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We are carrying out a review of quality at Jabulani. We will publish a report when our review is complete. Find out more about our inspection reports.

Reports


Inspection carried out on 21 December 2017

During a routine inspection

We inspected the service on 21 December 2017 and 4 January 2018. The inspection was unannounced on the first day. The inspection was prompted in part by notification of an incident following which a person who used the service was injured. This incident is subject to a criminal investigation and as a result this inspection did not examine the circumstances of the incident.

Jubalani is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Jubalani accommodates up to 11 people in one building. On the day of our inspection 10 people were using the service, one person was in hospital.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the last inspection in April 2015, we rated the service ‘Good’. The service remains ‘Good’.

The service is required to have a registered manager and one was in post. 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. The service had a registered manager.

During this inspection we found the service was mostly safe during the day. However, medicines were not always stored effectively and the number of staff working at night left people at risk.

People were protected from risks associated with their care and support. Action had been taken to protect people from the behaviour of others living at the home, this included increasing the staffing levels. Systems to review and learn from accidents and incidents were in place. The manager worked closely with mental health professionals and social care professionals and risk assessments were on going. Staff were trained in systems to keep people safe and prevent them from harming themselves and others.

Staff understood infection control and there were systems in place to keep people safe and the home clean and fresh.

Where people lacked capacity to make choices and decisions, their rights under the Mental Capacity Act (2005) were respected. DoLS were used legally and effectively to protect people who did not have the mental capacity to consent to their care.

Staff felt supported and received sufficient training to enable them to effectively meet people’s individual needs. People’s mental and physical health was promoted and they were supported to attend health care appointments. People were supported to have enough to eat and drink.

People received person centred support which met their needs. Staff had an understanding of how to support people with mental health needs and all staff had read and understood people’s care plans. Policies and practices were person centred. Staff respected people’s privacy and their dignity was promoted.

People had care plans that provided an accurate and up to date description of their needs. People’s independence was promoted in a proactive manner, and some people were being assisted to move to more independent living.

People knew how raise issues and concerns. People had opportunities to partake in social activities in the community during the day. This was curtailed at night due to the timings of staffing rotas and shift changes.

The service was well led. The systems in place to monitor and improve the quality and safety of the service were effective. These included systems to record, analyse and investigate incidents which posed a risk to the health and wellbeing of people who used the service. Staff on duty when an incident happened, had a meeting to look at the events and lessons to be learned and actions to put in place to

Inspection carried out on 1 April 2015

During a routine inspection

We undertook an unannounced inspection on 1 April 2015.

Jabulani provides residential care and support for people with learning disabilities. The home is registered to accommodate up to 11 people. At the time of our inspection there were seven people using the service. Accommodation was provided over two floors and there was a lift installed. Jabulani was registered 11 April 2014 with the Care Quality Commission and the service had not previously been inspected.

At the time of the inspection there was a registered manager in place. 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 they felt safe and were protected from the risk of abuse or avoidable harm. There were sufficient numbers of staff employed to meet people’s needs on a day to day basis.

Care staff were knowledgeable about the people who used the service and were aware of their roles and responsibilities. They had the skills, knowledge and experience required to support the people who were resident in the home. Care staff provided appropriate support to encourage and engage people in activities within the home.

Care staff had received training and support in order to deliver effective care to people. Care was provided to them in a way that met their individual needs. People were encouraged to make choices about their daily living.

People were supported with their dietary needs and were supported to make choices about meals.

Records for staff recruitment were in place and staff had been recruited in an appropriate way. The requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) 2008 were known and understood by care staff and the registered manager.

Medicines were managed in a safe and appropriate way.

Relatives were involved in the day to day care of the relatives in that their likes and dislikes were discussed. We saw that the registered manager had a high profile in the home.