Latest Inspection
This is the latest available inspection report for this service, carried out on 9th August 2010. CQC found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Jubilee House.
What the care home does well The home offered an attractive and comfortable environment for people to live and work in. Staff are well trained and work well as a team. Care plans were being kept up to date and reviewed regularly. The home tries, with the support of district nursing or community mental health services, to keep people in the home they know for as long as possible. What the care home could do better: Staffing levels need to be kept under revision to ensure people`s holistic needs, not just their personcal care needs can be met. This includes people being able to be woken and get up at a time of their choosing. Care plans would develop from being made more person centred, and give more focus to the impact of a dementia (if applicable) on the individual. Random inspection report
Care homes for older people
Name: Address: Jubilee House Bronshill Road Torquay Devon TQ1 3HA two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Finniear Date: 0 9 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Jubilee House Bronshill Road Torquay Devon TQ1 3HA 01803311002 01803311525 jubileemanager@adlcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) ADL Plc Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 28 Number of places (if applicable): Under 65 Over 65 28 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Jubilee House provides care for up to 28 people over the age of 65. The house is a detached property, set in an accessible garden, with mature trees, close to Torquay town centre. All accommodation is in single rooms, 15 of which have an en suite toilet. There are two bathrooms and an accessible shower. There are some small steps and a slope on the upper floor. There is a shaft lift on one side of the building and a stair lift the other end, to give access to all parts of the building. There is a lounge, a dining room and a bright sun lounge. The Statement of Purpose and Service User Guide can be found in the entrance hall along with the latest inspection report. Care Homes for Older People Page 2 of 7 What we found:
We visited the home on 9th August 2010 in the afternoon and evening as we had received two complaints about the staffing arrangements and care being delivered to people as a result. The complaints had been sent to the home for investigation. The home had responded to both allegations with evidence but we had not received a reply to the second concern. When we visited the home could show us that they had sent a reply with evidence to explain the actions they had taken. The home at the time of the site visit had no manager in post, the last registered manager having resigned. A new manager is due to start at the end of August, and this along with staff returning from long term sick leave should help alleviate some of the staffing difficulties we saw. Management cover is being provided by a manager from another local home owned by the same company. She is visiting several times a week, to support the senior staff at the home. When we looked at the rota we saw that some staff were working very long hours to provide cover. One person for example had worked for over 70 hours in the week we visited and another over 65. The manager from the other home, Jane Delaney, supplied us with rotas which showed us that for much of the afternoon and evening there are only two staff on duty to provide care for 17 people, many of whom have dementia. This did not appear sufficient to care for peoples needs. However on the day we visited people were receiving care in an unhurried and competent way, and stimulation and activities were being provided by an external entertainer. The people living at the home who we spoke to said that although the staff were very busy catering for the more dependant people, they still felt they had their needs met in a timely way. The manager covering from another home had carried out a study to look at ensuring staffing levels were satisfactory and confirmed that if necessary staff could be provided from another home in the group. With the current staffing levels and dependency of people living at the home it would be inevitable there would be times when groups of people were largely unsupported or observed by staff. It is also not clear how much time staff would have to work with people with dementia other than when carrying out personal care tasks. Another concern that had been expressed was that the evening staff, as well as caring for people were having to prepare food for the evening meal. The manager covering the home said that following the receipt of the complaint she had reviewed the arrangements and reinstated the chef in the evening to free up that staff time. A concern had also been expressed about people being got up early by the staff for their convenience. An assessment had been made by the covering manager and people had been interviewed about what time they wished to get up in the morning. However three of the four people we spoke to on the site visit said they were woken up earlier than they would like because the staff had so many people to get up. We looked round some parts of the home. The areas we saw were clean, warm and
Care Homes for Older People Page 3 of 7 comfortable. We were told there was enough equipment to meet peoples needs. We also looked at a number of care plans which contained detail on peoples physical care needs, but would benefit from being developed to reflect peoples dementia needs where appropriate and be more person centred. We also looked at the staff training records. These showed us that the staff were trained and were being supported. The day following the inspection staff were due to receive training in Fire prevention and management. Although the staff were working very long hours they told us they were happy to do so, and that as they were a settled staff team they all worked well together and knew what needed to be done. What the care home does well: 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 set out on page 2. Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 7 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 Care plans would develop from being made more person centred, and give more focus to the impact of a dementia (if applicable) on the individual. Staffing levels need to be kept under revision to ensure peoples holistic needs, not just their personcal care needs can be met. This includes people being able to be woken and get up at a time of their choosing. 2 27 Care Homes for Older People Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 7 of 7 - 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!
