Archived: Jessie Place

Updated 18 January 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 21 and 23 October 2015 and was unannounced. This inspection was undertaken by one inspector. Before the inspection we analysed information we held about the service including statutory notifications. We also reviewed the report the provider sent us following our last inspection.

During the inspection we spoke with five people who use the service, two staff members, registered manager and a senior manager. We observed the support provided for people in the communal areas. We reviewed five people’s care records, four staff records, and other records relating to the maintenance and management of the service, including the staff rota and training records.

After the inspection we spoke with three relatives, a health care professional and a representative from the local authority.

After the inspection we contacted a fire safety officer from the London Fire Brigade for feedback about the service. Unfortunately we did not receive any response.

Updated 18 January 2016

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.