CQC report explained · a residential care home
What the CQC found at 29 Jonquil Close
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable safeguarding, risk assessment, staffing and recruitment systems. Medicines were managed safely, the home was clean, and accidents were reviewed for learning.
- Effective?
- Good
- Care plans covered people's health, nutrition, communication and personal needs. Staff had relevant training and supported people to access healthcare and make choices.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. They adapted communication and involved people and relatives in decisions about care.
- Responsive?
- Good
- Care was personalised and reviewed regularly. People were supported to communicate, take part in activities, maintain relationships and develop independence.
- Well-led?
- Good
- Inspectors found supportive leadership, regular feedback and detailed quality monitoring. The manager had not yet registered with the CQC but was in the process of doing so.
What inspectors found, December 2019
Jubilee House Care Trust - 29 Jonquil Close was rated Good; inspectors found safe, kind and personalised care, with end-of-life planning still to develop.
This was an unannounced planned inspection. One inspector observed care, spoke with staff and relatives, and reviewed care, medicines, recruitment, training and management records. Some records were checked again after the visits.
The home provided residential care for six people with complex and profound learning disabilities. Inspectors found people were calm and comfortable, staff knew them well, and care was tailored to their communication, health needs, choices and interests.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Medicines, staffing, safeguarding, training, health support and quality checks were all judged satisfactory or better.
The report identified that people did not yet have end-of-life plans. A new manager had been appointed but was still registering with the CQC. The overall rating remained Good, the same as at the previous inspection published in April 2017.
Kind and respectful support
Staff used communication suited to each person and treated people with compassion, dignity and respect.
“Throughout the inspection we observed staff treating people with respect and compassion.” from the report
Personalised care
Care plans recorded people's history, preferences, health needs and how they wanted to be supported. Staff who had worked there for a long time knew people well.
“People received personalised care that reflected their needs and preferences.” from the report
Safe staffing and medicines
There were enough staff to respond to people's needs and spend time with them. Medicines records were accurate and medicines were audited.
“Staff were attentive and able to respond promptly to the needs of people.” from the report
Strong quality monitoring
The provider and manager used audits, feedback, incident reviews and an action plan to monitor and improve the home.
“Quality assurance processes were followed to monitor and improve the service.” from the report
End-of-life planning
needs fixingNo one was receiving end-of-life care during the inspection, but the home had not yet asked people about their last wishes or recorded end-of-life plans.
“The manager had identified that people had not been asked about their last wishes or had end of life plans in place.” from the report
Manager registration
minorThe home did not have a manager registered with the CQC at the time of inspection. A new manager had been appointed and was applying to register.
“The service did not have a manager registered with the Care Quality Commission.” from the report
- 01Have end-of-life wishes now been discussed with each person and their relatives, and recorded in their care plan?
- 02Has the manager completed registration with the CQC?
- 03How do you make sure staff understand each person's facial expressions, sounds and gestures?
- 04How often are medicines records and audits checked, and what happens if an error is found?
- 05How are people's activity choices, independence goals and family relationships reviewed?
This was an unannounced planned inspection covering all five CQC questions, including observations, discussions with relatives and staff, and reviews of care, medicines, recruitment, training and quality records. This explanation was written from the published report of 18 December 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2017
Rated Good; inspectors found kind, safe and personalised care, but the home needed improvements to its tired environment and cleaning consistency.
This was an unannounced comprehensive inspection on 20 March 2017. Two inspectors spoke with all six people living at the home, two relatives, four staff members and the registered manager. They also reviewed care records, staff files and other information.
The home supported six people with complex and profound learning disabilities. Inspectors found that staff knew people well and treated them with kindness, dignity and respect. Medicines were managed safely, risks were assessed, and people were supported to make choices and take part in varied activities.
The home had an open culture. Relatives and staff felt able to raise concerns, and quality checks were being used to identify and address problems. The home was rated Good in all five areas and remained Good after the previous inspection in June and July 2015.
Inspectors noted that the environment was tired and worn, with some rooms needing updating. The manager had plans for redecoration, new furnishings and more regular deep cleaning.
Kind and respectful care
Staff knew people well and treated them with kindness, dignity and respect. Inspectors saw relaxed, caring relationships between people and staff.
“People received care from staff who knew them well. Staff treated people with kindness, dignity and respect.” from the report
Choice and communication
Staff used pictures, objects and other approaches to help people express choices. Care plans had been made more accessible, and people were supported to take more control of daily activities.
“People's care plans had been updated using pictures and more accessible language to better enable people to understand them.” from the report
Creative activities
The home looked for activities that matched people's interests and abilities, both inside and outside the home. This included community trips and activities such as arts and crafts, cooking and sensory sessions.
“Staff were creative in seeking new ways to support and encourage people to partake in a variety of social activities both within the local area and beyond.” from the report
Open leadership
Relatives and staff felt comfortable raising concerns. The home used regular audits, meetings and reviews to monitor and improve the service.
“There was a caring and open culture which put the people living at the service at the centre.” from the report
Tired environment
needs fixingThe atmosphere was welcoming, but inspectors found that the environment looked tired and worn. The lounge and dining room needed redecoration and new furnishings, and the manager had a plan to address this.
“Whilst the atmosphere in the home was warm and welcoming the environment was tired and worn with little homely aspects.” from the report
Cleaning consistency
minorThe manager said the standard of cleaning was not yet consistent. A more formal checking system and plans for regular deep cleaning had been introduced.
“The registered manager said they were working on developing greater consistency in the level of cleaning” from the report
- 01Have the planned redecoration and new furnishings for the lounge and dining room been completed?
- 02How is the consistency of cleaning checked now, and how often is deep cleaning carried out?
- 03How will staff support my relative to communicate choices and understand their care plan?
- 04What activities are currently available outside the home, and how are people helped to prepare for them?
- 05How are relatives involved in care reviews and decisions about healthcare and end of life care?
This was an unannounced comprehensive inspection covering all five key questions, with the overall rating remaining Good from the previous inspection. This explanation was written from the published report of 28 April 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 29 Jonquil Close
3 rated inspections over 4 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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