Jellicoe Court

Updated 19 September 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

This inspection was completed by an inspector and an assistant inspector.

Service and service type

This service provides care and support to people living in one 'supported living' setting, which has 18 flats, so that they can live as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people's personal care and support.

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

We gave the service 48 hours' notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We also reviewed information we had received about the service since they registered. We sought feedback from commissioners of the service. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who used the service and six relatives about their experience of the care

provided. We spoke with members of staff including eight support workers, the deputy manager, the manager and the service development implementation manager. We reviewed four people's care and medicine records and three staff records.

Updated 19 September 2020

About the service

Jellicoe Court is a supported living service providing personal care to both younger and older people who have a learning disability or autism.

People living at Jellicoe Court have their own self-contained flats. In addition, there is a shared lounge/kitchen on each floor, parking and a large communal garden. There is an on-site office and a sleep-in room for staff.

The service has been developed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This guidance ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service should receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service has been commissioned by the local authority to support people with disabilities to achieve independent living. It can accommodate up to 18 people, there were 14 people resident at the time of the inspection. This is larger than current best practice guidance. However, we have rated this service good because people were each provided with individualised and person-centred support to meet their needs.

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

Overall people and relatives told us they were happy with the service and the improvements made since the last inspection. One person said, “I love all the staff” and “I wouldn't change anything about my care.” Another said, “I like it here, just to say I do things myself. I'm very independent.”

The provider had assessed potential risks to people and supported them to stay safe whilst balancing their rights and freedoms. Processes were in place to protect people from the risk of acquiring an infection. Systems and processes protected people from the risk of abuse. People received their medicines safely from competent staff. There were enough skilled staff who had been recruited safely. Incidents were recorded and reviewed to identify any learning or further measures required for peoples’ safety.

Staff were supported both by the provider and stakeholders to ensure people’s care plans reflected current practice and guidance. Staff received appropriate training and support in their role. People were supported to access health services and to maintain a healthy lifestyle.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People received personalised care which was responsive to their needs. Staff ensured people had information in a format they could understand. People had opportunities for social activities and supported to maintain social relationships. Processes were in place to enable people to raise complaints and concerns and these were investigated and acted upon.

Staff at all levels had a clear understanding of their role and responsibilities. Processes were in place to monitor and improve the quality of the service provided. The service sought people’s views to identify areas for improvement. The service informed CQC of notifiable incidents. Overall, feedback from people, staff and other stakeholders showed positive improvements in the culture of the service.

Rating at last inspection (and update)

The last rating for this service was inadequate (published 8 April 2020). This service has been in Special Measures since January 2020. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on actions we told the provider to take at the last inspection.

We previously carried out an announced comprehensive inspection of this service on 12 and 16 December 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe, Effective, Responsive and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to good. This is based on the findings at this inspection.

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

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.