Inspection on 03/05/06 for Jubilee Villa Care Home

This inspection was carried out on 3rd May 2006.

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.

Other inspections for this house

Jubilee Villa Care Home 20/12/05

Jubilee Villa Care Home 16/06/05

Jubilee Villa Care Home 09/12/04

Jubilee Villa Care Home 16/09/04

Similar services:

Hunter`s Lodge

Chestnut Grange Care Home

Hillside

Applegarth

122 Scorer Street

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Jubilee Villa Care Home 48 Mill Street Barwell Leicester Leicestershire LE9 8DW Lead Inspector Mrs C A Burgess Unannounced Inspection 3rd May 2006 10:00 Jubilee Villa Care Home DS0000001882.V292727.R02.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 Villa Care Home DS0000001882.V292727.R02.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 Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jubilee Villa Care Home Address 48 Mill Street Barwell Leicester Leicestershire LE9 8DW 01455 843510 01455 447794 richardallebone@hotmail.com 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) Ms Lucy Hogg Mr Richard Allebone Ms Lucy Hogg Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 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 the five young adults living there, who have a learning disability and physical disability, and who require intensive daily support. There is an adapted mini bus available to enable residents to access activities and facilities in the local community. The Statement of Purpose, Service Users’ Guide & Inspection Report are available on request (these provide information on how the agency is organised and what services they provide). The Statement of Purpose and Service Users’ Guide are provided for new residents. Monthly Fees: £3,721-£6,451 Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over five hours. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through a review of their records, discussion with care staff and observation of care practices. Two of the residents were seen during the inspection. The remaining residents were at Day Care. The residents who were seen appeared happy and well cared for. Due to their disabilities they were unable to give the Inspector meaningful feedback regarding their life at Jubilee Villa. What the service does well: The home has strong, motivated leadership from the Registered Manager. 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. Prioritises residents’ needs ensuring that, although the residents 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 resident, demonstrating a commitment to enabling residents to have some control over their lives. Reflects, and is appropriate to, the age of the residents. The home is bright and stimulating and bedrooms are decorated in a modern youthful manner, reflecting the residents’ need and interests. Residents enjoy age appropriate activities whenever possible and are well supported by staff. Provides extensive, focused training, developing and informing staff as an ongoing process and also recognises staff achievement resulting in a motivated staff team, who are able to to provide good quality care. Jubilee Villa Care Home DS0000001882.V292727.R02.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 Villa Care Home DS0000001882.V292727.R02.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 Villa Care Home DS0000001882.V292727.R02.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): 2. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ individual needs are comprehensively assessed when first moving to the home and are re-assessed on a regular basis thereby ensuring that their health, welfare and social needs of the residents are fully met. EVIDENCE: The pre-assessment process and documentation was thorough to ensure that the residents’ health, welfare and social needs can be met. Residents’ files contained both the Leicestershire County Council Social Services Community Care Comprehensive Assessment, a robust and detailed assessment by the Registered Manager and regular reviews, which demonstrate a multi agency/partnership approach to ensure that the residents’ needs are fully met. Jubilee Villa Care Home DS0000001882.V292727.R02.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. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are well looked after in respect of their personal and social requirements, and are enabled to make choices, take acceptable risks, and to have their complex needs fully met within their capacity to do so. EVIDENCE: Residents’ files contained detailed and highly individualised care plans encompassing all aspects of their daily life. Residents have Individual Learning plans to focus on their changing need and individual goals. All five residents have either limited, or no verbal communication skills. Individual needs and preferences are identified. There are clear guidelines for staff about each individual resident’s communication system with pictorial representations of how residents’ express their needs and feelings. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 10 Interaction between the staff and residents’ was supportive and positive, enabling residents to express themselves within their capacity to do so. Risk assessments confirmed that the young people are actively encouraged to enjoy community activities i.e. going shopping or to the pub, despite significant health needs in some cases. Jubilee Villa Care Home DS0000001882.V292727.R02.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): 12, 13, 15, 16 & 17. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff work very hard to ensure that residents experience a safe and homely life style which is appropriate to their age and ability. EVIDENCE: Residents’ files contained details about their daily activities and interests, including those outside the home, which include visiting the Day Centre, shopping, football, going to the pub etc. Residents are enabled to take holidays in the UK and abroad, accompanied by staff. Appropriate risk assessments are undertaken to ensure, as far as is possible, the safety and well-being of the resident is maintained. Residents’ rooms were highly personalised and indicative of their personal tastes and lifestyles, which are encouraged and supported by staff. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 12 Family and friends are encouraged to maintain regular contact and staff arrange, and accompany residents on visits to their family, if necessary. Menus are rotated four weekly and include a healthy variety of food. Menus are very flexible to meet the individual needs and preferences of the residents. Specialised requirements are provided for individual residents. Residents are able to eat out and there is a Take-Away night once a week. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 13 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): 18, 19 & 20. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are very well looked after in respect of their health and personal care. EVIDENCE: Residents’ care plans contained very clear details about individual healthcare needs. There are regular reviews and a range of health and social care professionals provide specialist support to ensure that the residents’ needs are fully met. Medication policies and procedures were sound and residents receive their medication as prescribed. Medication is stored in locked, coded cabinets in residents’ bedrooms, as required (PRN) medication was kept separately. Each resident has a medication file with details about known allergies and all medication being administered. Staff receive medication training, which is regularly updated. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 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 the following standard(s): 22 & 23. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of residents’ rights. EVIDENCE: The CSCI has not received any complaints regarding the home. The home has not received any complaints from residents or their relatives since the last inspection. The home’s complaints process reflects the local Multi Agency Policy & Procedure For The Protection of Vulnerable Adults from Abuse, No Secrets’ publication. A pictorial complaints process is provided for residents, and choices of whom they wish to speak with if they have concerns or a complaint. Staff are aware of Adult Protection procedures, and how to manage allegations and complaints. Training and refresher sessions are regularly provided. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 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 the following standard(s): 24 & 30. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable, clean, homely and safe standard of accommodation is provided for the residents. EVIDENCE: The home is safe and well maintained with many adaptations to suit residents’ specific needs. It is decorated and furnished to a good standard that creates a comfortable and homely environment and was fresh and clean throughout on the day of the site visit. Individual bedrooms were colourfully decorated to reflect the gender and youthful personalities of the residents who live there. One resident 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 equipment and aides required to cater for his health needs are unobtrusive as possible (as noted at the previous inspection). Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 16 Staff should be commended for the homely and stimulation environment provided for the residents. NB. It was noted that the carpet at the top of the stairs was a little frayed and requires repairing/replacing to ensure the safety of residents and staff. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 17 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, 34 & 35. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff at the home are well-trained, competent and sufficient in numbers to meet the residents’ needs. EVIDENCE: Staff rotas demonstrated that there were sufficient staff to meet the needs of the residents. There is an excellent training programme available to staff. Two staff files demonstrated that staff receive regular and relevant training, including mandatory training/updates i.e. adult protection, first aid, food hygiene and moving and handling. Certificates of attendance were seen. A member of staff stated that staff are positively encouraged and supported, by the Registered Manager, to attend her interactive and enjoyable training sessions. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 18 New staff receive a thorough induction and a six-month probationary period, following which they are expected to complete a questionnaire, to a satisfactory standard, which includes all aspects of their induction package. The manager stated that over half of the staff team have achieved National Vocational Qualification and others are progressing with this. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 19 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, 39 & 42. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager provides strong and supportive leadership to staff, ensuring that residents receive a high standard of care. EVIDENCE: The home has a Registered Manager who has many years of experience in nursing and care. There is an ethos of warmth and openness in the home and staff deliver an excellent standard of care and are well organised. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 20 Health and Safety Policies and Procedures, such as regular recorded fire drills and fire alarm tests are completed, to ensure the health and safety of the residents and staff. The last fire drill took place 4th April 2006. The home has a maintenance plan to ensure that such things as the lift and hoists are regularly maintained, spot checks are conducted and rooms identified for redecorating as necessary. Quality assurance of the service is monitored through regular review of residents’ files and annual questionnaires sent to relatives to obtain their views about the care provided for residents. The residents have limited communicate skills but are consulted through their personal communication systems, about their day-to-day activities, and wishes, needs and feelings. Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 21 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 4 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 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 3 X Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 22 N/A 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. 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. Refer to Standard Good Practice Recommendations Jubilee Villa Care Home DS0000001882.V292727.R02.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Leicester Office 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. 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