Inspection on 19/08/05 for Jubilee Villa

This inspection was carried out on 19th August 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 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 Villa 27/11/07

Jubilee Villa 01/02/07

Jubilee Villa 05/12/05

Jubilee Villa 24/08/04

Jubilee Villa 06/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Jubilee Villa Astley Shrewsbury Shropshire SY4 4BU Lead Inspector Michael Moloney Unannounced 19 August 2005 08.15 th 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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Jubilee Villa Address Astley Shrewsbury Shropshire SY4 4BU 01939 210461 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) Mrs Susan Hartley Mrs Susan Hartley Care Home 17 Category(ies) of 4 Old Age registration, with number 10 Dementia of places 3 Mental Disorder Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2004 Brief Description of the Service: Jubilee Villa is a home for older people who may also suffer from mental health problems and is situated on a rural site near to the village of Astley just to the north of Shrewsbury. The home is registered for 17 service users and is run by Sue Hartley and Leslie Read.The house itself is a large converted and extended property set near to the main Shrewsbury to Market Drayton road and has pleasant views across the adjacent fields. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced, commenced at 8.15 and lasted 2 hours. Various files and documents were seen and discussions took place with the proprietor, staff on duty and a number of the service users during a tour of the home. 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 Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The home has a thorough assessment procedure. EVIDENCE: Two service users have been admitted to the home since the last inspection and observing them and looking at the home’s records of the process showed that this was done in an effective way highlighting all of those peoples’ needs and wants. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The personal and healthcare needs of the service users are met in a dignified and sensitive way with records of this being maintained to a high standard. EVIDENCE: By looking at the service users’ files it was clear that the home has an effective service user planning procedure that identifies the needs and wants of the individuals and sets goals so that achievements can be measured. The records also showed that progress against these goals is reviewed on a monthly basis giving the opportunity to modify them. Talking to the management and reading the files also showed that the service users have good access to any health-care professionals that they may need. The home has to manage the medication for the service users. The proprietor confirmed that the staff are being trained in the administration and storage of medication and it was clear from the records that the home’s policies and procedures were being followed ensuring that the right people get the correct medication at the right times. Throughout the visit the staff were seen to be treating the service users with dignity. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x EVIDENCE: None of the standards within this section were assessed on this occasion. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The service users are protected from abuse. EVIDENCE: The home has a complaints procedure that complies with the law. No issues have been raised since the last inspection. The home has a policy relating to the protection of vulnerable adults. No referrals have been necessary in relation to this since the last inspection. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: The home is situated in the village of Asterly and is an older property that has been converted to its present use in a sensitive and practical manner that is consistent with others in the neighbourhood. There is an ongoing programme of redecoration and the garden has recently received a lot of attention making it a very pleasant and secure place for the service users to be. The home has a laundry area situated with access through areas that are not used for food preparation thereby reducing the risk of cross contamination. The manager confirmed that these facilities remain unchanged. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28 The home employs and deploys appropriate numbers of suitably qualified staff. EVIDENCE: The shift on duty at the time of the inspection was fully staffed and talking to them and by looking at the rota it was established that this was the norm with staff being happy to cover for each other’s absences. Talking to the manager and her staff also established that they have achieved the target of 50 of the staff being qualified to NVQ2 in care or above. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Although this home may be a safe place for the residents to live the management and staff need to produce more evidence of this. EVIDENCE: Accident and fire prevention records were seen to be maintained, however, there were recent gaps found in the recording of the checks. Manual handling risk assessments were also found to be incomplete although staff did say that they planned to complete them fully when they have undertaken their update training next month. Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 14 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 15 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 38 38 Regulation 13(4) 13(5) Requirement A record of the checks of the fire alarms must be maintained. Manual handling risk assessments must be carried out. Timescale for action Immediate 30/9/05 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. Refer to Standard Good Practice Recommendations Jubilee Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 Villa E56 E01 S20708 Jubilee Villa UAI V245718 190805 Stage 4.doc Version 1.40 Page 17 - 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. 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