We carried out a review of the data available to us about Jamesons RCH Wormingford Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Jamesons RCH Wormingford Road, you can give feedback on this service.
Jameson’s RCH Wormingford Road is a residential care home providing personal care and support to people aged 18 – 65 years who have complex additional needs arising from their learning disability, autistic spectrum or mental health. The service can support up to 7 people, at the time of the inspection there were 3 people using the service.
The service offers individually tailored accommodation and support. The building has been adapted to provide seven large single occupancy self-contained apartments with a communal lounge and communal kitchen where required. The service remains a residential care service due to the complexity of the needs of people they are supporting, however, by dividing the home into individual apartments helps to maintain safety, choice, develop new skills and enhance quality of life.
People’s experience of using this service and what we found
The service provided a safe, supportive and friendly environment. Staff showed a good understanding of people’s individual and specific needs and they knew how to communicate with each individual and reassure them.
A relative told us they felt Jameson’s RCH provided a bright and homely environment and staff were really nice and welcoming. Their family member was settled and happy since moving in which gave them peace of mind. The relative told us the transition from their family member’s previous service to Jameson’s RCH was well planned. Staff visited to get to know them and understand their needs prior to their move.
A healthcare professional told us, “I have found the staff team, frontline care staff at the service to be professional, respectful, kind, welcoming and caring. [The registered manager] and staff team provide a person centred approach and staff engagement is positive, thus providing a positive therapeutic approach for people who use the service.”
Systems and processes were in place to promote people’s safety. There were enough staff to meet people’s needs and promote their wellbeing.
The provider had effective systems in place to monitor the quality and safety of the service that people received. Arrangements were in place to routinely listen and learn from people’s experiences, concerns and complaints.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
A healthcare professional told us, “The staff are attentive, promote personalisation, choice and control, they adhere to ‘Valuing People Now 2011’ ensuring people with a learning disability have equal rights, community participation and social inclusion.”
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. There was a strong emphasis on promoting good practice in the service and there was a well-developed understanding of equality, diversity and human rights and management and staff put these into practice.
Right support:
• The setting and model of care maximises people’s choice, control and Independence
• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Right care:
• Care was person-centred and promoted people’s dignity, privacy and human rights.
• Care and support was planned and delivered in a personalised way and tailored to individual needs.
Right culture:
• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 14 February 2017)
Why we inspected
We received concerns in relation to safeguarding people from abuse. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Safe section of this full report.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
This report only covers our findings in relation to the Key Questions Safe and Well Led. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has not changed from Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jameson’s RCH Wormingford Road on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Jamesons RCH Wormingford Road provides accommodation and personal care for up to 16 adults living with a learning disability. This service is one of six services registered by the same provider under the umbrella of ‘Jameson’s Residential Care Home Limited.’
A registered manager was in post. 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 the service was a safe place to live and that there were sufficient staff available to meet their needs. Appropriate arrangements were in place to recruit staff safely so as to ensure they were the right people. Staff were able to demonstrate a good understanding and knowledge of people’s specific support needs, so as to ensure their and others’ safety.
Medicines were safely stored, recorded and administered in line with current guidance to ensure people received their prescribed medicines to meet their needs. This meant that people received their prescribed medicines as they should and in a safe way.
Staff understood the risks and signs of potential abuse and the relevant safeguarding processes to follow. Risks to people’s health and wellbeing were appropriately assessed, managed and reviewed to mitigate risks.
Staff received opportunities for training and this ensured that staff employed at the service had the right skills to meet people’s needs. Staff demonstrated a good understanding and awareness of how to treat people with privacy, respect and dignity.
The dining experience for people was positive and people were complimentary about the quality of meals provided. People who used the service and their relatives were involved in making decisions about their care and support.
Care plans accurately reflected people’s care and support needs. People had good healthcare support and accessed healthcare services when required. Appropriate assessments had been carried out where people living at the service were not able to make decisions for themselves and to help ensure their rights were protected. People received appropriate support to have their social care needs met.
An effective system was in place to respond to complaints and concerns. The provider’s quality assurance arrangements were appropriate to ensure that where improvements to the quality of the service was identified, these were addressed.
Staff we spoke with had knowledge of safeguarding. All of the staff we spoke with knew the forms of abuse, and indicators and symptoms to be aware of. Staff we spoke with told us they were confident in reporting concerns and felt that there was an open environment fostered by the provider. All staff we spoke with talked positively about working for the provider and felt they benefitted from appropriate training, communication and support. The provider had conducted a detailed quality survey. Feedback from relatives was positive regarding the service provided.