Inspection on 22/11/05 for Jubilee Court

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Jubilee Court 29/03/07

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 Andy Denness Announced Inspection 22nd November 2005 10:00 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.V252266.R01.S.doc Version 5.0 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.V252266.R01.S.doc Version 5.0 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 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.V252266.R01.S.doc Version 5.0 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. 21st June 2005 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, currently only four service users are of this category. The registered owners are Trial Link Ltd. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over a morning and early afternoon in November and lasted 4½ hours. To help gather evidence on how the home is performing, the Inspector met with the owner, manager and staff, examined a range of records and written information and undertook an inspection of the premises. Discussions took place with eight service users and the relative of one service user who was visiting during the inspection. Written comments regarding the service were received from four relatives of service users and ten 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: Following this inspection it has been required that the improvements to the care planning system continue, this will help ensure that needs are not overlooked. Requirements to improve some aspects of the environment have been made, particularly that the refurbishment to the kitchen is completed. To help make sure the safety of service users it has been required that temperature of the hot water delivered one bath is reduced and that records are kept of the testing of fire alarms. To help make certain the protection of service users further improvements have been required to staff recruitment procedures and to ensure that staff receive appropriate support from management increases to the frequency of their one to one support sessions Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 6 have been required. To make sure that the owners are in touch with issues in the home it has been required that monthly visits are undertaken by them. The manager has been required to introduce required training for new staff and that a central training record is maintained. 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 DS0000021240.V252266.R01.S.doc Version 5.0 Page 7 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.V252266.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 1,2,3,4,5 & 6 Pre admission procedures are good and ensure that service users are admitted to a home that is 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 needs are now undertaken of all service users who move into the home; a selection of completed assessments was examined, these were of a good quality. Some residents spoken to said that they were able to visit the home prior to moving in. The home does not provide an intermediate (rehabilitative) care service. All service users are issued with a contract detailing the terms and conditions of their stay at the home, this document was examined, it contained all required information. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10 & 11. Since the last inspection improvements have been made to 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, however some more work is required to make sure that systems make sure that needs are not overlooked. EVIDENCE: Individual plans of care are compiled for each service user; these 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. Several plans were examined; since the last inspection a new format for the plans have been introduced, and these had been completed to a satisfactory standard; it has been required that work continues to change all plans to this new style. It was noted that some plans did not contain an assessment of risk for service users. Daily records are kept of the support provided for service users by staff and of happenings in their lives, these records were scant and to ensure that needs are not overlooked and important information missed it has been required that the detail of the records is increased. Records examined confirmed that a range of health care professionals are regularly accessed to help meet service user’s health needs. Staff manage medication for service Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 10 users; an easily monitored management system is used, records and storage were examined these were in order. Documentation examined confirmed that the home has a written policy in place regarding dignity and privacy and observations made during the inspection of staff interactions with service users confirmed that principles of dignity and privacy are upheld. The home has written procedures in place regarding dying and death. The Inspector was told that if possible a service user who was dying would be supported to spend their last days in the home in familiar surroundings with people that they know. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14 & 15. Arrangements in the home regarding social and recreational needs, visitors and meals are good and ensure service users choice and variety in all of these areas. EVIDENCE: Since the last inspection an activities organiser has been employed for 5 days a week. The Inspector was told that activities provided included hair and beauty, craft, bingo, board games etc, this was confirmed in discussions with service users. Service users also said that the activities organiser would take them out for walks, should they require assistance to do this. The home also has a volunteer, an ex member of staff, who will take service users out. Service users said that visitors are made welcome at any reasonable time; a relative of one service user who visits on a daily basis confirmed this. Service users said that those who are able visit a local church whilst a visiting minister calls at the home to provide communion. Discussions with service users confirmed that that they have choices in all areas of their lives including how to spend their time, when to get up and go to bed, where to eat their meals etc. The Inspector sat and ate with service users at lunchtime, the meal was well prepared and presented and obviously enjoyed by service users, who were Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 12 very complimentary of the meals provided for them. confirmed that a varied and wholesome menu is provided. Records examined Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16 & 18. Current arrangements regarding complaints and adult protection matters are satisfactory and ensure that service users are protected from abuse and that their concerns are responded to appropriately. EVIDENCE: The home has detailed complaints and adult protection procedures in place, both procedures were examined; they were of a satisfactory quality. Records examined confirmed that the manager handles complaints and concerns in line with written procedures. Service users said that they feel able to complain to the manager should they be unhappy with any aspect of the service that they receive. Records confirmed that all staff are trained in adult protection matters. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 14 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 the following standard(s): Physical standards in the home, with the exception of the kitchen, were good. The building is well maintained and its facilities are suitable to meet the assessed needs of service users, with care being provided in a safe, comfortable and homely environment. EVIDENCE: An inspection of all areas of the home confirmed that the environment is safe and well maintained. The home currently has two lounges and a dining room for use by service users, these were decorated and furnished in a comfortable and homely style; the Inspector was told that planning permission has been gained to extend the lounge, dining room and kitchen. Bedroom accommodation is provided in 21 single and 4 double rooms, 14 of which have ensuite facilities. 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 and second floor, however access to some Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 15 bathrooms is via three or four stairs. Grab rails and other adaptations to aid mobility are situated at strategic points throughout the home. The kitchen is part way through a refurbishment and work has currently stopped, to ensure good hygiene standards it has been required that this work is completed as a matter of urgency. The home has a full fire protection system fitted, it was noted that because of the position of furniture in one bedroom, the door, which is a fire door, does not close, action has been required to address this. Heating is provided by a gas central heating system with radiators in all rooms; 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; hot water delivered to one bath was tested and found to be too hot, action has been required to address this. The home was clean and hygienic throughout and records examined confirmed that staff are trained in infection control procedures. The home’s laundry, which is in the cellar was inspected this was suitably equipped. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30. Staffing arrangements are good and ensure that service users needs are met by sufficient numbers of well-trained, caring and motivated staff. 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 team with comments such as “ staff are all lovely”, “staff are very nice and helpful” and “first class staff”. Observations indicated that staff were caring and considerate in their interactions with service users ensuring them privacy and dignity. 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, this matter was identified at the last inspection and it has been required that this is now addressed as a matter of urgency. 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 and older people with past or present mental health problems. Introductory training (induction) is provided for new staff, however it is not of the required national standard, it has been required that action is taken to address this. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37 & 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. She said that she is part way through the required national qualification in care in which she will be covering issues regarding mental health and that when she has finished this she will be starting her required management training course. Discussions with staff and an examination of records confirmed that staff meetings and handover meetings take place on a regular basis. Formal one to one support sessions are provided for staff by the management team, however records examined and discussions with managers and staff indicated that the sessions do not happen as regularly as they should, action has been required to address this matter. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 18 Records examined confirmed that service users have recently been consulted, by means of a quality survey, over how they think the service is performing. The manager holds some personal spending monies for service users, this is stored securely and records and balances examined and were found to be in order. A selection of the records required by regulation was examined, these were in order and stored securely. Required policies and procedures were seen. Records examined confirmed that the majority of staff are trained in health and safety issues including, moving and handling techniques, food hygiene, fire safety, infection control and first aid. A selection of health and safety records were examined, these were generally in order although it has been required that the manager ensures that accurate records are maintained of the testing of the fire alarm system. Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 19 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 2 3 2 Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement That the work to improve the care planning system continues, that more detailed records of support provided for service users is kept and that assessments of risk are in place for all service users. That the refurbishment of the kitchen is completed, that action is taken to ensure that the door of the room discussed closes properly and that the temperature of the water delivered to the ground floor bathroom is reduced to a safe temperature. That two references are obtained on all staff prior to them starting employment. (This matter was raised at the last inspection and has not yet been addressed) That an easily accessed central training record is introduced and that the induction training of new staff complies with the required national standards. That the manager completed her required training to NVQ level 4 in care and management and the DS0000021240.V252266.R01.S.doc Timescale for action 22/02/06 2 OP19 23 22/12/05 3 OP29 19(1)(b) 22/11/05 4 OP30 18(1)(a) 22/12/05 5 OP31 9 30/12/05 Jubilee Court Version 5.0 Page 21 6 OP33 26 7 OP36 18(1)(2) 8 OP38 23(4)(a) training in mental health agreed to at the change in registration of the home That the required Regulation 26 visits by a representative of the providers are introduced with reports compiled of the visits with copies sent to the Commission for Social Care Inspection That the frequency of supervision for staff is increased to a minimum of six times a year. That records are kept of the weekly testing of the fire alarms. 22/12/05 22/11/05 22/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Jubilee Court DS0000021240.V252266.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex 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 DS0000021240.V252266.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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