The Care Quality Commission
  • Care Home
  • Care home

Archived: Jessie Place

Overall: Requires improvement read more about inspection ratings

39 Stanthorpe Road, Streatham, London, SW16 2DZ (020) 8769 3591

Provided and run by:
Jane's House Limited

Important: The provider of this service changed. See new profile

All Inspections

21 and 23 October 2015

During a routine inspection

This inspection took place on 21 and 23 October 2015 and was unannounced. Jessie Place provides accommodation and support to a maximum of six people with a history of mental ill-health. At the time of our inspection six people were using the service.

We carried out an inspection of this service on 15 and 16 October 2014. At that inspection we found breaches of the 2010 regulations in relation to recruitment processes, staff support and quality monitoring systems. Records kept about staff and people using the service were not up-to-date and stored securely. We asked the provider to send us a report about how they will improve the service to meet our regulations. The provider sent us the report as requested.

At our last inspection on 12 March 2015 we followed up on the outstanding breaches of the regulations. We found that some improvements had been made to address our concerns in relation to staff recruitment, staff support processes and records keeping procedures. However, we found that the provider had not made sufficient improvements to address all the breaches. More improvements were required in relation to sufficient systems in place to monitor quality of services provided.

You can read the inspection reports, by selecting the ‘all reports’ link for Jessie Place on our website at www.cqc.org.uk.

At this inspection we found five breaches of regulations for need to consent, safeguarding service users from abuse and improper treatment, good governance, staffing and requirement as to display of performance assessments. We found continued breaches in quality monitoring systems to ensure that people received support and care they required. This included carrying out regular medication, health and safety and care record audits. We also found that people were not supported to manage their money safely and their consent to care was not always obtained, including assistance provided with their medicines. People had limited activities in the house and community. Staff induction and support procedures were not followed to ensure effective care for people. Care records were not securely stored. Following our last comprehensive inspection the provider has failed to display the CQC ratings to ensure that people and visitors were informed about the provider’s rating following our inspection. We found the service continued to be in breach of 2014 regulations of the Health and Social Care Act 2008.

Staff provided people with required support to ensure their safety. Staff had skills and knowledge to support people with their care needs, including identifying and acting on a potential harm and risks to people. Recruitment practices were followed and staff received training relevant to their role to ensure that people were supported safely. Sufficient numbers of staff were provided to ensure people’s needs were met. Safe medication management procedures were followed at the service.

Staff were aware about the Mental Capacity Act 2005 principles and ensured that people were supported to make decisions for themselves on a daily basis. Staff provided adequate support to meet people’s nutritional needs and people were involved in planning of their care. People were supported to attend their health appointments as required.

Staff were aware about people’s personal history and provided support according to their wishes. Staff encouraged people to learn new skills.

Staff supported people to attend regular meetings in order to review their needs and goals. People were supported to provided feedback about the services and knew how to complaint if required. People did not attend any regular or group activities in the community. This meant that the service did not ensure people’s involvement in the community.

The registered manager provided advice for staff when required. Staff were involved in developing the services and felt listened by their manager.

The service had a registered manager. 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.

The action we told the provider to take can be found at the back of the report.

12 March 2015

During a routine inspection

We carried out an unannounced comprehensive inspection of this service on 15 and 16 October 2014. Breaches of legal requirements were found. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to recruitment processes, supporting staff, systems to monitor the quality of service and in regards to the records kept about staff and people using the service.

We undertook this focused inspection to check that they had followed their plan and to check whether they now meet legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Jessie Place on our website at www.cqc.org.uk

At our previous inspection we found that processes were not in place to ensure staff with suitable qualifications and experiences were employed at the service, and that staff were not supported to obtain the skills and knowledge to support people. Staff records and people’s care records were not up to date. They were not stored securely or accessible when required. Systems were not in place to monitor the quality of care provided and ensure people received the support and care they required.

At this inspection we saw that improvements had been taken to address our concerns with staff recruitment, staff support processes and the quality and storage of records. However, we found that further improvements were required to ensure systems were in place to monitor the quality of service delivery.

We found that checks were undertaken to ensure staff were eligible to work in the UK and criminal record checks were undertaken to ensure staff were suitable to work at the service. The registered manager was aware of what recruitment processes were required to be completed to ensure new staff employed had the qualifications and experience to meet people’s needs. Staff were supported to develop their skills and improve their knowledge, through the completion of training, to ensure they were able to support people.

Care records and staff records had been reviewed and updated. Up to date contact details had been obtained for people’s care co-ordinators and social workers. Records were securely stored.

Systems to monitor the quality of the service needed improving to ensure further action was taken to address any concerns identified. Systems were not in place to sufficiently record and analyse incidents at the service, to ensure appropriate action could be taken to reduce incidents recurring.

At our previous inspection we found that medicines were not always securely stored, and there was restricted access to the kitchen. At this inspection action had been taken to address the concerns raised. Medicines were securely stored, and people had access to the kitchen during the day and night.

We found the service continued to be in breach of the regulation related to monitoring the quality of the service. You can see what action we told the provider to take at the back of the full version of the report.

15 and 16 October 2014

During a routine inspection

Jessie Place provides accommodation and support to up to six people with mental health needs. At the time of our inspection five people were using the service.

At our previous inspection on 3 September 2013 the service was meeting the regulations inspected.

The service had a registered manager. 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 and associated Regulations about how the service is run. At the time of our inspection the registered manager was on sick leave. The registered manager was in charge of the day to day management of the service. However, another manager was employed and was managing the service at the time of our inspection. They were not available on the first day of the inspection but we arranged to speak with them on the second day of the inspection.

People told us they liked the staff and liked staying at the service. Staff were available to support them and were flexible in responding to their requests, including supporting people in the community and to develop skills at the service.

People had care plans in place identifying their health and support needs and how they wished to be supported. Staff worked with other health and social care professionals involved in a person’s care to ensure people were supported and concerns regarding their health were addressed.

Staff were knowledgeable about procedures relating to safeguarding people and we saw that appropriate action was taken when concerns were raised about a person’s safety. We saw that medicines were not always securely stored, in regards to items that required refrigeration.

There were sufficient staff to meet people’s needs. However, we could not be assured that appropriate recruitment processes were followed. Staff were not up to date with their training and had not received an annual appraisal.

Systems to monitor and assess the quality of the service were ineffective, meaning we could not be assured that areas requiring improvement were identified and addressed. Records relating to the management of the service, staff and people’s care were not up to date, some information was missing and some records could not be located when required.

We found breaches of the regulations relating to staff recruitment, staff support systems, systems to monitor the quality of the service and records. You can see what action we told the provider to take at the back of the full version of the report.  

3 September 2013

During an inspection looking at part of the service

During our inspection on 29 April 2013 we found that some improvements were required. We found that the provider was not always assessing whether people had the capacity to make their own decisions and consent to their care. This meant there was a risk that the provider was undertaking tasks on behalf of the person using the service without their consent. We also found that care plans and assessments of risks were not up to date which meant there was a risk that they did not reflect the current needs of people using the service.

At this inspection on 03 September 2013 we found that the improvements had been made. People were aware that they had a care plan, and had signed a copy. Care plans and assessments of risk were up to date and reflected people's current health and support needs.

29 April 2013

During a routine inspection

People who we spoke with using the service were happy with the service they received at Jessie's Place and appreciated the support provided by the staff.

Most people were involved in aspects of their care and had consented to being at the home and the care they received. However, there were concerns from staff we spoke with that two of the people using the service did not have the capacity to consent to aspects of their care but they had not received a mental capacity assessment to confirm this.

People using the service had regular sessions with staff to discuss their progress and care plans were in place. However, the care records we reviewed were not up to date and there was a risk that care plans did not reflect the current needs of people using the service.

The provider worked in co-operation with other providers to support people using the service. We saw evidence that people liaised with primary medical professionals and mental health professionals in order to ensure people's physical and mental health needs were being supported.

The provider had appropriate arrangements for ordering and administering medicines, and people using the service were clear about the process for taking their medication.

Staff we spoke with felt supported and we saw evidence that people received regular supervision sessions and attended a range of training courses.

12 April 2012

During an inspection looking at part of the service

All four of the people spoken with were happy in their environment and found it relaxing but supportive. They liked the new look of the interior since the home had a makeover.

One person said, "It is a lovely place to live, there is always someone present if I need any help, staff make sure I have my medication when I should".

A person undertaking laundry chores was supported with these safely, the support worker encouraged and assisted the person in a patient manner. It helped him to focus on the task, and achieve more confidence and develop independent living skills.

A mental health professional told us that staff were consistently good at monitoring and supporting people and taking appropriate actions to prevent a crisis. Staff he said ensured that they supported people to maintain their appointments with health professionals.

4 November 2011

During a routine inspection

People using the service find that they are suitably housed and that that there is support available when they need it. They enjoy regular meals that include food that they like.

People do not experience much encouragement or support that would help them enjoy a more fulfilling lifestyle. There are few opportunities made available in the home for providing appropriate stimulation for people. Individual leisure and social activities and cultural interests are not considered and provided for.

Mental health professionals spoke of the difficulties experienced when the manager is unavailable. They find that a number of staff members lack the skills and competencies required to support people with mental health related issues.