Archived: Jamesons Residential Care Home Limited - 32 Turner Road

32 Turner Road can support two people with a learning disability to live within their community. On the day of our inspection there were two people using the service. This service is one of six in the same group, located close together under ‘Jameson’s Residential Care’ umbrella.

There was a registered manager in post at the time of the inspection, but they were not available on the day of our visit so our inspection was facilitated by the provider. 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.

We found a service that has been consistently good over time. People who lived here had their needs assessed before they move in and were consulted about their quality of life. People were matched on how compatible they were and this small group living was based upon a genuine friendship. People were involved in decision making where possible and had good access to their community. Care plans were informative, regularly reviewed and enabled staff to provide consistent appropriate care based upon individual needs. Daily recordings were detailed and based upon plans in place.

People had their privacy and dignity promoted. Individuality was promoted and relationships were respected. Staff had a good understanding of capacity and promotion of decision making. They were clear about what to do if a person lacked capacity. This was seen in practice from observation and records. People were supported to develop skills and participate in the daily life of the service, but risk assessments highlighted how people can be kept as safe as possible. People had access to healthcare support and were able to decide and choose the menus they preferred. People received a well-balanced diet of their choosing.

Staff were well supported. There were sufficient staff that worked flexibly to meet people’s needs. There was access to on call senior staff at all times. Staff were given the appropriate training to meet people’s needs and were able to gain professional recognised qualifications. Staff understood the aims and objectives of the service and worked towards and in line with these. The management of the service was well regarded by staff, who told us they were visible and approachable and responsive to ideas. Managers were well qualified and were kept up to date with current thinking through accessing training and quality assurance from current practicing professionals in the field of health and social care with learning disabilities.

We found that care and support was provided in accordance with clear plans that were based on professional advice. We also found that people who used the service and their relatives/representatives were involved in the care planning process. We saw staff caring for people with respect for their dignity. We also found that staff were knowledgable about the needs of people who used the service.

We found that the service has a range of policies and procedures designed to keep people who use the service safe, and staff were suitably supported and trained to respond appropriately to any incidents of suspected abuse.

Staff were appropriately trained and supported to undertake their roles. We spoke with staff, who confirmed they had access to regular training and team meetings where they could contribute to the development of the service.

We also saw evidence of a range of quality assurance systems, including surveys and audits of key performance indicators. These records showed that the service reflected on it's practice and tried to learn the lessons from its surveys and quality assurance and management review systems.

We looked at care records for both people who used the service. These were comprehensive and up to date and provided information about the needs of the person and how those needs could be safely met.

People who used the service were involved in discussions about their care and support, and family contact and involvement was encouraged.

We found that the premises were well equipped and regular maintenance and quality checks carried out.