Inspection on 08/03/06 for Jubilee Lodge

This inspection was carried out on 8th March 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 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 Lodge 07/05/07

Jubilee Lodge 23/05/05

Jubilee Lodge 01/09/04

Jubilee Lodge 04/05/04

Jubilee Lodge 18/10/03

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

CARE HOME ADULTS 18-65 Jubilee Lodge Grange Farm High Road Chigwell Essex IG7 6DP Lead Inspector Lysette Butler Unannounced Inspection 8 March 2006 08:30 th Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 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 Lodge DS0000015394.V285172.R01.S.doc Version 5.1 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 Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jubilee Lodge Address Grange Farm High Road Chigwell Essex IG7 6DP 0208 5012331 0208 5599583 stump@vitalise.co.uk 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) Vitalise Stephen Clifford Trump Care Home 36 Category(ies) of Dementia - over 65 years of age (30), Physical registration, with number disability (36), Physical disability over 65 years of places of age (36) Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Persons of either sex, aged 18 years and over, who require nursing care by reason of a physical disability (not to exceed 20 persons) Persons of either sex, aged 18 years and over, who require care by reason of a physical disability (not to exceed 30 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 30 persons) The total number of service users accommodated must not exceed 36 persons People with dementia must not be accommodated at the same time as younger adults, those under the age of 65 years, who have a physical disability Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 36 persons) 23rd May 2005 Date of last inspection Brief Description of the Service: Jubilee Lodge is a holiday home offering personal and nursing care to people with physical disabilities. It is situated in a semi rural location with good links via a private road, to bus routes and the London underground. The main shopping area, which also has places to eat and drink, is approximately one mile away. Jubilee Lodge is one of five similar holiday homes that are owned and run by Vitalise. Each home has a different focus to the type of holidays it offers. Jubilee Lodges focus is trips to London, Kent and over to France. There are various themed weeks throughout the year, and these are detailed in the yearly brochure. Jubilee Lodge has twenty-six single rooms and five double rooms all have ensuite facilities. All guest areas are on the ground floor of the building, with staff accommodation on the first floor. Jubilee Lodge has ample parking facilities to the front of the building. The grounds encircle the home. There are formal gardens with ornamental ponds and a wild flower garden with a large pond. The home also overlooks the adjoining Riding for the Disabled training ring. It has its own coaches and mini buses to transport the service users on the trips. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took five hours on one day during March 2006. Eighteen of the forty-three National Minimum Standards were inspected during this visit. All the National Minimum Standards were assessed at the two statutory inspections for the year 2005/6. Information on any standards not assessed at this unannounced inspection can be found in the report dated 23rd May 2006. It was found that the majority of the standards had been met. Jubilee Lodge is a holiday home and does not have permanent guests; because of this some areas of the National Minimum Standards are not applicable to the guests who attend the home. These areas are therefore not taken into consideration when assessing whether the outcome of individual standards has been achieved. The overall care and well being of the guests was very good; staff, volunteers and guests were welcoming and happy to speak to the inspector. During this visit the inspector spoke to guests; staff members including the administrator; housekeeping staff; volunteers: registered nurses and care assistants. The inspector also spent time with the registered manager and deputy manager. The information gained from a number of guest questionnaires returned to the inspector before this report was finalised. Guests expressed satisfaction with the care they received and with the quality of the food offered. What the service does well: Staffing levels and skill mix are excellent at this home. Guests all stated that they had a good time at the home and the staff made that possible. The range and type of activities offered continues to be excellent. The overall ethos and atmosphere in the home is excellent. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 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. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 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 Lodge DS0000015394.V285172.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): N/A EVIDENCE: None of these five standards were reviewed at this visit. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10. The whole principle of this home is based on choice. The staff make sure that all the guests have a full and enjoyable holiday. EVIDENCE: Three care plan files were reviewed during this visit. There has been no change to layout of the care plans and how the guests are assessed. The registered nurse on duty at admission checked all the individual care plans formulated on arrival at the home. All files reviewed contained the guests original application that is signed by the guest. Guests make all the choices about their stay at the home, especially regarding the trips they choose to take part in. There had been no changes to the procedures regarding the handling of guests’ money. Some guests spoken to were concerned that the changes in social service funding will reduce their ability to go to the home for a holiday. All guests spoken to state that the levels of help and care given were always tailored to their individual needs. At the time of this inspection 24 of the 30 guests were going to Chelmsford to undertake a number of different activities, including ice skating, shopping and going to the cinema. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 10 One guest stated that the whole point of coming to the home was to experience different activities and have fun, which inevitably involved a level of risk. The manager and deputy manager are very aware of the conditions of registration and do not take individuals outside of their registration. The home had recently experienced an unexplained absence of a guest that was appropriately dealt with by all staff involved and the guest was returned to the home quickly. The guests were happy that levels of confidentially were good within the home. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15. Attending the home for a holiday is part of the guest’s general lifestyle and the staff ensure that they take part in as many activities as they wish, or can do. Guests are encouraged to mix with all the guests and form friendships if they wish to. EVIDENCE: This home invites the local community to join in on open days and fetes arranged by them. The staff encourage guests to visit the local area. A number of volunteers at the home are from the local area. Visitors are always welcome, however because of the principles of the home very few do. For most relatives who are the main carer for the guest this is a break for them as well. One guest spoken to said that they came to the home 5-6 times every year to give their relative, who is their carer time to themselves. The guests are enabled to meet with people who have all sorts of disabilities and many make friendships that last following their return home. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 20. The personal and general healthcare support at this home is very good. EVIDENCE: The overall health and personal care was very good. All guests have a signed certificate from their GP to highlight what conditions they have, what care is needed and what activities they should avoid. The certificates will have been supplied to Vitalises head office before arrival. The home can support a wide range of healthcare needs and will enable guests to continue treatment they need. One of the guests this week needed renal dialysis during their week at the home, this had been arranged with the local hospital and staff took the guest to the appointments. Following a complaint about medication procedures a number of changes had been made to facilitate safe administration and discharging of the guests own medication. At the time of this inspection the majority of the guests were selfmedicating. Each night the guests were asked if they intended gong on the next day’s trip, if they were the nursing staff prepared the medication they needed to take with them, so that they did not miss any doses. Some homely remedies reviewed at this visit were out of date. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Protection of Vulnerable Adults procedures are good in this home and the registered manager understands his responsibilities, ensuring the safety of the guests. EVIDENCE: There had only been one complaint to the home since the last inspection, regarding medication procedure. (See NMS 20 above) This had been handled well; the Commission for Social Care Inspection had been fully informed throughout the investigations and conclusions. There had been no Protection of Vulnerable Adults issues at the home since the last inspection. All staff including the volunteers are issued with copies of the Essex Protection of Vulnerable Adults booklet. Information about abuse is part of the induction carried out every Saturday for all new staff and it is also contained in permanent staff inductions. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. The environment in this home was good and was appropriate for the guests who are on holiday. EVIDENCE: There has been no change to the fabric of the building since the last inspection. The home had been redecorated during the January shutdown, which is a yearly occurrence and looked clean and fresh at the time of this inspection. One of the guests commented that the en-suites and bathrooms did not contain hooks and shelves for them to put their clothes and toiletries on. This was discussed with the registered manager who would arrange for some to be fitted. There were two housekeeping staff on duty during this visit and there were no malodours throughout the home. All rooms now have overhead electric hoists that go right into the en-suites. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 & 36. The staffing numbers in the home are good, complimented by volunteers. Recruitment procedures are robust and designed to protect the guests. EVIDENCE: There had been no change to the way in which this home is staffed and the guests appreciated the care and attention they got during their stay. The rosters showed that agreed staffing levels were maintained. Some new staff and volunteers sometimes find it difficult to adapt to the very different work/atmosphere in this home, but the permanent staff work hard to integrate them into the home. Seven of the permanent care staff have National Vocational Qualifications at level 2 or above and eight are currently undertaking courses. Therefore over 50 of the care staff will have qualifications when the present staff on the course have completed. The staff at the home work well as a team and there are high levels of support for all levels of staff. The volunteers come from a variety of cultures and institutions. There are weekly staff meetings to keep everybody informed of changes and the next week’s guests. Since the re-opening of the home in February the staff had been split into three teams. Each team leader will be undertaking supervision for their team Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 16 members. All staff should have had six sessions by the end of the year. At the time of this inspection the registered manager and his deputy had nearly completed appraisals for all permanent staff. All volunteers are mentored during their time at the home. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 41, 42 & 43. The conduct and management of the home is very good. EVIDENCE: The manager has been registered with the Commission for Social Care Inspection since the last inspection. He is undertaking National Vocational Qualifications at level 4 in care and management. All policies and procedures are open for all guests to read, as they want to. All policies and procedures were reviewed by head office on a yearly basis. Changes and new policies are sent to the home via CD Rom and the home prints them off. They are aimed at the guests as ‘holiday makers’. All personal guest information is locked in the nurses’ office/medication room. The home maintained a clear record of all checks and servicing carried out on equipment and utilities (gas, electric and water), which provided evidence that the equipment and premises were regularly maintained. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 18 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 X 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 N/A 12 X 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 2 X 3 X X X 3 3 3 Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 19 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 Refer to Standard YA20 Good Practice Recommendations The registered manager should ensure that all homely remedies are in date. Jubilee Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Lodge DS0000015394.V285172.R01.S.doc Version 5.1 Page 21 - 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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