Care Home: Jubilee House Therapy Centre

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What the care home does well The service continues to provide care and therapeutic support for people in a warm, comfortable and well equipped environment. The home is being well maintained, and the grounds are tidy and accessible to people living there. The bedrooms and bathroom facilities are spacious and suitable for people who may need to use mobility equipment. The communal areas are warm and welcoming and furnished with suitable chairs for different needs. We saw there are a variety of therapies and facilities available to help and support people including a gym and hydrotherapy pool. We found private therapy rooms and separate areas that are well used for group social gatherings and individual therapy activities. Individual recreational preferences are addressed with people to help them achieve or gain access to things they enjoy during their stay or that are important to them. The service has systems in place for recruitment and training and this helps make sure that people are supported by the right staff who understand their needs. The management team have good systems for monitoring the home`s performance through consultation with the people living there and the staff working there. This helps to make sure they are meeting people`s expectations and helps show if they need to improve any aspects of the service to make it better or safer for people. There are effective complaints and safeguarding systems for the people living there and for staff to help make sure that concerns and complaints will be taken seriously. The home has a competent management team that display a clear focus on maintaining high standards of care in the home and on supporting staff in professional development to improve the care they give. The manager keeps CQC informed of any changes or incidents in the home and responds positively to the inspection process and any advice given. There is a good standard of catering in the home and menus showed choice and availability of nutritious meals. The centre is clean and tidy. What the care home could do better: We have found that the management team welcomed suggestions that will help them improve their service to benefit the people living there and work well with other agencies to try to do this. We did not make any requirements at this inspection but did make a good practice recommendation. We recommended that the manager introduces a clear and verifiable system to check and record the quantities of medication a person brings into the centre. So they can show, atany given time, an audit trail showing what medicines people bring in, use and take home or were disposed of. This helps to reduce the risk of misuse or mishandling of medication. Random inspection report Care homes for adults (18-65 years) Name: Address: Jubilee House Therapy Centre Eamont Park Eamont Bridge Penrith Cumbria CA10 2BN three star excellent service 22/05/2007 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: Marian Whittam Date: 1 2 0 5 2 0 1 0 Information about the care home Name of care home: Address: Jubilee House Therapy Centre Eamont Park Eamont Bridge Penrith Cumbria CA10 2BN 01768890009 01768891212 Telephone number: Fax number: Email address: Provider web address: www.firefighterscharity.org.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Alison Appleton Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Fire Fighters Charity care home 4 Number of places (if applicable): Under 65 Over 65 4 0 old age, not falling within any other category physical disability Conditions of registration: 0 4 The registered person may provide the following category of service only: Care home with nursing - Code N, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Physical disability: Code PD, Old age, not falling within any other category: Code OP, The maximum number of people who can be accommodated is: 4. Date of last inspection Brief description of the care home Jubilee House is a 41-bed purpose built rehabilitation and therapy centre that is situated next to the river Eamont near to Penrith. This facility is accessible to members Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home and their families of the fire service. Four of the beds are registered with the Care Quality Commission to accommodate people who require nursing input during their planned programme of therapy. People using the therapeutic services self refer via the Fire Service Benevolent fund. They are supported via their general practitioner in the referral. The registered beds are located on the ground floor in large rooms that enable service users with a wide range of needs to be accommodated and who may require additional equipment in their rooms. Information is made easily available to people who use the service with the Statement of purpose and service users guide and information packs provided. There are no fees charged to people who use the service who are eligible beneficiaries under the Fire Services National Benevolent Fund. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: We made an unannounced random visit to this service on 12th May 2010 between the hours of 12.30 and 15.30. The current quality rating for this service is 3 star. This means that the people who use this service experience Excellent quality outcomes. We visited the centre to undertake a random visit and assess and monitor how they were meeting key National Minimum Standards and make sure that there had been no decrease in the standard of service for people using it. The two key standards we focused on during the visit were Personal and Healthcare Support and Concerns, Complaints and Protection. Information about the service was gathered in different ways before our random visit to provide us with information for our visit: We (CQC) sent out an Annual Quality assurance Assessment (AQAA) to the home for the registered manager to complete and return to us. The AQAA is a self assessment and a dataset that is completed annually by all providers of registered services. The manager provided all the information we asked for. We sent out surveys to people who use the service to complete to get their views on the centre and the service they received. We found that people who used the therapy services had positive things to say about the service and the care they had received. No one responding to our surveys had any negative comments to make about the standard of the care and support provided. None of the people we spoke to who were using the therapy services during our visit had any negative comments either. The comments made to us included: Every member of staff treat you with care and respect. I go to Jubilee House twice a year for physio and recuperation. Staff are very attentive and friendly and provide a superb service across the board. This therapy centre for me has all the good things and gives me a lift after I have had my treatment. A really excellent place for me. The centre gives me confidence and comfort, as much as being in my own home. The staff are always pleasant and very helpful. Every aspect of care and treatment is good. I wish I had come to visit here earlier. It creates an excellent standard of recuperative therapy in an atmosphere of warmth, with a friendly and caring therapy programme. Nothing is too much trouble for the staff and the care really is exceptional. We sent out surveys to staff who work at the centre to get their views on what it is like to work there and the support and training they get to carry out their work. All the staff who responded had positive things to say about working at the centre.Their comments included: It is a good place to work and judging from the clients feedback a great place to be Care Homes for Adults (18-65 years) Page 4 of 10 cared for over a couple of weeks. We are kept up to date with meetings and training courses. I really enjoy working here, its a great team and the clients are a good mix of people so there is lots of variety. We looked at all the information we have about the service before we visited and any changes they have made and how the management has dealt with any complaints or the safeguarding of vulnerable adults. We found, during the visit, that there had not been any written complaints made in the last year. During our visit we looked at the policies and procedures for handling complaints and these were detailed and easily accessible in the centre and in peoples bedrooms. The manager has not needed to refer any incidents for investigation under safeguarding procedures. We found that staff were being given training on this as part of their training programme to help safeguard peoples interests and keep them safe. We found that staff working for the service had been through an effective recruitment procedure, based on equal opportunities to help ensure the protection of the people living there. Jubilee Therapy Centre provides plenty of useful and accessible information for people thinking of using their services. We found that people are also being well supported, through a planned admission process that is a process led by the individual and based on what they want and need from the therapy. We found there were 2 people staying at the centre using the nursing beds on the day of our visit and they were being supported by suitably qualified and trained nursing, therapy and care staff. As we walked around the centre we observed what was happening and spoke with some of the people staying there, the staff and the operations manager. We saw that the home was running smoothly, people had been taking part in their therapy programmes and were appropriately dressed and spending time in the communal areas or in their bedrooms as they chose. We could see from records and care plans that people were having their needs assessed before they came to live in the home and that their assessments were used to start creating their care and therapy plans with them. We found that everyone there using the nursing beds had their individual health, personal and social care needs clearly identified in their individual plans of care. From these plans, observing and talking with people and assessing the recorded information, we could see that people were having their personal, psychological and health care needs attended to as they needed and wanted. There were clear records of health and medical requirements. We could see that people had taken part in developing and reviewing their care plans and therapy and exercise programmes and that they were being supported to keep and improve their independence as much as possible. We did a spot check of the medicines, we looked at the records, storage, handling and and how these were being monitored and managed. We looked at records for administration of medication and these were well kept. People are encouraged to look after their own medicines as they do at home and these are securely stored in their bedrooms. Where medicines are administered this was done by a registered nurse. Controlled drugs were well managed and were counted in when a person came to stay Care Homes for Adults (18-65 years) Page 5 of 10 and the number brought in recorded. We found that there was no record of the amount of other medicines a person had brought in with them, staff had not counted them in or checked and agreed the amounts they brought into the centre. We discussed this with the nurse in charge and the Operations Manager and the importance of being able to show what is being done with medicines and to account for all the medicines they are managing for people during their stay. We recommended that they to decide on a way to keep this record and show at any given time an audit trail, what medicines people brought in, used and took home or were disposed of. This gives a clear audit trail and helps to reduce the risk of misuse or mishandling of medication. What the care home does well: What they could do better: We have found that the management team welcomed suggestions that will help them improve their service to benefit the people living there and work well with other agencies to try to do this. We did not make any requirements at this inspection but did make a good practice recommendation. We recommended that the manager introduces a clear and verifiable system to check and record the quantities of medication a person brings into the centre. So they can show, at Care Homes for Adults (18-65 years) Page 6 of 10 any given time, an audit trail showing what medicines people bring in, use and take home or were disposed of. This helps to reduce the risk of misuse or mishandling of medication. 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 Adults (18-65 years) Page 7 of 10 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 Adults (18-65 years) Page 8 of 10 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 20 We recommend that the manager introduces a clear and verifiable system to check and record the quantities of medication a person brings into the centre. So they can show, at any given time, an audit trail showing what medicines people bring in, use and take home or were disposed of. This helps to reduce the risk of misuse or mishandling of medication. Care Homes for Adults (18-65 years) Page 9 of 10 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 Adults (18-65 years) 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 Adults (18-65 years) Page 10 of 10 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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