What the CQC found at Jaden House

Inspectors found safe infection prevention practices, appropriate protective equipment and a cleaning schedule. Professionals said the home was always clean.

“People were protected from the risk of infection as staff were following safe infection prevention and control practices.” from the report

The provider had enough staff on shift, according to staff and the report. People also said the staff team was consistent and knew them well.

“Staff told us they felt there were always enough staff on shift, and they all work together to cover the shift.” from the report

People had regular meetings with keyworkers who knew them well. People said they felt able to raise concerns with staff, their keyworker and the manager.

“People had keyworkers who knew them well. they spent one day each week with their keyworker and had keyworker meetings.” from the report

Although medicines were not always administered safely, inspectors found that they were stored safely and cabinet temperatures were monitored.

“Medicines were stored safely. For example, staff monitored the daily temperature of the medicines cabinet” from the report

Several incidents and allegations were not reported or properly investigated. In one case, a staff member continued to work one-to-one with a person after an allegation of abuse.

“People were not consistently safeguarded from abuse and avoidable harm.” from the report

Medicine records contained unexplained entries and repeated refusals or destructions that were not reported promptly. Prescribers were not always informed.

“There were 7 occasions where red crosses were entered on one person's medicine administration record, with no explanation of what this meant” from the report

Risk assessments were sometimes unclear, out of date or not updated after incidents. Staff may not have had enough information to support people safely.

“People's risk assessments did not have enough information to guide staff on how to support people safely.” from the report

People who could manage their own medicines still had to receive them in the office. People were restricted from communal areas after 11pm and did not have their own front door key.

“People were not supported to have maximum choice and control of their lives” from the report

Several staff files lacked employment histories, interview records or identity checks. Some staff started before enhanced DBS checks were completed, and some essential training was missing.

“Some staff started work before having an enhanced DBS in place and there was no risk assessment on place.” from the report

Quality systems did not identify the problems found by inspectors. There was no effective action plan, and incidents were not properly reviewed for learning.

“The provider's quality assurance processes were not effective, and had not identified the concerns we found during the inspection.” from the report