Inspection on 10/10/05 for Jubilee Mews

This inspection was carried out on 10th October 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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jubilee Mews 15/05/07

Jubilee Mews 31/05/05

Jubilee Mews 09/12/04

Jubilee Mews 13/04/04

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

CARE HOME ADULTS 18-65 Jubilee Mews 15-21 Jubilee Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 3DX Lead Inspector Ian Armstrong Unannounced Inspection 10th October 2005 09:30 Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 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 Mews DS0000000422.V249939.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 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 Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jubilee Mews Address 15-21 Jubilee Road Gosforth Newcastle Upon Tyne Tyne & Wear NE3 3DX 0191 213 0988 0191 2130988 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) Mental Health Concern Miss Janet Pattison Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: Jubilee Mews is a care home with nursing. Providing care for adults with enduring mental health needs. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by Mental Health Concern, a local organisation that specialises in providing care services for people with mental health needs. The home is comprised of three four bedroom detached houses, which are situated in Gosforth in the city of Newcastle upon Tyne, close to local shops and good public transport links.Each house has a lounge and kitchen/dining area and four bedrooms, with bathrooms and toilets and shower room facilities. There is also a conservatory to the rear of each house. The philosophy of care in the home is to support the residents in their activities of daily living and to provide for their physical and mental health needs. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over three hours. The Inspector looked around some parts of the home and a number of records were inspected. Five of the twelve residents, and five of the staff were spoken to. 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 Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 6 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 Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 7 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): 2. Prospective user’s individual aspirations and needs are assessed. EVIDENCE: Two residents care records were read. Prior to admission to the home individuals are assessed by a multi-disciplinary care team to assess their suitability. The standard of those records seen was good and comprehensive. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 8 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. Service users know their assessed and changing needs and personal goals are reflected in their individual plan. EVIDENCE: Two residents care plans were inspected. There was a good range of care plans for both residents. These were well written with evidence of regular evaluations and reviews taking place. On going recordings were clearly linked to the care plans. Reviews of care needs, take place with multi-disciplinary input these are well structured. Assessments of each individuals care needs were also completed to a good standard. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 9 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): 17. Service users are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Residents in each house alongwith staff meet weekly and determine the weeks menus. These were seen and offered a fair range and choice of food for the residents. A number of the residents self cater and purchase and cook their own food. Evidence was seen of mealtimes being very flexible according to individual needs. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 10 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): 20. Service users retain, administer and control their own medication where appropriate, and are in the main protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Due to building work being carried out in the home to improve the staff facilities. The medication cupboard had been moved to a conservatory area attached to one of the houses the cupboard was not alarmed this is unsatisfactory. The receipt, disposal and administration of medicines was found to be satisfactory. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 11 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): 22,23. Service users feel their views are listened to and acted upon. Service users are protected from abuse, neglect and self harm. EVIDENCE: The homes complaints policy is satisfactory, there have been no complaints since the last inspection. The POVA policy is being ammended to include local authority points of contact. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 12 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): 2426,30. Service users generally live in a homely, comfortable and safe environment. Service users bedrooms promote their independence. The home is in the main clean and hygienic. EVIDENCE: Since the last inspection visit 3 new cookers have been purchased and were to be installed on the visit day. New furniture for the house conservatories has been ordered. A television box set has been purchased for one house the other two houses are to have these installed. House number 17 new table and dining chairs are soon to be purchased. The sofas and chairs in the lounge of this house need to be replaced as arm rests are torn. House number 15 the entrance ceiling has a crack in it that requires repair. Also the bathroom in this house the enamel to the bath needs attention. The washing/ laundry area to the rear of the middle house is in need of redecoration. New blinds are needed for all three conservatories. The kitchen cupboards and utensils in two of the houses need to be cleaned. Two reisdents bedrooms were visited these were found to be highly personalised décor and furnishings were satisfactory. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 13 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): 32,33. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. EVIDENCE: Staff duty rosters were inspected these showed the following levels of staffing in the home on an average day; Am, 3/4 staff, 2 of which Qualified, 5pm, 1 Qualified and 1 care staff, nights, 1 sleep-in Qualified and 1 awake care staff. These levels of staffing are in line with the assessed needs of the clients. The home is fully established for all grades of staff. The homes manager and deputy manager provide on call support arrangements to the home. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 14 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): 40,42. Service users’ rights and best interests are generally safeguarded by the homes policies and procedures. The health, safety and welfare of service users are generally promoted and protected. EVIDENCE: The systems for the recording and management of residents personal monies were checked, 2 residents money balances were found to be incorrect having more monies than that specified. The homes accident records were seen and are of a good standard. The fire log book, currently the level of in-house fire instruction to staff is not in line with that specified by the Fire Authority. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 4 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jubilee Mews Score X X 2 X Standard No 37 38 39 40 41 42 43 Score X X X 2 X 2 X DS0000000422.V249939.R01.S.doc Version 5.0 Page 16 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 YA20 Regulation 13.2 Requirement The medicine cupboard to be resituated to the staff sleep-in room, the room and the medicine cupboard to be alarmed. The following work to be carried out, repair to entrance ceiling house 15, also repair to bath enamel. Redecoration of the laundry facility. The sofas and chairs in the lounge area of house 19 need to be renewed. New blinds to be purchased for the conservatory windows. The kitchen cupboards and utensils in the two houses identified to be thoroughly cleaned. The manager of the home to ensure staff are given in-house fire instruction in line with that specified by the Fire Authority. Timescale for action 11/10/05 2. YA24 23.2(b) 30/11/05 3. 4. 5. YA28 YA28 YA30 16.2© 16.2© 23.2(d) 31/01/06 30/11/05 16/10/05 6. YA42 23.4(d) 11/10/05 Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 17 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 YA23 Good Practice Recommendations The manager of the home to review the audit system for the checking of residents personal monies. Jubilee Mews DS0000000422.V249939.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. 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