Inspection on 19/12/06 for Jubilee House

This inspection was carried out on 19th December 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Jubilee House 2 Kent Road Moorside Consett Co. Durham DH8 8HN Lead Inspector Gavin Purdon Unannounced Inspection 19th December 2006 10:00 Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 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 House DS0000066776.V323019.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 Adults 18-65. 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 House DS0000066776.V323019.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee House Address 2 Kent Road Moorside Consett Co. Durham DH8 8HN 01207 500272 0190 3719263 p-b-c@btconnect.com 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) Positive Approach Services Limited Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29 August 2006 Brief Description of the Service: Jubilee House is a private sector care home for up to 8 adults with learning disabilities. It is situated in Moorside near Consett. Jubilee House has ground and first floor facilities. It does not have a lift but is not intended for service users with additional physical disabilities. 2 of the home’s 8 service users share a bedroom. One of the single ground floor bedrooms has an en suite shower facility. The current scale of charges ranges between £378 per week and £500 per week depending on the individual level of care required and the specific circumstances of the service user. These charges cover basic care services. There are no standard charges for additional services. Presently, the post of registered manager is vacant at the home. There are plans to appoint a permanent manager. In the meantime a senior member of staff from Positive Approach Services Ltd is acting as day-to-day manager. Since the last inspection Jubilee House has changed ownership. That change is quite recent. In many respects the service remains as it was previously but the service will gradually develop in line with the philosophy and practices of the new providers as well as keeping the many good features of the original home. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Tuesday 19 December 2006. It is classed as unannounced, although the home did receive some short notice of the inspection taking place. The inspection itself lasted just under 4 hours. During the inspection there was the chance to meet with the home’s temporary management team, 4 service users and one of the support workers of the home. There was also an opportunity to look at care, personnel, and health and safety records. 1 service user was interviewed in private, and 3 other service users were spoken with as a group. In advance of this inspection the home provided some detailed written information about the running of the service since the last inspection. 6 service users wrote to the inspector, some with help from staff, to give their views on life at Jubilee House. What the service does well: Service users at Jubilee House think it is a good place to live. They like the house, they like the things that they can do, and they like the staff supporting them. A service user said, “ This is a very nice home. Staff are very kind. I’ve got a key worker. We do jobs around the house, dishes, clothes, and the table things. I go out to Consett 1 day and do games, cards, and arts and crafts. I see my mam once a fortnight. I’m happy with my bedroom. I’m quite settled here. Other service users said, “ I like to live in this home. It is nice.” And, “It’s a nice home and I like living here.” Service users, management and staff thought Jubilee House was handy for access to local centres and facilities, and a good place to maintain links and access to the community, families, and friends. The service tries to encourage these links and offer people choices about what they do, where they go, and who they spend time with. Service users, management and staff thought strength of the service was the staff team, and how well they worked together. They were described as having a good attitude, and as positive, resourceful, and forward looking. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential service users benefit from having their individual aspirations considered and by having their full range of needs assessed. EVIDENCE: 6 service users wrote to the inspector, some with staff help, and said they were asked whether they wanted to live at Jubilee House and were told about what it would be like living there. A service user said, “ My social worker told my brother about the home, so he helped me decide what to do.” Another service user said, “ My social worker told me about the home and what it would be like to live there.” The assessment process was discussed with the home’s management team. The discussion involved looking closely at the assessment documents of 3 service users. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 9 The discussion and documentation showed that the home is in the process of introducing the assessment and admission practices of Positive Approach Services Ltd. Admissions will not be made to the home until a full needs assessment has been undertaken. Assessments will be conducted professionally and sensitively and involve the individual, and their family or representative, where appropriate. Where the assessments are undertaken through care management arrangements, the service will insist on receiving a summary of the assessment and a copy of the care plan. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service benefit from having their needs and aspirations reflected in their individual plan of care. People using the service benefit from assistance to make decisions, where this is needed. People using the service benefit from the home supporting them to take risks in developing an independent lifestyle. EVIDENCE: A service user said, “I’ve just started working at the luncheon club and would like to do more through the day like this.” Other service users said, “ I want to go to college every day.” And, “ I want to go back to college it gets boring stopping at home every day.” Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 11 The development and use of care plans was discussed with the home’s management team, and with a member of the care team. The discussion involved looking closely at how the person centred care plans are being introduced for service users. The care plans discussed follow person centred care plan principles. Each service user will have a plan that has been agreed with them. The plan is positive, easy to understand and covers all aspects of care and lifestyle. Service users and staff are becoming closely involved in developing, following, and revising these plans. Staff will have the skills and the numbers to make sure service users are genuinely involved in this process and have real opportunities to make decisions and follow them through. These plans are intended as real working tools that people understand and use. These plans are not preoccupied with problems. They are about how service users develop skills and work towards the things that they want to achieve in life. The plans do look in some detail, practically and carefully at how the needs and skills of service users are balanced with independence, aims, and choices. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15, 16, & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from access to activities suited to the age, peer group, and cultural background, of those involved. Service users benefit from being part of the local community. Service users benefit from access to the full range of relationships, based on their age, peer group, and cultural background. Service users benefit from living in a home where individual and shared rights and responsibilities are recognised and promoted. Service users benefit from the home promoting healthy diets, and providing pleasant and homely surroundings for service users’ meals. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 13 EVIDENCE: A service user said,“ It’s a nice home and I like living here.” Another service user said, “ This is a very nice home. Staff are very kind. I’ve got a key worker. We do jobs around the house, dishes, clothes, and the table things. I go out to Consett 1 day and do games, cards, arts and crafts. I see my mam once a fortnight. I’m happy with my bedroom. I’m quite settled here.” 6 service users wrote to the inspector and said they could make there own decisions about things and do the things that they wanted to do. New care plans and daily records to cover service user lifestyles are being introduced. These were discussed with the home’s management team, with a member of the care team, and with 1 service user. There was evidence that the home is working hard to identify and get access to individual education, employment, and leisure activities for service users and to support family contact and personal relationships that service users want. It was clear from the records and discussions that the home encourages service users to live an ordinary and meaningful life, in the home and in the community. Staff have the skills and are available to encourage, monitor, and assist service users to lead full and challenging lives if that is what service users want. The home tries to allow service users to have a real say in their own lifestyle. If a service user is overconfident about their skills or does not want to be involved in a potentially beneficial activity, then that is the starting point for the home. The home will not necessarily prevent a service user from doing something that they want to do and will not insist a service user does something they are uncomfortable with. The home helps service users to be independent and responsible and provides training encouragement and support, to do shopping, and plan and prepare meals. The home is developing more varied ways of working with service users who need less support and those who need more help. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in ways they benefit from and require, and which suits them as individuals. Service users benefit from having both their physical and emotional needs recognised and met. Service users who are willing and able will be helped to retain, and administer their own medication. All service users are protected by the home’s arrangements for dealing with medication. EVIDENCE: 6 service users wrote to the inspector and said they were cared for in the way they wanted to be cared for. Information in care plans and daily records about service user personal and healthcare support was seen and the topic was discussed with the home’s management team, with a member of the care team, and with 1 service user. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 15 Support for service users is being detailed in care plans and provided in a way that is flexible, consistent, and responds to the different needs of service users. The preferences of individual service users will be taken seriously and support will be provided in a skilled and sensitive manner. Person centred plans seen for 3 service users will clearly record their personal and healthcare needs and be very well detailed about how these would be provided for. The home works closely with healthcare professionals. Healthcare needs are well managed and flexible support provided in a way the service user is comfortable with. The medication storage arrangements and the medication records of 3 service users were inspected. The home has an efficient and well-controlled system and has recently made improvements to this. In terms of promoting independence and developing new skills some service users will be encouraged to have some control over their medication Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their views known and acted on. Service users benefit from the protection provided by the home. EVIDENCE: 6 service users wrote to the inspector and said they had someone to speak to if they were not happy about something, and knew how to make a complaint. Complaints and protection were discussed with the management team, with a support worker and with 1 service user. The home has clear procedures for dealing with complaints and protection issues, but it also puts a big emphasis on service user views being heard and taken notice of. There is good communication and regular contact between service users, staff, and management, to assist this. The home is genuinely interested in knowing what service users think, what they are happy with and not so happy with. They want to know what is working well and what needs to change. The home seeks this information informally and formally through open everyday discussion, and through questionnaires and discussions between management, key workers and service users. Training has taken place on how to protect vulnerable adults. This was training for support workers. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a homely, comfortable, and safe environment. Service users benefit from a clean and hygienic home. EVIDENCE: 6 service users wrote to the inspector and said Jubilee House was a nice building to live in. A service user said, “ The residents help to keep the house clean.” Another resident said, “ I like to live in this home. It is nice.” The environment of the home was discussed with the management team, a support worker, and with 1 service user. Various facilities in the building were looked with the manager. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 18 Some recent work has been done on arranging new contracts for servicing and maintenance of the premises, in line with existing Positive Approach Services Ltd’s practices elsewhere. The home’s acting line manager outlined plans for increasing existing environmental comfort and safety of service users at Jubilee House. The redesign, redecoration, and improvement of some facilities will mean service users can have more privacy, independence, and discrete attention to their care needs. Service users will have a big say in redecoration and choosing samples. The home has good standards of hygiene and cleanliness supported a proper schedule of daily and weekly cleaning tasks and practices. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well skilled and qualified staff group. Service users benefit from the protection of thorough staff recruitment procedures and practices. Service users benefit individually, and as a group from the support of welltrained staff. EVIDENCE: 6 service users wrote to the inspector and said that they liked the way staff treated them. A service user said, “ This is a very nice home. Staff are very kind.” Staffing arrangements were discussed with the management team, with a support worker, and with 1 service user. Some key staffing records were also looked at. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 20 100 of staff hold the NVQ qualification in Care, to at least Level 2. This is an excellent level of training achievement in excess the national minimum standard and a significant improvement on the position at the time of the last inspection. Staffing levels have also increased since the last inspection to 2 staff at all times during the waking day. Both of these improvements will benefit service users by improving the choices available to the people living at Jubilee House and the skills of staff working there. The personnel records for the most recent member of staff, were looked at, covering their recruitment and selection. These contained all the necessary checks on identity and suitability to work closely with vulnerable adults. Support workers will be well trained, well organised, and a large enough team to meet the joint needs and individual needs of service users in a flexible, and well informed, and well managed way. Training will be tailored to the staff role, and part of an organised training and development plan for each staff member. Joint and individual needs are met through thorough briefings and handovers, and shift leaders ensuring goals are thought about and acted on daily. The home runs with 2 support staff throughout the waking day, with 1 sleeping member of staff on nights. Care staff provide cooking and cleaning support. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a strong management team that helps ensure the home is well run. What service users think about the home and what they want from it does influence the conduct and progress of the service there. Service users are protected by the home’s arrangements to ensure their health wellbeing and safety. EVIDENCE: 6 service users wrote to the inspector and said staff listened to what they had to say about things. Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 22 The management and running of the home were discussed with the management team, a support worker, and in general with 1 service user. The home is building a strong staff team. There are good temporary management arrangements in place, and a permanent manager will be recruited shortly. The responsible individual (the person representing the registered owner), is working closely with senior staff, support workers, service users, and people outside of the home. The temporary management arrangements do provide leadership, advice, and direction for the home. The home is making sure that service user views are central to the process of planning, conducting, and revising the way Jubilee House operates. This runs through from care plans to quality questionnaires. Service user views are asked for on what they think about their present care, and how they want to live in future. The home is developing new health and safety arrangements. A member of staff has been trained and designated make sure the home meets health and safety legislation, and that practice and compliance is regularly and properly monitored. Jubilee House DS0000066776.V323019.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 Adults 18-65 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 24 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 OP37 Regulation 8 Requirement Although the present temporary management arrangements are working well, Positive Approach Services Ltd must appoint an individual to manage Jubilee House on a permanent basis. Timescale for action 18/03/07 Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 25 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 YA2 Good Practice Recommendations Positive Approach Services Ltd. should continue with its plan to develop assessment and admission practices at Jubilee House to bring them into line with those used elsewhere by the company. Positive Approach Services Ltd. should continue with its plan to develop person centred care plans at Jubilee House to bring them into line with those used elsewhere by the company. Positive Approach Services Ltd. should continue with its plan to develop individual lifestyles suited to the needs wishes of each service user. Positive Approach Services Ltd. should continue with its plan to provide personal support for service users at Jubilee House in a way that better suits their individual circumstances and preferences. Positive Approach Services Ltd. should continue with its plan to improve the homeliness, comfort and safety of Jubilee House. Positive Approach Services Ltd. should continue with its plans to introduce the systems it uses elsewhere to ensure that the health, safety, and welfare of service users at Jubilee House are promoted and protected. 2 YA6 3 4 YA12 YA18 5 6 YA24 YA43 Jubilee House DS0000066776.V323019.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 House DS0000066776.V323019.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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