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Inspection on 16/06/05 for Jubilee Villa Care Home

Also see our care home review for Jubilee Villa Care Home for more information

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Provides an excellent standard of care based on normal living principles and community integration, for young people who have significant learning and physical disabilities and in some cases complex health needs. Prioritizes service user needs and ensures that although the service users have limited or no verbal communication, that their wishes and feelings are continually assessed. Provides an excellent range of individualised care planning documents and risk assessments for each service user. Demonstrates a commitment to enabling service users to have some control over their lives. Takes note of the fact that the service should reflect, and is appropriate to, the age of the service users living there. The environment is bright and stimulating and bedrooms decorated in a modern youthful manner. Service users enjoy age appropriate activities wherever possible. Gives commendable attention to training, developing and informing staff as an ongoing process and also recognises staff achievement. This results in a motivated staff team, who are equipped to provide good quality care.

What has improved since the last inspection?

There were no requirements or recommendations at the last Inspection.

What the care home could do better:

The home continues to provide a very high standard of care and is commended for this.

CARE HOME ADULTS 18-65 Jubilee Villa Care Home 48 Mill Street Barwell Leicester LE9 8DW Lead Inspector Trisha Gibbs Unannounced Inspection 16 June 2005 9:30 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 Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jubilee Villa Care Home Address 48 Mill Street Barwell Leicester LE9 8DW 01455 843510 01455 447794 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) Ms Lucy Hogg and Mr Richard Allebone Ms Lucy Hogg Care home only 5 Category(ies) of LD Learning disability (5) registration, with number PD Physical disability (5) of places Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 14th December 2004 Brief Description of the Service: Jubilee Villa is a large renovated Victorian house situated in the village of Barwell, near Hinckley. The house has been renovated and is adapted to meet the needs of five young adults living there, who have a learning disabilty and physical disability, and who require intensive daily support. There is an adapted mini bus available to enable service users to access activities and facilities in the local community. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took approximately four hours and was the first statutory unannounced Inspection this year. One resident’s case was fully tracked and others looked at during the Inspection. The Inspector looked at files, observed and talked to four residents, looked at communal rooms and bedrooms and held discussions with two staff and the Managers. What the service does well: What has improved since the last inspection? There were no requirements or recommendations at the last Inspection. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 6 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 Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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 standard(s) 2 Service users’ individual needs are positively assessed on a regular basis. EVIDENCE: Service user files contained very good evidence of a full multi agency assessment of need, both at time of their admission to the home, and following this, through regular reviews. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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 standard(s) 6,7,9 Service users are enabled to make choices, take acceptable risks, and to have their complex needs fully met. EVIDENCE: Service user files contained excellent records, charts, documents and action plans unique to each individual, covering all aspects of their daily life. Since the five service users have either limited, or no verbal communication skills, there are clear guidelines for staff about each individual communication system. Care planning material emphasises the need for staff to encourage independence and to respect individual choice and preference. The staff team refer to the care planning material on a daily basis. During the Inspection staff were observed communicating with service users about what would be happening on that day. There was evidence in files, that the risk assessment process is actively used to facilitate the young people to enjoy community activities, despite significant health needs in some cases. Person Centred Planning books, drawn up with service users, talk about what they enjoy doing and what they would like to do i.e. ‘My aim in life’. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 10 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) 12,13,15,16,17 Service users are enabled to enjoy a normal lifestyle that is appropriate to their age EVIDENCE: The policy of the home is that, despite their complex needs, service users should be enabled to conduct their day-to-day lives as if they were living in their own home. The staff spoken to during the Inspection were very clear about this principle. Service user files looked at, gave good details about their daily activities and interests, usually undertaken within the local community. Person Centred Planning files also included photographs and illustrations of service users enjoying their favourite activities. One young woman showed the Inspector her photograph album, which contained photographs of a holiday she had clearly enjoyed near Malaga, Spain, the previous week. Two staff had accompanied her, taking her wheelchair. The colourful photographs provided very good evidence of them having fun in different venues. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 11 Staff encourage the service users to take an interest in their personal appearance just like other young people. One young woman had collections of makeup, jewellery and hair ornaments in her bedroom. A member of staff said, ‘we try as far as possible to enable the service users to do the kind of things that we like doing ourselves’. Service user files detailed individual achievable tasks that they are able to assist with in the garden, e.g. sweeping, planting, and watering. Family and friends are encouraged to maintain regular contact and there was information about family contact in files. Good healthy menus were seen during the Inspection, and staff said that they usually adhered to the two-week menu, but that there was flexibility for service users to have alternatives or to eat out. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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 standard(s) 18,19,20 Very good attention is given to the personal and health care needs of service users. EVIDENCE: Service user care plans contained very clear details about their different healthcare needs. A range of health and social care professionals provide specialist support and regular reviews take place; the outcomes are documented on review sheets. The staff team are routinely provided with training to equip them to meet the individual health care and personal needs of five service users. The Manager of the home is a Registered Learning Disability Nurse who, along with other professionals, regularly delivers health care and medication training to staff. On one staff file looked at during the Inspection, there were copies of information handouts and special quizzes given out during training sessions, in addition to certificates confirming training provided. A separate medical file is maintained for each service user, some who have a number of health care needs and one who requires nursing care. Medication is stored in locked cabinets in their bedrooms, and includes commendable detail about all medication being administered, charts, monitoring audits and Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 13 recording of the full medication ‘trail’. Staff were knowledgeable about medications when spoken to by the Inspector. Service users are encouraged to make decisions as far as possible about their personal presentation and are supported by staff and family to choose clothes. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 14 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, as far as possible, are sought and they are kept safe. EVIDENCE: Although the service users do not engage verbally, each has their own unique way of communicating and there was very good evidence in files that staff are expected to be vigilant in observing various behaviours, and to actively ensure and record that service users are happy and satisfied with the service. Much attention is given to staff awareness about Adult Protection and there are clear Procedures to respond to allegations and complaints. Training and refresher sessions are regularly provided to support the Procedures. Evidence of this was a seen on staff files and this is commendable. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 15 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) 24.30 Service users enjoy living in a comfortable and colourful family home. EVIDENCE: The house is painted and furnished in an interesting and colourful manner, with unique features and decoration, and was clean throughout on the day of Inspection. The staff team have clearly helped to personalise individual bedrooms and to reflect the personalities of the young people who sleep there. One service user is only well enough to come down stairs for short periods during the day, and much thought has been given as to how his room, while catering for his profound physical needs, is stimulating, homely and appropriate to his young age. The room is painted soft blue and is light and airy, he has a television he can watch from his bed and posters and other items positioned around the room. The equipment and aides required to cater for his health needs are unobtrusive and this is commendable. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 16 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) 35 A well-trained competent staff team provides care for the service users. EVIDENCE: There is an excellent training programme available to staff. The Inspector spoke to two members of staff on duty during the Inspection and looked at one staff file. There was good evidence of regular training sessions, designed to meet the needs of the individual service users who live at the home. There is an expectation that staff members will attend for training and that this is discussed in supervision and appraisal sessions. One member of staff had recently received training on food hygiene, aromatherapy, responding to challenging behaviour and autism. New staff members receive appropriate induction and a six-month probationary period, following which they are expected to fill in a questionnaire that covers all aspects of their learning to date. Over half of the staff team have achieved National Vocational Qualification and others are progressing with this. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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 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) xxxx EVIDENCE: The above Standards will be inspected at the next Inspection. Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x x x Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 4 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jubilee Villa Care Home Score 4 4 4 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 19 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 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 Good Practice Recommendations Jubilee Villa Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 Page 20 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park, Enderby Leicester LE19 1SX 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 Care Home C51 C01 S1882 Jubilee Villa V233229 160605 STAGE 4.doc Version 1.30 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!