.