Archived: Jamesons Residential Care Home Limited - 140 Mill Road

140 Mill Road supports two people with a learning disability to live within their community. On the day of our inspection there were two people using the service. This service is one of six in the same group, located close together under ‘Jameson’s Residential Care’ umbrella.

There was a registered manager in post at the time of the inspection and they were present at this inspection. 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.

People told us that they liked living at the service and got on together well. The building was an ordinary domestic dwelling in the heart of the community and in a good state of repair. There were systems in place to reduce the risks to people and there were clear plans in place for emergencies. Staffing levels were flexible and were adjusted to take account of the needs of the individuals who used the service and their access to day time activities and the wider community.

Medicines were safely managed. Staff understood people’s health needs well people were supported to access health professionals. Relatives and advocates were involved when appropriate. Staff were trained in a range of areas including medication, safeguarding and first aid.

Individuality and diversity was respected by staff. Privacy and choices were promoted and people were involved with planning their aspirations and future. People were encouraged to be independent and to exercise choice in how they were supported. People had good access to a day service, transport and community facilities. Complaints were investigated and responded to.

The manager was easily accessible for staff and they were motivated and felt well supported. Staff understood the aims and objectives of the service and worked towards and in line with these. They were clear about what was expected of them and there were effective systems in place to review the care provided.

Care records included risk assessments to minimise any risks to them during their stay at the service and showed that a range of activities were available. This showed us that care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

We found that the provider had taken reasonable steps to protect the people using the service from the risk of abuse. We saw evidence of local advocacy providers. This showed us that staff and people who used the service had access to a range of support services and guidance in the area of safeguarding and the sharing of concerns.

We spoke with staff who worked at the service. They confirmed that they were regularly involved in staff meetings, and that they had the opportunity to contribute to these meetings and have a say in the development of the service provided.

The service had a clear system of internal audits of systems, such as medication whereby staff checked records on a daily basis and confirmed all medication administration systems had been adhered to.

We looked at care records for a person who had recently used the service. These were comprehensive and up to date and provided information about the needs of the person and how those needs could be safely met.

People who used the service were involved in discussions about their care and support, and family contact and involvement was encouraged.

We found that the premises were well equipped and regular maintenance and quality checks carried out.