Jane House

We have identified one breach of legal regulations. Management oversight of risk and care records was not robust. There was a failure to identify and mitigate the risks we identified during our assessment. However, care plans guided safe care. There were enough staff to support people safely. Safeguarding procedures protected people from abuse and avoidable harm. Medicines were managed safely.

People’s needs were regularly assessed and reviewed. There was a multidisciplinary approach to assessment and care planning. This was supported by person-centred practices. People and those close to them were involved in planning their care. People had access to health and social care professionals and medical treatment. People’s rights were respected, and care and treatment provided in line with the requirements of the Mental Capacity Act 2005.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People did not have complete choice or control over their lives. There were some aspects of people’s care and environment where authorised restrictions were in place to keep people safe. Within these restrictions people were encouraged to make decisions about aspects of their care and how to spend their time. Relatives told us, “It is a good home. The staff are really caring.” And “They are very caring and passionate about what they do.”

People had access to care and treatment. People’s accessibility needs were taken into consideration including mobility and communication. People had communication assessments as part of their care planning pathway. People’s protected characteristics and diversity needs were considered in line with the Equality Act 2010. The Act ensures everyone is lawfully protected from discrimination.

We identified two breaches of the legal regulations.

Governance processes and audit were not effective to ensure information within people’s care records was correct and guided safe practice. Management oversight was not effective to ensure people were treated with dignity and respect at all times. The company values were not widely known by staff and the behaviours of some staff did not show integrity or respect.

However, we also observed staff who did demonstrate integrity and respect for people. Staff felt supported by the registered manager and provider and enjoyed working at Jane House. There was partnership working with families, professionals, and other organisations.