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Inspection Summary


Overall summary & rating

Good

Updated 16 June 2018

The inspection took place on 18 April 2018 and was unannounced.

Jacobs Neurological Centre 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. They are registered to provide accommodation and treatment for up to 60 people, aged 18 years or older, with complex long term neurological conditions, brain or spinal injuries.

Jacobs Neurological Centre is owned and operated by Ramsay Health Care UK Operations Limited, which is a subsidiary of Ramsay Health Care (UK) Limited. The centre provides nursing care, personal care, medical treatment and diagnostic procedures in a purpose built environment over two floors. The staff at the centre assists people’s recovery wherever possible and specialise in slow stream rehabilitation. Some people had lived there for many years and others were more recent admissions working towards returning to their own homes. There were 60 people accommodated at the home at the time of this inspection.

At our last inspection 14 March 2015 we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 at the service and the risk management plans in place supported their views. Relatives told us they felt the service managed risks well and people received care and support in a safe way. There were enough staff recruited through robust processes to ensure people`s needs were met in a timely way.

Staff received a comprehensive induction training when they started working at the home and regular on-going training to support their development and understanding about people`s needs.

People`s medicines were managed safely by staff who had their competencies checked. Care plans were comprehensive and developed to ensure people`s health and social needs were appropriately documented.

People and relatives where appropriate were involved in the planning and the review of their care and support. Staff asked people for their consent if people were able to communicate verbally, using body language or assisting technology to communicate their wishes. Where people were in a locked in state (unable to communicate) staff acted in people`s best interest following the Mental Capacity Act (MCA) principles.

People and relatives told us staff were kind and caring and supported them with patience and compassion. Staff were aware of people`s likes, dislikes and preferences and delivered care and support in accordance to people`s wishes.

The care and support people received was effective and we found numerous examples where people`s condition improved following a short stay in Jacobs Neurological Centre and they could return home or other less supported services.

People were supported by a range of professionally qualified staff employed by the provider. There was a permanent GP at the home supporting people`s health needs on a daily basis. A team consisting of physiotherapists, occupational health therapist and nursing staff ensured people`s needs were met effectively.

People told us staff encouraged them to be involved in their care and retain or regain their independence as much as possible. People were provided with oppo

Inspection areas

Safe

Good

Updated 16 June 2018

The service remains Good.

Effective

Good

Updated 16 June 2018

The service remains Good.

Caring

Good

Updated 16 June 2018

The service remains Good.

Responsive

Good

Updated 16 June 2018

The service remains Good.

Well-led

Good

Updated 16 June 2018

The service remains Good.