Inspection on 31/05/05 for Jubilee Mews

This inspection was carried out on 31st May 2005.

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 Mews 15/05/07

Jubilee Mews 10/10/05

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 NE3 3DX Lead Inspector Ian Armstrong Announced 31 May 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Jubilee Mews Address 15-21 Jubilee Road Gosforth Newcastle upon Tyne NE3 3DX 0191 213 0988 0191 213 0988 admin@mentalhealthconcern.org Mental Health Concern Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Thore Bejeryd CRH 12 Category(ies) of MD Mental Disorder (12) registration, with number of places Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 7/12/04. Brief Description of the Service: Jubilee Mews is a care home with nursing providing care for adults with enduring mental health problems. The home is comprised of 3, 4 bedroomed detached houses which are situated on Jubilee Road in Gosforth in the city of Newcastle upon Tyne. Each house has four single bedrooms with seperate bathroom and toilet facilities. There are seperate lounge, kitchen/ dining rooms with a conservatory to the rear of each house. The home is staffed by registered mental nurses supported by care staff and is owned by Mental Health Concern, a local company that specialises in providing services for people with mental health needs. The philosophy of care is to support the residents in their activities of daily living and to provide for their mental health needs. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 5 hours and was announced. The inspector looked around the premises and a number of records were inspected. Five of the twelve residents and four of the homes 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 standard(s) 1, 2, 3, 4, 5. Service users have the information they need to make an informed choice about where to live. Prospective users individual aspirations and needs are assessed, and know that these will be met. Prospective service users have an opportunity to visit the home prior to admission. Each service user has an individual written contract or statement of terms and conditions within the home. EVIDENCE: The service user guide was read and provided good information regarding the homes services and facilities. Assessment documentation for two of the residents were of a good standard. Evidence of individual aspirations and needs were assessed and were being met. The arrangements for new residents visiting prior to admission were well structured. Two of the residents individual contracts with the home, described the conditions of their stay and the period of notice and were of a satisfactory standard. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 standard(s) 6,7,8,9,10. Service users assessed needs and personal goals are met in their individual plans, and service users are actively involved in decisions about their lives in the the home. Service users are supported to take risks as part of their lifestyles, and staff maintain confidentiality in regard to service users individual information. EVIDENCE: Two of the service users care plans included a good range of plans written with evidence of regular evaluations and reviews taking place. A number of service users were spoken with they all have keys to the front door of their house and their individual bedrooms. Service users have access to their care records and sign these. Risk assessment formats in the two care records that were read were of a good standard. Service users care records are kept in a locked office when not in use. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 standard(s) 11,13,14,15,17. Service users have opportunities for personal development and engage actively in the local community and appropriate leisure activities. Service users rights are respected and responsibilities recognised in their daily lives. Service users are offered healthy diets and enjoy their meals. EVIDENCE: Evidence was seen of some of the service users attending the Clubhouse, a day centre for work opportunities. Music groups, computer groups, and a good variety of other activities take place there. One resident attends the Rowan project at the Welford day centre. All service users are involved in each of the houses on a daily basis in household duties and in cooking the evening meal. Residents are consulted and choose the decor for their bedrooms. The majority of service users buy their own food. Menus included a good range and variety of food being offered and individual choice is achieved. Records in the home show that a number of service users maintain good contact with their families, one or two go for overnight stays. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 standard(s) 18,19,20. Service users receive personal support in a way they prefer and their physical and emotional needs are being met. Service users retain and control their own medication where appropriate and are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Assessment documentation shows that the gender of staff is identified in relation to personal care tasks for the residents. All service users are registered with a local GP who specialises in mental health. The GP visits the home each week to review residents care needs. In one of the houses adaptations have been made to meet the needs of one of the service users who has physical limitations. Arrangements are in place and are satisfactory for Dental, Optical and Chiropody services. The systems for the ordering, storage, administration and disposal of medications was checked and found to be of a good standard. Four service users are given weekly medications and self medicate, another four daily self medicate. The remaining four service user’s medications are supervised by staff. The homes policies and procedures for medicines are of a good standard. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 standard(s) 22,23. Service users views are listened to and acted on. Service users are protected from abuse, however the homes POVA policy needs to be further developed. EVIDENCE: Every service user has access to the homes Complaints policy and this is documented in their individual care records. Minutes of house service user meetings showed evidence of staff acting on resident’s issues or concerns however the frequency of these of late had diminished. The homes policy in relation to POVA needs to be further developed to include a section on the Local Authorities social service departments lead role and points of contact. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 standard(s) 24,25,26,27,28,30. Overall the three four bedroom houses are generally well maintained and homely individual bedrooms are nicely personalised, toilets and bathrooms are satisfactory and communal room facilities are generally good. The three houses were found to be mainly clean however some work identified from the visit needs to be carried out. EVIDENCE: Since our last visit new garden tables and chairs have been purchased these are of good quality. During the tour of the premises decorators were in the houses and decoration of toilets and bathroom areas and lounge/sitting rooms is being carried out. New lounge furniture is being purchased for all three houses. In house 19 in the ground floor bedroom the carpet is very badly stained and also the curtains are cigarette burned. In house 15 damage to the sitting room wall needs to be made good. In a number of toilets and bathroom areas the pull cords need to be renewed. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. Service users benefit from clear staff roles and responsibilities. The residents are supported by a competent staff team. The home recruitment policy and practices are good and staff are well-trained for their work with appropriate supervision sessions in place. EVIDENCE: Two recently employed staff files showed that written references had been obtained and that proof of identity checks had been carried out however there was no job descriptions in these records. Minutes of staff meetings were read there were appropriate agendas recorded. Duty rosters for staff showed levels of staffing each day in line with the assessed needs of the service users. Staff training records showed high levels of professional and statutory training being achieved. The systems for annual appraisal and 2 monthly supervision sessions for staff were of a good standard. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42. Service users benefit from a well run home, the leadership and management of which are good. Service users views are taken into consideration and acted upon by the homes staff. The homes policies and procedures ensure the service users best interests are safeguarded at all times. EVIDENCE: The homes manager has recently resigned a new manager has been appointed and this persons qualifications include R.G.N. R.M.N. Certificate in Cognitive Therapy, City and Guilds 730, Diploma in Management Studies. The homes deputy manager is acting manager until the new manager takes up her post. Mental Health Concern has a Service User and Carer Consultation Board, two of the residents are members of this group, which meets two monthly to discuss and agree policy development. This is good practice and is to be recommended. Health and safety records regarding audits of the home were found to be of a good standard. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 2 3 Standard No 11 12 13 14 15 Jubilee Mews 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 Version 1.20 Page 16 B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 3 x Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 Page 17 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. 2. Standard 24 24 Regulation 16.2 23.2(b) Requirement The carpet and curtains in the downstairs bedroom in house 19 must be renewed. The light pull cords in a number of bathroom and toilet areas be replaced. Timescale for action 30/8/05. 31/7/05. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 23 29 Good Practice Recommendations The homes POVA policy to be amended to include the lead role of Social Services and their points of contact. Job descriptions should be kept in individual staff files. Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 Page 18 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Jubilee Mews B53-B03 S422 Jubilee Mews V221013 310505 Stage 4.doc Version 1.20 Page 19 - 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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