Jubilee Court

Updated 8 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Jubilee Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Jubilee Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We looked around the service and spoke with people who lived there. We spoke with 11 people and 10 members of staff. Staff included the provider, the registered manager, the cook, 3 senior carers and 4 health care assistants. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We looked at a range of documents relating to people’s care and support. These included 6 care plans which contained a range of risk assessments, multiple medicine administration records (MAR) and documents relating to auditing and quality assurance. We looked at 4 staff files and documents relating to complaints. We spoke with 4 relatives and 3 professionals.

Updated 8 December 2022

About the service

Jubilee Court is a residential care home providing accommodation and personal care to up to a maximum of 29 people. The service provides support to people with a range of support needs including some living with dementia and some living with mental and physical health conditions. At the time of our inspection there were 22 people using the service.

People’s experience of using this service and what we found

There were not enough activities available for people living at the service and people told us they were often bored. We observed people sitting in communal areas with nothing to distract them. There were enough staff to support people’s care needs but staff did not always have enough time to spend with people and engage them in activities. Relatives and staff, we spoke with confirmed this. The registered manager told us a new activities coordinator was due to start work in a few weeks but at the time of the inspection the lack of activities for people was an issue. Care plans were person centred and people and relatives told us they were involved in care planning and reviews. Some people needed help with communication, and this was documented and provided by staff. A complaints procedure was in place and accessible to people and relatives who both told us they were confident that issues raised were dealt with promptly. The service supported some people in receipt of palliative care. Staff had been trained in this area and were able to tell us the important aspects of support for people at this important time.

People were protected from harm. Safeguarding and whistleblowing policies were in place and staff knew how to raise concerns. We found some missing risk assessments on the first day of our inspection however the registered manager completed these documents and updated staff before we returned for the second day. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff had been recruited safely and there were enough on each shift to support people. Medicines were stored, administered, recorded and disposed of safely. Infection prevention processes were in place and the service was clean. Accidents and incidents had been recorded with any learning shared to minimise recurrence.

Everyone spoke highly of the registered manager who had created a positive culture at the service. Auditing processes were in place, overseen by the registered manager and people, relatives and staff all had opportunities to provide feedback and this was analysed and any changes or learning required was put in place. The registered manger was open and honest and had complied with the duty of candour.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (report published 21 September 2018)

Why we inspected

The inspection was prompted in part due to concerns received about falls management, detail in care plans, activities and cleanliness. A decision was made for us to inspect and examine those risks.

As a result, we undertook a focussed inspection to review the key questions of safe, responsive and well led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has remained good.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jubilee Court on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.