Inspection on 21/06/05 for Jubilee Court

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 29/03/07

Jubilee Court 22/11/05

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 Andy Denness Unannounced 21 June 2005 10:00 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 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 H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Jubilee Court Address 1-5 Eversley Road Bexhill on Sea East Sussex TN40 1EU 01424 211982 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Trial Link Ltd Mrs Julie Smith Care Home (CRH) 29 Category(ies) of Mental disorder excluding learning disability or registration, with number dementia - over 65 years of age. (MD(E)) of places Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users should be older people aged 65 and over on admission. 2. A maximum number of 29 service users should be accommodated. 3. Only service users with mild or moderate past or present mental health needs may be admitted. 4. Current service users being accommodated by virtue of old age only (over 65 years) may continue to reside at the home. Date of last inspection 1 December 2004 Brief Description of the Service: Jubilee Court is an adapted property situated close to Bexhill town centre. The shops, railway station and sea front all a short walk away. Bedroom accommodation is provided on two floors, a shaft lift is fitted to assist those service users who may have mobility problems. The home is registered to accommodate up to 29 older people who have mild to moderate past or present mental health needs. The registered owners are Trial Link Ltd. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over an afternoon and evening in June and lasted three and a half hours. To gather evidence on how the home is performing the Inspector met with the manager and owner, examined a range of records and written information and undertook a short tour of the premises. Discussions took place with twelve service users. The inspection took place against the background of a recent change in the home’s registration from caring for older people to older people with past or present, mild to moderate mental health needs. What the service does well: What has improved since the last inspection? What they could do better: 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. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3, & 4. Whilst pre admission written guidance for service users was good, pre admission assessments were not and could in some instances result in service users moving into a care home, which is not suitable to meet their needs. EVIDENCE: A statement of purpose and a service user’s guide have been produced for the home reflecting the recent change from caring for older people to older people with mild to moderate mental health needs; these documents provide guidance for prospective service users about Jubilee Court and the service provided by the manager and her staff; both documents were examined, they were of a good quality. Assessments of service users’ needs should be undertaken prior to admission to the home; several assessments were examined, it was concerning to note that in the instance of one recently admitted service user, an assessment was not completed and in another the assessment was very brief and was not completed properly; this could result in a service user moving to Jubilee Court whose needs the home could not meet. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 8 Service users said that that they or their relatives had the opportunity to visit the home and look around prior to moving in. All service users are issued with a contract detailing the terms and conditions of their stay at the home, this document contained all required information. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, & 9. The procedures and practices in the home which should help ensure that service users health, personal care, social care and medication needs are met appropriately were not good in all instances and could result in needs being overlooked or not met. EVIDENCE: Individual plans of care are compiled for each service user; these should identify amongst other things what support service users require from staff to meet their day-to-day needs in relation to health, personal and social care needs. Two plans were examined in depth, they were not of a satisfactory standard; needs were not clearly identified and guidance not provided for staff on how to meet needs. Of particular concern was a failure to carry out assessments regarding the possibility of service users developing pressure sores. Also records were not maintained of care that was provided, in one instance records were not kept of whether a service user who had pressure sores had been regularly turned as had been directed by a District Nurse, this could result in this not being done and a deterioration in pressure areas. It has been required that work is done as a matter of urgency to address these issues. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 10 A pre-packed medication system, which is easy to monitor, is used, storage and records were examined, whilst storage was in order it was noted that in one instance staff had failed on several occasions to give one service user their prescribed medication or to keep accurate records. Despite these concerns service users said that they were happy with the support provided for them regarding their health needs. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 Arrangements in home regarding meals are good and ensure that service users receive a varied diet. EVIDENCE: The inspection took place over a mealtime and the Inspector sat and ate with service users. The food was plentiful and service users spoke positively of the meals provided, comments included, “ the food is quite good” and “ very happy with the food” they also said that alternatives would be provided if they did not like the meal on offer. Records examined confirmed that a varied menu is provided. On the day of the inspection the kitchen was in the middle of being refurbished. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Arrangements regarding complaints were satisfactory with service users being confident that their concerns would be listened to and acted upon. EVIDENCE: The home has written complaints policy, records examined confirmed that complaints are appropriately handled and recorded in line with the policy. Service users said that they felt able to raise concerns and were happy that action would be taken to address them. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 & 26. Physical standards were good. The building is well maintained and its facilities are suitable to meet the assessed needs of service users, providing care in a comfortable and homely environment. EVIDENCE: An inspection of all communal areas and some bedrooms took place, all areas inspected were well maintained, clean and hygienic and decorated and furnished in a comfortable homely style. The home currently has two lounges and a dining room for use by service users; the proprietor who was present during part of the inspection confirmed that work is to start soon to extend one lounge and the dining room. There are sufficient bathrooms and showers in the home to meet service users needs; three bathrooms are fitted with hoists to assist service users who have mobility problems. The home is fitted with a shaft lift to assist access to the first floor. A programme of fitting guards to radiators is underway and radiators can be controlled by service users by means of thermostatic valves. Hot water outlets are controlled by individual thermostatic mixer valves, which ensure that hot water is delivered at a safe temperature. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 14 Bedroom accommodation is provided in nineteen single and three double rooms. Service users confirmed that they could bring their own furniture with them into the home. Locks have recently been fitted to all bedroom doors; the type of lock fitted means that service users could lock themselves in and access could not be gained from the outside in the event of an emergency, action has been required to address this. The home was clean and hygienic throughout. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 & 30. Staffing arrangements ensure that care and support is provided to service users by a well-trained team in sufficient in numbers to meet needs appropriately. EVIDENCE: Staffing numbers on the day of the inspection were satisfactory to meet the need of service users. From records examined and discussions with service users it was confirmed that this is the case at all times. Service users spoke highly of the staff tam with comments such as “ couldn’t get nicer staff” and “couldn’t be nicer”. Observations indicated that staff were caring and considerate in their interactions with service users. Records examined confirmed that generally thorough recruitment procedures are followed when new staff are employed, however in one instance it was noted that only one written reference had been obtained for a new member of staff. Records examined confirmed that over 50 of staff are now trained to the required national level and that all staff are receiving a range of training around meeting the needs of older people with past or present mental health problems. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35, 37 & 38. Management and administrative procedures were generally good, supporting staff to meet service users needs; the management team are obviously committed to improving the service at Jubilee Court. EVIDENCE: The manager presented as experienced and knowledgeable of the needs of older people who require residential care. Because of her lack of experience in working with older people with past and present mental health needs, the new registration category of the home, it was agreed with the owners that she undertakes an in depth training course regarding mental health, this has now been arranged. At the last inspection it was required that several new policies and procedures were introduced, this work has been completed. A selection of records was examined; these were generally satisfactory although the manager has been required to ensure that she maintains accurate records regarding monies held on behalf of service users. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 17 Records were stored securely in the two offices. The manager demonstrated an understanding of the importance of health and safety matters; a selection of health and safety records was examined, these were generally in order although it was noted that the fire alarm and emergency light systems were not being tested as regularly as they should be and the temperature of hot water outlets which should deliver water at a safe temperature were not being tested as required. Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 1 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x x 1 x 3 2 Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 19 no Are there any outstanding requirements from the last inspection? 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. 1. Standard 3 Regulation 14(1)(a) Requirement That a full assessment in line with national minimum standards is carried out prior to the admission of servcie users. That care plans reflect fully the needs of service users and provide detailed guidance for staff on how to support them and that records are kept of when needs have been met. That pressure sore risk assessments are undertaken on all service users and records kept of action taken to reduce any identified risk. That medication is dispensed at the prescribed intervals. That adaptations are made to the locks fitted to bedroom doors to ensure access at all times from the outside in the event of an emergency. That two references are obtained on all staff prior to them starting employment. That the fire alarms, emergency lights and hot water outlets are tested at the required intervals and records maintained of the results. Timescale for action 21/6/05 2. 7 15(1) 21/7/05 3. 8 13(1) 21/7/05 4. 5. 9 24 13(2) 23 21/6/05 21/7/05 6. 7. 29 38 19(1)(b) 23(4)(a) 21/6/05 21/6/05 Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 20 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. Refer to Standard Good Practice Recommendations Jubilee Court H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT National Enquiry Line: 0845 015 0120 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 H59-H10 S21240 Jubilee Court V217561 210605 Stage 4.doc Version 1.40 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!