Jaden House

Updated 23 December 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection team consisted of 2 inspectors.

Service and service type

Jaden House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Jaden house is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed other information we held about the service, such as notifications. These are events the provider is required by law to tell us about.

During the inspection

We spoke to 4 people about their experiences of the care and support they received. We spoke to 5 members of staff including the registered manager and 4 support staff. We reviewed a range or records which included support planning documentation, and medicines records for 2 people. We looked at 5 staff files in relation to recruitment and a sample in relation to supervision records. We also reviewed a variety of records relating to the management of the service, including risk assessments, quality assurance records, policies and procedures. Following the onsite visits, we continued to review documentation remotely and received feedback from 5 professionals.

Updated 23 December 2023

About the service

Jaden House is a residential care home providing accommodation and personal care to up to 5 people. The service provides accommodation and support to people transitioning into more independent living. At the time of our inspection there were 5 people using the service.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service with mental health conditions, a learning disability and who are autistic.

Right Support: People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. People were required to have their medication administered to them in the office by staff and not in a location of their choosing. This included people who had been assessed as being able to store and administer their medicines independently. People were restricted access to communal areas of the home as there was a process in place where people were not to be in communal areas of the home after 11pm. People did not have their own front door key and were not able to access their home independently.

Right care: Care was not always person centred. We observed some systems in place did not provide people with the opportunity to retain and develop their skills. We saw people’s care plans lacked detail, The registered manager told us “Some staff support people more then other staff”, This meant people sometimes had inconsistent support. Risk assessments were not always in place or did not provide enough detail. People were at risk of harm because staff did not always have the information they needed to support people safely.

Right culture: The ethos, Values, attitudes and behaviour of leaders and care staff did not always ensure people using services lead, confident, inclusive, and empowered lives. We saw records of staff interactions with people that was controlling. People were not always involved in the development of their care plans. People were not always involved in decisions being made about their daily routine or the tasks that they were expected to complete. People were not always listened to when they made suggestions on how they wished to be supported. There was an increased risk that people felt disempowered, isolated and less likely to engage with the staff.

Medicines and recruitment were not always managed safely.

Accidents and incidents were not always managed safely or reported appropriately.

The providers quality and risk monitoring systems were not always effective in identifying and action on shortfalls to ensure that people received safe and high quality care.

Infection control and fire were managed safely.

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 18 November 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service and the length of time since the previous inspection.

We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to inadequate based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. please see safe and well-led sections of this full report.

You can see what actions we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Jaden house on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment, Person centred care, safeguarding people from abuse ,and governance at this inspection.

Please see the action we have told to take at the end of this report. We have served warning notices for the breaches of regulations 13 and 17.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Follow Up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.