Jane Percy House

Updated 3 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

Jane Percy House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection, including the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.

During the inspection

We spoke with nine people who used the service and one relative about their experience of the care provided. We spoke with 11 members of staff including the registered manager, assistant manager, activities co-ordinator, team leaders, support workers, the chef and administration staff.

We reviewed a range of records, including three people’s care records and multiple medicine records. We looked at a variety of records relating to the management of the service, including staff training and supervision, policies and procedures.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We spoke with two relatives, a previous employee and a care manager from the local NHS Trust. We also emailed the full staff team for feedback.

Updated 3 April 2020

About the service

Jane Percy House is a residential care home providing personal and nursing care to 24 people at the time of the inspection. The service can support up to 26 people who have a physical disability.

People’s experience of using this service and what we found

Staff were exceptionally caring and motivated to support people to live independent, dignified and fulfilled lives. People were empowered by staff who supported and encouraged people to live the life they wanted, to achieve their goals and have a voice. A care manager said, “I feel Jane Percy House strives to make residents wishes a reality and does everything within their ability to improve the lives of each resident they provide care to.”

The registered manager had established a culture which place people, their hopes and aspirations, at the centre of the service. Staff worked to support people to achieve exceptional outcomes, including securing employment and independent living. People’s opinions were sought and valued and acted upon. Initiatives included people being members of health and safety committees, lobbying the local MP for improvement transport and being decision makers around staff recruitment.

Everyone we spoke with commented on how the staff and management worked together as a team which was often described as, “a family.” The whole staff team were approachable, knowledgeable, supportive and welcoming. There was an absolute focus on providing high quality care and support for people. This was achieved by listening and responding to people’s views and opinions as well as various quality assurance systems and audits. One person said, “The staff are great, they try their best for everyone, nothing is too much trouble.”

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.

People’s nutritional needs were incredibly well understood by a chef who took great care to make sure people’s dietary needs were met. Staff had an in-depth understanding of people’s complex needs and how each person wanted and needed their needs to be met. People were involved in all aspects of their care and support, as well as being involved in decision making around the environment, equipment and health and safety. People had been supported to lobby the local MP in relation to the provision of accessible public transport.

People said they felt very safe with the staff who were able to meet their needs well. Staff understood safeguarding procedures and any risks had been assessed and minimised. People were supported to take positive risks, particularly where this enhanced their independence, confidence and quality of life. Medicines were managed safely and people were supported to manage their own medicines were possible. Procedures were in place to prevent and control the risk of infection. People commented on how clean the home was.

People received individual care that was provided by staff who knew people, and their preferences well. Communication needs were assessed and understood by staff who adapted their communication to meet the needs of others. A range of activities were on offer, one person said, “I really enjoy the activities now.”

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 9 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.