Care Home: Jubilee Court

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What the care home does well A warm and welcoming atmosphere is evident on entering the care home and we can see that people using the service and staff maintain good relationships. People using the service tell us that they are very happy living at the care home and that they enjoy their lives and the activities that they do. Before people are admitted to the care home an in depth assessment process takes place to make sure that staff are able to meet people`s needs. Staff actively listen to and support the decisions and choices of people using the service in order to improve their quality of life and promote their Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 independence. They have individual and flexible lifestyles, which meet their needs, preferences. People using the service are supported by staff to take risks as part of an independent lifestyle. People using the service receive personal support in the way that they prefer and their health care needs are assessed and monitored to ensure that they remain well. People using the service are assured that their concerns will be acted upon and that they are protected from abuse. People using the service live in a very well maintained and comfortable environment. People using the service are supported by a well trained staff team who are aware of their roles and responsibilities. People live in a home that is well managed and run in their best interests What has improved since the last inspection? Not applicable as it is a new service. What the care home could do better: Continue to develop the service in line with the National Minimum Standards and Key Lines of Regulatory Assessment. Key inspection report CARE HOME ADULTS 18-65 Jubilee Court 1 Jubilee Road Sutton in Ashfield Nottinghamshire NG17 2DB Lead Inspector Karmon Hawley Key Unannounced Inspection 1st June 2009 09:30 Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jubilee Court Address 1 Jubilee Road Sutton in Ashfield Nottinghamshire NG17 2DB 01623 212090 01623 212090 v.gukhool@autismsc.co.uk 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) Autism Support and Care Ltd Vinod Gukhool Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD The maximum number of service users who can be accommodated is 10 New service 2. Date of last inspection Brief Description of the Service: Jubilee Court is a purpose built two-storey detached building, located in a residential area of Sutton in Ashfield, close to local facilities, shops and public transport. The care home provides personal care and accommodation to ten adults, in the category of learning disability. The statement of purpose clearly states that the care home is for people aged 18 to 65 years, who have a diagnosis of autistic spectrum disorder, including asperger’s syndrome and those who display-challenging behaviours. The care home consists of two adjoining wings; which accommodate up to five people. Both wings have their own lounge, dining area, and bathroom. People living in the home will share the kitchen and laundry facilities. All facilities are on the ground floor, except for a sensory lounge with snoozlem equipment on the first floor. Stairs and a passenger lift access the two floors. All bedrooms are singles measuring over 12 square metres, with ensuite shower facilities. The environment is spacious and adapted for people who may have poor mobility including wheelchair users. The garden areas are accessible and well set out. In addition to the sensory lounge the first floor contains a staff room and large meeting/training room, and a self contained two bedroom flat. The intentions are to use the flat to people’s daily living skills. Fees are dependant upon people’s indivudal needs and will be discussed at the Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 5 point of enquiry. Jubilee Court is a purpose built two-storey detached building, located in a residential area of Sutton in Ashfield, close to local facilities, shops and public transport. The care home will provide personal care and accommodation to ten adults, in the category of learning disability. The statement of purpose clearly states that the care home is for people aged 18 to 65 years, who have a diagnosis of autistic spectrum disorder, including asperger’s syndrome and those who display-challenging behaviours. The care home consists of two adjoining wings; which accommodate up to five people. Both wings have their own lounge, dining area, and bathroom. People living in the home will share the kitchen and laundry facilities. All facilities are on the ground floor, except for a sensory lounge with snoozlem equipment on the first floor. Stairs and a passenger lift access the two floors. All bedrooms are singles measuring over 12 square metres, with ensuite shower facilities. The environment is spacious and adapted for people who may have poor mobility including wheelchair users. The garden areas are accessible and well set out. In addition to the sensory lounge the first floor contains a staff room and large meeting/training room, and a self contained two bedroom flat. The intentions are to use the flat to develop people’s daily living skills. Fees are determined by people’s individual assessed needs and are discussed on the point of enquiry. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars this means that people who use the service experience good quality outcomes. The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people living at the home and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. One regulatory inspector conducted the unannounced visit over 1 day, including the lunchtime period A review of all the information we have received about the home was considered in planning this visit and this helped decide what areas were looked at. The main method of inspection we use is called ‘case tracking’ which involves selecting the care plans of 3 people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. The registered provider, members of staff and people who use the service were spoken with as part of this visit. A partial tour was undertaken by the regulatory inspector, which included looking at the bedrooms of those people who we case tracked and communal areas of the home. What the service does well: A warm and welcoming atmosphere is evident on entering the care home and we can see that people using the service and staff maintain good relationships. People using the service tell us that they are very happy living at the care home and that they enjoy their lives and the activities that they do. Before people are admitted to the care home an in depth assessment process takes place to make sure that staff are able to meet people’s needs. Staff actively listen to and support the decisions and choices of people using the service in order to improve their quality of life and promote their Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 7 independence. They have individual and flexible lifestyles, which meet their needs, preferences. People using the service are supported by staff to take risks as part of an independent lifestyle. People using the service receive personal support in the way that they prefer and their health care needs are assessed and monitored to ensure that they remain well. People using the service are assured that their concerns will be acted upon and that they are protected from abuse. People using the service live in a very well maintained and comfortable environment. People using the service are supported by a well trained staff team who are aware of their roles and responsibilities. People live in a home that is well managed and run in their best interests What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 8 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 Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured that their needs will be assessed and that staff can meet these before they make a decision to move into the care home. EVIDENCE: The manager or deputy manager visits people who may wish to use the service to carry out a preadmission assessment to see if the staff are able to meet their needs before they make a decision to move into the care home. We saw evidence of these assessments taking place within case files examined. Prior to admission a meeting is also held with the person who may wish to use the service, the manager and relevant others such as social workers and family. This gives people an opportunity to discuss their needs and what they want from the service. If admission is agreed upon trial visits are arranged and people can spend time meeting others and getting a feel for what it would be like to live at the care home. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 10 This process is followed in all cases unless an emergency admission is required; if so a meeting is held as soon as possible after admission to ensure that the staff are able to meet the person’s needs. On the day of the visit a person was moving into the care home, on talking with other people they tell us that they know that somebody is moving in; “we know that someone is moving in today, we haven’t met them but we are looking forward to it.” Staff spoken with say that they receive all the necessary information that they need when someone new moves into the care home so that they can support them appropriately. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff actively listen to and support the decisions and choices of people using the service in order to improve their quality of life and promote their independence. People using the service are supported by staff to take risks as part of an independent lifestyle. EVIDENCE: We can see that people using the service are involved in the care planning process so they may negotiate the care that they want and ensure that support plans are person centred so they receive support in their preferred way. Support plans are in place for people’s identified needs, such as behaviour that may be challenging and cultural needs to ensure that these are met. There is good information in place in regard to complex difficulties and specific needs Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 12 so that staff have sufficient information available to enable them to support people appropriately. Support plans outline people’s strengths, abilities and personal goals so that these can be built upon and maintained. There is a specific section ‘About me’ which outlines people’s likes, dislikes, people that are important to them and special things that they would like the staff to know about them. Staff spoken with are able to discuss in depth, people’s needs and the support that they require. People using the service feel that they are supported as required and their needs are met. Within plans of care we can see that people are supported and enabled to make their own choices and decisions about their lives and how they spend their time where able. One member of staff spoken with says, “people can spend their time as they want, they lead us, we do everything we can to accommodate their needs.” People using the service spoken with confirm that they are able to make their own choices and decisions about their life. They talk freely about their lives and the fact that they enjoy their independence and social lives. Appropriate risk assessments are in place in regard to people’s individual needs, such as behaviour that may be challenging and going out into the community to ensure that risks are managed and reduced. Staff spoken with are aware of the risk assessments in place and the reasons for these; “there are risk assessments in place for when people go out into the community and when they are crossing roads, it is helpful to know how they may react and any potential triggers that may affect their behaviour.” Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 and 17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service have individual and flexible lifestyles, which meet their needs, preferences and are in line with their choices providing them with a positive quality of life. EVIDENCE: People using the service have individual activity plans in place. These outline how people wish to spend their time throughout the day and also include daily living skills. Activities are personalised according to people’s individual needs and we can see that activities such as gardening, games, trips out into the local community, arts and crafts, prayer and bird watching take place. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 14 Two people using the service are currently in training for ‘The Race for Life’ and they are being supported by staff to prepare for this. On speaking with them they offer the following comments; “I am going to do ‘The Race for Life’, the staff are going to help me train for this,” and “I am going to do ‘The Race for Life’, but I haven’t started training yet.” One member of staff talks about activity plans and how they outline people’s day to ensure that there is structure in place and personal needs are met. They speak of ensuring that people’s rights are maintained as well as their dignity. People using the service offer the following comments in regard to the activities on offer; “I go out a lot, I like going to the cinema. I go to the library and get books out; I also enjoy watching the television. I go to the Dove Dance as well which I enjoy,” and “we visited Sutton Lawns, it is a pleasure ground, I really liked it so one of the staff asked if I could have a job there. I start next week and I am really looking forward to it. We also went to the horses show and Nottingham Forest, it was very good.” Each person has a communication aid in their room called TEECH should they need this. This method of communication uses cards and symbols to aid people’s understanding. One member of staff says that this is also used to inform people when they have appointments so that they know what they are doing. Staff spoken with feel that there are enough activities on offer and people using the service generally lead the way in what they want to do, they also say that people go out to youth clubs or drives out in the people carrier if they want to. There are no restrictions on visiting and visitors may be received in private. People using the service say, “my friends can come and visit, my mum is coming tomorrow to take me out,” and “I have a boyfriend but he does not come here, I see him when I go to the Dove Dance on Thursday.” Staff spoken with confirm that visitors are made welcome, they state if people wish to stay over this would be discussed as this has not happened as yet. An appealing menu is on offer for people using the service which offers both traditional food and food that appeals to the younger generation. There are choices available at each meal and special needs, such as cultural requirements are catered for. The menu is however flexible and people may choose to have something different if they want to. Some people go shopping with the staff and choose food that they like to eat. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 15 People using the service are supported by staff to prepare and cook food if they want to and they are able. Both people spoken with confirm this, the food is good, I normally have what is on the menu and I sometimes cook,” “XXXX (a named person) helps to cook the Sunday dinner, I like the roast potatoes, they used herbs out of the garden on the chicken which was nice.” Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service receive personal support in the way that they prefer and their health care needs are assessed and monitored to ensure that they remain well. EVIDENCE: Where people require help and support in managing their personal care needs, this is clearly documented within plans of care. People’s personal needs and preferences are clearly highlighted and staff spoken with are able to discuss the individual needs of each person. We can see within support plans that people are supported to access specialist services such as the doctor, speech therapist and practice nurse within the wider community as needed. We can also see that age appropriate screening and services are accessed as well as advice about contraception if needed. People using the service say; “I haven’t needed the doctor but I can see them if I need to,” and “I can see the doctor.” Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 17 Staff spoken with confirm that people are supported to access specialist services and that as many as possible are accessed within the community. Staff who administer medication have been trained to do so and on examining the medication records we can see that people are administered their medication as prescribed to ensure that their health and welfare is maintained. We can clearly see when there have been any changes in people’s medication and how people are supported when reducing medication to make them feel better. There are clear audit trails so that medication that has entered and left the building can be accounted for. Although handwritten entries are not signed by two members of staff to show that these have been checked as correct we can see that the prescriptions matches the medication record to make sure that people receive the correct medication as prescribed. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are assured that their concerns will be acted upon and that they are protected from abuse. EVIDENCE: The complaints policy is in a picture format so that people using the service can understand how they can make a complaint if they need to. The service has received one complaint from a neighbour, however we can see that this was quickly investigated and resolved. People using the service say that they are happy to speak out if they are unhappy about anything and that they feel staff will deal with any issues; “If I am unhappy about anything I speak to the staff and they listen to me,” and “I am happy here, but if I was unhappy I would speak to the staff.” Staff spoken with are able to discuss what they would do should a complaint be received to make sure that this is dealt with and resolved; “people can do as they want to here, they lead us, if they are unhappy we try to sort this out,” and “I would listen to what they have got to say and let them know I am here if they need anything, I would pass the information on to the manager.” Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 19 Staff have undertaken training in safeguarding vulnerable adults and when spoken with they are aware of their roles and responsibilities in keeping people safe and they are also able to discuss what they would do if they feel that abuse is occurring; “If I thought that abuse was occurring, firstly I would make sure the person is safe and then report this to my manager,” and “if an incident occurs where people living at the home are arguing with each other, I would make sure people are safe, divert their attention and report this, however we do not have many episodes like this, it is generally quite calm.” People using the service tell us that they feel safe living in the care home and that staff are very good to them. There are policies and systems in place in regard to people’s personal finances. People if they wish may keep their money in the care homes safe, this money is assessable by them at anytime. We accessed these accounts and can see that accurate records and receipts are kept for all transactions and that the account matches with the amount of money in place. One person using the service tells us that their money is kept in the safe where it is looked after and that they can get this when they need to and another informs us that they go out shopping with staff and they buy their own clothes. Staff confirm that people can access their money when they wish and they explained the procedure in place which makes sure it remains safe. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service live in a very well maintained and comfortable environment. EVIDENCE: The care home is purpose built and has special adaptations such as wide doorways and corridors and assisted baths. The furnishings and décor is at a high specification and is well maintained. Communal rooms are large and airy with homely style furniture and there is a quiet room available where people may simply spend some quiet time or doing activities. Upstairs there is a sensory room for those people who enjoy this and also there is a two bed roomed flat. This flat is available for people to use should Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 21 they wish to gain more independence and practice their skills in preparation of moving to independent living. The majority of bedrooms have a television and free view so people do not need to purchase a television unless they want to. There are assisted bathrooms for those who may need this; however each person’s room also has a private wet room. Staff tend to do people’s laundry; however so that people maintain their independence, if they want to people put their own washing away. One person spoken with tells us; “I sometimes keep my own room tidy, the staff wash my clothes then bring them back to me and I put them away.” The back garden is enclosed and there are raised flower beds so people can tend to these if they want to. Some people using the service have pets such as a rabbit or guinea pig; they live in the back garden. All areas of the care home accessed on the day of the visit are clean and tidy. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported by a well trained staff team who are aware of their roles and responsibilities. EVIDENCE: People using the service feel that there is enough staff available to meet their needs and we can see that staff are prominent at all times. We saw staff support people as needed and have time to sit and talk and carry out activities with people. Staff spoken with state that they enjoy working at the care home and that the staff team work well together. They feel that there is enough staff available to support people using the service; “there is enough staff to support people and we are recruiting for more at the moment,” and “there is enough staff, for instance we have four staff on duty which makes it nearly 1-1 at the moment.” When staff first start working at the care home they undertake an induction to make sure that they are fully aware of their roles and responsibilities. We can Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 23 see evidence of these inductions taking place within staff training files and that these are at a recognised standard. One member of staff explains that she was made very welcome when they first started working at the home; “I was definitely supported in the transition when I started working here, there are two brilliant team leaders. I had a two week induction and did various courses. I wasn’t just left I was shadowing other staff until I felt confident.” The majority of staff have either attained or are working towards the National Vocational Qualification level 2 or 3 (NVQ - a nationally recognised work and theory based qualification designed to enhance people’s knowledge and skills in caring for people.) Staff spoken with say, “I have completed my NVQ level 3, the training I have had helps,” and “I am ¾ of the way through my NVQ and I am still learning.” We can see thorough recruitment and selection practices take place and all staff employed have the required documentation such as references and a Criminal Record Bureau check (a police check to see if an individual has a police caution or criminal record) in place. Both members of staff spoken with confirm that they have a Criminal Record Bureau check in place and that they under went a thorough recruitment and selection process. A thorough training programme is on offer to all staff to ensure that they have the necessary knowledge and skills to support people using the service. This training includes all the compulsory training such as, fire, manual handling, first aid, autism and challenging behaviour. Staff spoken with feel supported in their training and development and they are able to discuss the conditions that may affect people using the service and how they would support them; “the training we have is at a very good standard, I am able to deal with different conditions such as epilepsy and support people who have autism. I am a first aider and I have built up an information file which relates to people using the service so that this helps all staff,” “each person is an individual and has different needs, there are many types of autism, I am still learning, I am researching this on the internet at the moment.” People using the service feel that staff are well trained to support them and that the staff are very nice. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 24 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed and run in their best interests. EVIDENCE: The manager is registered with the Care Quality Commission and he has a wealth of experience in regard to management and supporting the people that the service is registered for. On speaking with him, he has a clear vision in regard to the high standards of care he wishes the staff to maintain to ensure that people lead a quality and fulfilling life. Staff spoken with speak highly of the manager and say that he is approachable at all times; “the manager works on the floor, he is knowledgeable and understands what is going on in the home, he is very supportive,” and “the management are definitely approachable, it is well run.” Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 25 To ensure that a quality service is on offer for people, the manager undertakes audits such as health and safety, medication, accidents and untoward incidents and behaviour. These audits show us how well the service is performing and how any issues of concern have been dealt with. People using the service will be given questionnaires on an annual basis so that they can comment on how the service meets their needs. As the service is new, only one person has completed a questionnaire so far, however the feed back is of a positive nature and it tells us that they are happy living at the care home and the service that they receive. Regular staff meetings take place so that developmental and quality issues can be discussed. One member of staff said that these meetings are defiantly helpful; if any issues are raised staff pull together and find the best ways of working and moving on. There have not been any residents meetings as yet; however all the staff feel that people are given an opportunity to express their wishes or concerns on a daily basis as the staff are constantly available. So that people using the service remain safe and know what to do in the event of a fire everyone has completed a personal risk assessment with staff. This is in both written and picture format to aid understanding. We can see that the fire systems are checked and serviced as required and staff have undertaken training in fire safety. Accidents are monitored and we can see that if people have an accident they are supported and assistance is sought as needed. The information in the Annual Quality Assurance Assessment provided to the Commission prior to the visit demonstrates that relevant servicing such as the mains electrics and fire systems take place as required. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 26 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 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Version 5.2 Page 27 Jubilee Court DS0000072971.V376106.R01.S.doc 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. 1 Refer to Standard YA20 Good Practice Recommendations Ensure handwritten entries on medication records are signed by two members of staff. Jubilee Court DS0000072971.V376106.R01.S.doc Version 5.2 Page 28 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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