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Jigsaw Creative Care Limited - 77 Russell Street Good

Inspection Summary


Overall summary & rating

Good

Updated 31 October 2017

Jigsaw Creative Care Limited - 77 Russell Street is a respite care service. It can provide accommodation and personal care for up to three people at any one time. Eight people used the service at different times. On the day of the inspection one person was using the respite service.

At the last inspection the service was rated requires improvement in safe and good in effective, caring, responsive and well-led. The overall rating for the service was good. At this inspection we found the service had made improvements in keeping people safe. The service remained good in all the other domains and therefore the overall rating remains good.

People received safe care from the service. Improvements had been made to maintain the property and garden to a good standard and reduce risks to people’s safety. Robust recruitment procedures were now followed to ensure as far as possible only suitable staff were employed. Risk assessments were completed to enable people to receive care with a minimum of risk to themselves or the care staff. Staff were trained to safeguard and protect people. They understood their responsibility to report concerns.

People continued to receive effective care from staff who had been trained and had the necessary skills to meet people’s needs effectively. Staff were supported through one to one supervisory meetings, annual appraisals and staff meetings. They were able to seek advice when necessary and had opportunities to discuss and review their work. People were supported to have sufficient to eat and drink. When necessary their nutritional needs were monitored and professional advice was sought appropriately. People’s healthcare needs were mostly managed by their families. However, when required staff supported people to attend appointments and/or seek advice.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice. However, we noted these were not recorded in accordance with the Mental Capacity Act (2005) MCA and have made the following recommendation. We recommend that the provider refers to current guidance on recording best interest meetings and decisions in line with the MCA.

The service remained caring. We observed staff were kind and patient when supporting people. People’s privacy and dignity was protected and they were treated with respect. People and their families were involved in making decisions about their care. Staff enabled people to maintain and develop independence as much as they were able to.

The service remained responsive to people’s individual needs. Staff knew people very well and care plans were focused on each individual, their preferences, routines and choices. People had access to varied activities which they enjoyed and engaged in. Activities were designed to suit people’s particular needs and interests. Complaints were investigated and resolved in line with the provider’s policy.

The service continued to be well-led. The registered manager promoted an open, friendly and person centred culture. They led by example, were supportive of the staff team and listened to feedback and views to make improvements. The quality of the service was monitored and regular audits and checks were completed.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 31 October 2017

The service was safe.

Robust recruitment practices ensured as far as possible, staff of suitable character were employed to work with people.

The property and garden were now suitably maintained and provided a safe environment for people.

People received their medicines when they were required. Staff had been trained in the safe management of medicines.

There were sufficient numbers of staff to provide safe care.

Effective

Good

Updated 31 October 2017

The service remains Good

Caring

Good

Updated 31 October 2017

The service remains Good

Responsive

Good

Updated 31 October 2017

The service remains Good

Well-led

Good

Updated 31 October 2017

The service remains Good