Chiltern Jigsaw Resource Centre, a supported living service for 25 people with learning disabilities or autism, was rated Good across all five key questions at its May 2023 inspection. The service demonstrated improvement from its 2019 'Requires improvement' rating in safe and well-led, with strong person-centred care, safe medicines management, effective multi-agency working, and a well-supported staff team.
Concerns (3)
minor
Record keeping
: “The provider had recently appointed a manager for one of the schemes that had been without a manager for several weeks. At this scheme we found some discrepancies in paperwork that may have indicated lack of management oversight.”
minorCommunication with families: “We spoke with families of 6 people, and we were provided with mixed views relating to their experiences.”
minorCare planning: “We raised with the manager that they consider adding information so staff could recognise the symptoms of aspiration pneumonia as this was missing from the staff guidance.”
Strengths
· People received their medicines safely with no gaps in MARs; two-staff administration process and STOMP principles implemented.
· Sufficient staffing levels including one-to-one support; no agency staff used across schemes.
· Person-centred care delivered through recognised models including positive behaviour support; care plans tailored to individual needs, communication styles, and cultural preferences.
· Effective multi-agency working with GPs, SALT, psychiatrists, and other health and social care professionals.
· Strong safeguarding culture with staff trained to recognise and report abuse and whistle-blow.
Quality-Statement breakdown (22)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely care; Supporting people to live healthier livesGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: Planning personalised care to meet people's needs, preferences, interests and give them choice and controlGood
responsive: Supporting people to develop and maintain relationships to avoid social isolationGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: How the provider understands and acts on the duty of candourGood