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Inspection Summary


Overall summary & rating

Good

Updated 16 June 2018

This comprehensive inspection took place on 15 and 23 May 2018 and the first day of the inspection was unannounced. We told the provider when we would come back for the second day of inspection.

At the last inspection on 18 May 2016 the service was given an overall rating of Good, with a breach and requires improvement in Effective. The breach was in relation to staff not receiving regular supervisions or annual appraisals. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key question ‘Effective’ to at least good.”

At this inspection on 15 and 23 May 2018 we identified the provider had made improvements to the frequency and support provided in staff members supervisions and annual appraisals. Scheduled supervisions took place when planned and staff were encouraged to participate in the agenda, ensuring areas of interest were discussed during the supervision.

Supervisions were recorded and staff were encouraged to request additional supervision meetings as and when they felt necessary. Although there had been improvements in the frequency of supervisions, we also identified the process was not as person centred as it could be. We raised our concerns with the registered manager on the first day of the inspection. One second day of the inspection, the registered manager provided us with an update of supervision records, which were person-centred and tailored to individual staff members.

Joybrook 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.

Joybrook accommodates up to 15 people in one adapted building. Joybook is a large residential house situated in a quiet road in the London borough of Lambeth. At the time of the inspection there were 14 people using the service.

The service had 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.

Staff received training in safeguarding and whistleblowing, which enabled them to identify, report and escalate suspected abuse. Risk management plans identified known risks and gave staff clear guidance on how to mitigate risks in a safe manner. Changes to risk management plans were shared with staff members swiftly.

People’s medicines were managed safely. Medicine records were completed correctly and staff confirmed they received training in medicines management. People continued to be protected against the risk of cross contamination as the provider had robust infection control measures in place.

Staff continued to receive on-going training in all aspects of their roles and responsibilities. People and their relatives felt staff were well trained and could effectively meet their needs. Staff were confident any additional training they wished to undertake would be provided.

People’s consent to care and treatment was sought prior to care being delivered. The registered manager and staff were aware of their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were encouraged and supported to eat sufficient amounts of food and drink to meet their dietary requirements and preferences. People with specific dietary requirements were catered for in corroboration with guidance from healthcare professionals. People described the food as, ‘very nice’, and ‘filling’.

People received care and support from staff that treated them with dignity, respect and supported their diversity. People were encouraged to acknowledge their culture and faith as they wi

Inspection areas

Safe

Good

Updated 16 June 2018

The service remains safe.

Effective

Good

Updated 16 June 2018

The service was effective. The provider had made improvements to the supervision and appraisal process. Supervisions were carried out regularly and enabled staff to reflect on their working practices.

Staff received on-going training to enhance their skills and knowledge. Staff confirmed they could request additional training and this would be provided.

The registered manager had sufficient knowledge and adhered to the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards.

People had access to adequate amounts of food and drink that met their dietary needs and requirements.

People were supported by staff that recognised their diversity and encouraged them to follow their cultural and religious faith.

Caring

Good

Updated 16 June 2018

The service remains caring.

Responsive

Good

Updated 16 June 2018

The service remains responsive.

Well-led

Good

Updated 16 June 2018

The service remains well-led.