Inspection on 22/02/08 for Jubilee Court

This is the latest available inspection report for this service, carried out on 22nd February 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Jubilee Court 22/11/05

Jubilee Court 21/06/05

Jubilee Court 01/12/04

Jubilee Court 08/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Jubilee Court 1-5 Eversley Road Bexhill-on-sea East Sussex TN40 1EU Lead Inspector Geoff Senior Key Unannounced Inspection 22nd February 2008 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Court Address 1-5 Eversley Road Bexhill-on-sea East Sussex TN40 1EU Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01424 211982 01424 224677 jubileecourt@trial-link.com Trial Link Ltd Mrs Julie Smith Care Home 29 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (29) of places Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. That the maximum number of service users to be accommodated is twenty nine (29). Service users must be older people aged sixty five (65) years or older on admission. Only service users with mild or moderate past or present mental health needs may be admitted. Current service users being accommodated by virtue of old age only (over 65 years) may continue to reside at the home. 29th March 2007 Date of last inspection Brief Description of the Service: Jubilee Court is a converted property situated close to Bexhill town centre. The shops, railway station and sea front are all a short walk away. Bedroom accommodation is provided on three floors and a shaft lift is fitted to assist those service users who may have mobility problems. The home is recently changed its registration from a home for older people to a home that can accommodate up to 29 older people who have mild to moderate past or present mental health needs. The transition to caring solely for those with mental health needs is planned to be a slow one. The registered owners are Trial Link Ltd. Reported Fees are in the range £400-£550 PW Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the premises on 22nd February 2008 as part of the Key inspection of Jubilee Court. Time was spent talking with the Manager and Deputy, staff on duty and some of the service users. Only a few service users were seen as many were in their rooms resting after lunch. Observations indicated that they were settled in the home, were comfortable in the company of staff and had plenty to do. Throughout the visit, the staff’s attention to the service users’ needs, their patient, friendly and respectful manner and their treatment of each service user as an individual were observed and noted. A range of documentation and records was viewed and an accompanied tour of the premises was undertaken. Additional information and detail was supplied by the home in their Annual Quality Assurance Assessment. A number of service user relatives were contacted by phone. Their comments were generally positive and included: “ X is very happy there” “The staff are lovely and genuinely care “ “It’s a pleasant environment” “They cope remarkably well with X “ Suggestions for improvement were few but included: a few more opportunities for outings/activities but a vehicle is needed. Try to get the level of volunteers they used to have. Would make life easier. Not all NMS were inspected at this visit. Unless noted, only the core standards were inspected in each outcome group. The quality rating for this service is 2 star. This means that people who use the service experience good quality outcomes. What the service does well: Individuals are given the information they need before they decide to move into Jubilee Court. Procedures are in place to ensure that the home is suitable to meet prospective residents’ needs. Individuals benefit from living in a home, Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 6 which is run in their best interests by appropriately supervised staff and a competent manager. They enjoy living in a clean, comfortable, warm and homely environment. Residents are treated with respect. Arrangements are in place to maintain their privacy and dignity. Individuals benefit from sufficient numbers of appropriately trained staff who care for, understand and anticipate their wishes. Staff are provided with training to meet residents’ personal, health and social care needs. Individuals’ views are listened to. Residents enjoy their lifestyle within the home and are able to keep in contact with their family and friends if they wish. They benefit from a varied diet. What has improved since the last inspection? What they could do better: It is recommended that Person centred planning continues to be further developed. The documentation should include evidence of the service user involvement and contribution to the planning process. It is recommended that the Manager ensures all staff attend training in Person centred planning. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 7 It is recommended that the management look into level of potential service involvement and resource implications relating to comments received about more outings. Staff need to ensure that systems in place for safekeeping residents’ personal monies are adhered to at all times. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5. People who use the service experience good quality outcome in this area. Prospective service users and their representatives may visit the home before admission and are provided with information to help them make a decision about moving in. Assessments are undertaken to ensure that the Home can support service user’s needs This judgement has been made using available evidence including a visit to this service. EVIDENCE: Written information is available about the home within a statement of purpose and service users’ guide. Previous inspection identified that these documents were of a good quality, reflected the change from caring for older people to Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 10 older people with mild to moderate mental health needs and provided guidance for prospective residents about the facilities and service provided by the home. It was confirmed that, although the home’s registration changed in May 2005, transition to caring solely for those with mental health needs was planned to be slow in order to safeguard existing residents; therefore some residents continue to be accommodated by virtue of old age only. Staff spoken with confirmed that prospective service users and their representatives are invited to visit the home prior to admission. They may use the opportunity to meet and spend time with the existing service users and staff, view the accommodation and find out about the routine and lifestyle they could expect to experience at Jubilee Court. Assessments are undertaken prior to, and subsequent to admission as part of the care planning process. Senior staff may visit the prospective client in their current accommodation as part of the assessment. Input is welcomed from the service users and families and from relevant agencies and professionals. Only service users whose needs can be met are offered a place at the care home. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7-10 People who use the service experience good quality outcome in this area.. The care planning system is generally clear and consistent and provides staff with information and guidance when supporting residents. Healthcare monitoring and medication systems are in place to promote the well being of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has developed reasonably well-structured and informative client files. It was reported that a range of formats had been tried, including computer based. It was felt that the content and detail of the most recently adopted format enables new and existing staff to better understand and effectively support the needs of service users. Hand-written notes are kept of Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 12 the day-to-day support provided for residents. Keyworkers are tasked with monitoring plans monthly, or more frequently as required. The Manager reported that the emphasis in the care plan documentation is moving towards ‘person centred’ information, and guidelines will relate not only to physical care of the individuals but also to supporting social and therapeutic goals and aspirations. It was reported that Service users and family members are invited to contribute to the planning process and their views are positively considered and acted upon. It is recommended that their contribution and involvement is evidenced in the relevant documents. Service users are helped, as far as possible to make day-to-day decisions affecting their lives with regard to activities, routines and food choices amongst other things. Records and observation confirmed that a range of professionals such as GPs and District Nurses are accessed to help meet residents’ health care needs. Specialist professionals, including Community Psychiatric Nurses visit and support staff in meeting residents’ mental health needs. Staff support residents to attend appointments. Risks are reportedly viewed positively by the home and assessments are undertaken in order that service users can participate in activities with the appropriate level of support and supervision. These were not seen at this visit. Medication storage and records are adequate for the needs of the home. Medication administration records were clear and up to date. The home has procedures in place for dealing with medicines. In response to a requirement of the last report, the pharmacy supplying residents’ medication now gives the home pre-printed administration records to complete. Records now include the specific time the medication was administered and photographs of residents for identification purposes are kept with the record sheets. The Manager deems staff that currently administer medication, competent by training, experience and qualification The manager stated that all staff training in medication included specific training from the District Nurse for the administration of insulin. A record of staff signatures is maintained. Reference books about medication are available. The manager has obtained recent guidelines from the Royal Pharmaceutical Society regarding the administration of medication in care homes. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. People who use the service experience good quality outcome in this area.. The home provides a range of leisure and social activities based on personal needs, wishes and interests. Family and friends are welcomed to the home and contact with the local community is maintained. Service users enjoy a varied and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are able to go out when they wish; some are independent, whilst others need staff support; they confirmed that the routines of the home are generally flexible. At the time of this visit the majority of residents were in their rooms resting after lunch. Some were in the lounge reading and watching television. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 14 One resident was in the dining room finishing a meal that had been kept for her late return from an appointment. Comments received from residents and family members were very positive. Activities and entertainment are regularly offered in house. It was not clear however what transport and opportunities there are for trips out. Religious ministers provide Holy Communion regularly for some residents, in addition monthly prayer and singing groups are held. The quality of the meals was reportedly very good. The menu is planned in advance and showed a variety of meals including a choice of hot and cold food for breakfast and supper. Alternatives to the main meals however are limited; options available include either a salad or omelette. Staff reported that they are aware of the individual likes and dislikes and the cook caters accordingly. Individuals’ choices are recorded. Specialist diets can be catered for, such as diabetic. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. People who use the service experience good quality outcome in this area.. Systems are in place to protect service users, as far as possible, from the risks of harm or abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this visit, residents were at ease interacting with staff. Residents spoken with had no complaints about the home. Comments received indicated that residents and family members know how to make a complaint and who to talk to, that they are listened to and action is taken. The manager said that complaints are taken seriously and looked into. Investigations and outcomes are now recorded. It was stated that all staff are trained in adult protection. The manager described the procedure for a recent incident, including contacting social services. It was noted at a previous visit, that residents are not fully protected by the systems in place regarding residents’ monies and staff recruitment. This has been addressed. All staff are subject to appropriate checks prior to commencement of duty. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 16 The home has some resident’s personal monies for safekeeping. Records are kept of deposits and withdrawals. The balances on samples were checked. One was incorrect, (in the Service User’s favour) this was satisfactorily explained and rectified by the Staff member concerned. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. People who use the service experience good quality outcome in this area.. Service users at live in homely, comfortable and seemingly well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Jubilee Court provides a comfortable, varied and homely environment. All areas seen were clean and reasonably decorated. Two areas of damaged tiling in the downstairs bathroom, noted at the last inspection, have been attended to. The manager said that work to extend the lounge, dining room and kitchen is still on hold but permission has been obtained. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 18 Communal areas are adequately decorated and furnished. The home currently provides two lounges, a dining room and a garden with ‘smokers den’. Residents are accommodated over three floors in twenty-one single and four shared bedrooms, the latter only being used for married couples or partners. Currently all rooms are used for single occupancy. Individual rooms are personalised, reflecting the occupant and containing personal effects. All residents spoken with liked their accommodation. Previous inspection identified that there were sufficient bathrooms and showers within the home to meet residents’ needs; bath hoists are provided. It was observed that access to one communal bathroom is via three or four stairs, although there is flat access to another bath and walk-in shower room. In addition, fourteen bedrooms have en-suite facilities. There is a passenger lift to the first and second floors. Grab rails, adaptations and ramps to aid mobility are situated at strategic points throughout the home. The home is well lit and naturally ventilated. The home has a gas central heating system with radiators in all rooms. Previous inspection identified that these could be controlled by means of thermostatic valves and that a programme of fitting radiator guards was underway. During this visit, the manager assured the inspector that all radiators that could place residents at high risk of harm had been covered. Hot water outlets are fitted with valves to regulate temperature. The home appeared clean and hygienic throughout and staff are trained in infection control procedures. The home’s laundry, which is in the cellar, is suitably equipped. Care staff undertake residents’ personal laundry, where as the home uses a professional service for bed linen. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 People who use the service experience adequate quality outcome in this area.. There are sufficient staff on duty to support the service users. Staff are clear about their roles and responsibilities and are offered training opportunities to develop skills and expertise The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were observed interacting with the service users in a friendly and nonpatronising manner. They indicated an understanding of the service users’ needs and responded in a patient, calm and friendly manner. Service users spoken with said the staff are friendly and support them with everything they need. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 20 It was reported that day time staffing levels, of three carers per shift plus the Manager and one of the deputies, are adequate for the demands of the current group. This would be reviewed and revised should the need arise or the size of the group change. Ancillary staff are employed for catering and domestic duties, although care staff undertake residents’ personal laundry tasks. The home benefits from a blend of youth and experience with a senior member on duty at all times. The home avoids the use of agency staff and manages to cover from within in times of sickness or absence. According to information received all bar one member of staff have completed or are working toward their NVQ award level 2 or above. The Manager has completed the Registered Manager’s Award. Staff records were viewed and indicated that the recruitment procedures are robust and include interviews, acquiring references and Criminal Record Bureau checks. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. People who use the service experience good quality outcome in this area. The home appears to be well run in an inclusive manner that allows for service users and staff to contribute to the daily life and routine. The home is supportive, encouraging the ongoing development of the service users. There are systems in place to promote the well-being and safety of the service users and staff This judgement has been made using available evidence including a visit to this service. EVIDENCE: Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 22 The Manager and two deputies appear to be a well-informed, experienced and well-organised team. It appears from discussion and observation that they are approachable and supportive and an open and inclusive atmosphere has been established within the Home. Staff seem aware of their roles and responsibilities and are encouraged to contribute to the development of the service. They and the residents regularly meet or are consulted, on a formal and informal basis, individually and collectively. The Provider regularly visits the home to monitor the standard of care and relevant documentation and ensure the premises are in good order. Quality assurance surveys are sent to service users and their relatives annually. It was reported that relatives are fully informed, involved and consulted on any matters that impact upon the experience and quality of life for their relative. The health, safety and welfare of service users, staff and visitors is addressed in induction and training and through written guidance. Information in the pre inspection questionnaire indicates that the maintenance checks and certification are satisfactory and up to date. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP18 OP12 OP7 Good Practice Recommendations Staff need to ensure that systems in place for safekeeping residents’ personal monies are adhered to at all times. It is recommended that the management look into level of potential service involvement and resource implications relating to comments received about more outings. It is recommended that Person centred planning continues to be further developed to include supporting service users to plan for their futures. It is recommended that the Manager ensures all staff attend training in Person centred planning. Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Jubilee Court DS0000021240.V342636.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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