Archived: Jubilee House

Jubilee House is a supported living service that provides care and support to adults living with a learning disability in their own homes so that they can live as independently as possible. People lived in flats with their own tenancies in a large building with a communal area. Staff were on site at all times. Four people were being supported at the time of the inspection, some with complex health needs.

People’s experience of using this service:

People were happy living at the service and with the support they received. People received person centred care and support from staff who they had developed meaningful relationships with over a long period of time.

People were supported with complex health needs to remain healthy and as far as possible to live a fulfilling life. People took part in activities they enjoyed.

People's support focused on them having as many opportunities as possible to gain new skills and become more independent; technology was used to enable people to live in their own homes safely.

People were supported in ways which promoted their rights to choice and control. People were engaged in the service and involved in decisions around their care from choosing what they ate for dinner to the recruitment of new staff.

The quality and safety of the service was ensured by the provider. There was a positive and caring culture in the service led by the unit manager and supported by the registered manager. Staff told us it was a good place to work and were well supported.

The home had continued to meet the characteristics of Good in all areas.

Rating at last inspection: Good (report published 14 November 2016).

Why we inspected: This was a comprehensive planned inspection.

Follow up: We will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated Good.

Jubilee House provides support and personal care to people with learning disabilities who live in their own homes in order for them to maintain their independence. People lived in flats with their own tenancies that were all within one building, with staff on site at all times

At the time of our inspection the provider confirmed they were providing personal care to 5 people.

There was a registered manager 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.

Staff had an understanding of abuse and the safeguarding procedures that should be followed to report abuse and people had risk assessments in place to enable them to be as independent as possible.

Staffing levels were adequate to meet people's current needs. We saw that new staff had been recruited recently, and that shifts were covered appropriately.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service.

We observed that people were provided with support with medicines, which were administered safely and on time.

Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles

Staff were well supported by the registered manager and senior team, and had regular one to one

supervisions, as well as the opportunity to regularly seek support and talk to senior staff when required.

People's consent was gained before any care was provided and the requirements of the Mental Capacity Act 2005 were met.

People were able to choose the food and drink they wanted and staff supported people with this. Staff were knowledgeable about people’s dietary requirements which were regularly reviewed by appropriate professionals.

People were supported to access health appointments when necessary. Staff were knowledgeable about the health conditions that people had and regularly made referrals to health professionals as required.

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes.

People were involved in their own care planning and were able to contribute to the way in which they were supported.

The service had a complaints procedure in place to ensure that people and their families were able to provide feedback about their care and to help the service make improvements where required.

Quality monitoring systems and processes were used effectively to drive future improvement and identify where action was needed

Another person indicated that 'staff listened and made sure they had understood'. They said that staff made food the way they preferred. They indicated to us that they felt well supported.

We observed that staff did listen carefully, and had learnt what people were saying using different ways of communicating. We saw that care and support was highly individualised and focused on increasing people's skills and independence. We saw that consent was obtained from people, and for more complex decisions, using their circle of support for a best interests review. We found people were given support to purchase and make food which was nutritious. Where needed, we found guides how to support eating and drinking were in place and staff were able to give detailed descriptions about support. The people in charge had an effective system to provide and keep necessary equipment maintained .

We saw that people experienced safe and effective care based on detailed care plans that people developed with staff. There were risk assessments that provided good guidance to staff to minimise potential risks. Care was provided in a way that met people's choices and aspirations.

People were protected from abuse as they were supported by staff who had appropriate knowledge and training on safeguarding adults. People told us that if they had any concerns they would report them to the manager.

Staff we spoke to and records we reviewed, demonstrated that staff were suitably skilled and supported to ensure that people received care that met their needs.

Staff received ongoing training and supervision which provided them with the skills and knowledge to meet the needs of the people they were supporting.

The provider had systems in place to monitor and assess the quality of the service through the auditing of procedures such as medication and infection control. The provider regularly collected the views of families, people who used the service and other practitioners and most people were very positive about the service.