Jubilee Care Home

Jubilee Care Home is a residential care home providing personal care to 36 people aged 65 and over at the time of the inspection. The service can support up to 59 people. The service is also registered to provide accommodation for people who require nursing care. At the time of our inspection, nobody required this support.

The home had two units which were operating at the time of our inspection. Some people using the service were living with dementia.

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

Systems in place to monitor the service were not always effective. Audits in place had not always identified the concerns we found on inspection. Where some issues had been identified, action had not always been taken to resolve them.

The management team and staff knew their roles and responsibilities. Most people and relatives spoke positively about the management and staff. However, a small minority of relatives said that communication could be improved. The provider and registered manager used feedback to improve the service.

We were somewhat assured that the provider was promoting safety through the layout and hygiene practices of the premises. Domestic hours in place were not enough to ensure deep cleaning of the service was maintained. This was also impacting on the laundry, which was building up and creating a potential infection control risk. Following our inspection, the provider took action to address this issue.

The provider had a dependency tool which was used to identify the number of staff required each day. We found that there was not always enough staff available to meet people's needs. We acknowledged that the provider took initial action to resolve the situation until more staff were recruited.

Accidents and incidents were recorded and analysed to identify any trends or patterns. This helped to mitigate future risks and ensured lessons were learned. We found one incident which should have been reported to the Care Quality Commission. We discussed this with the registered manager who stated they would report the incident retrospectively. Risks associated with people's care had been identified and plans were in place to mitigate risks.

The provider had a safe recruitment procedure to ensure appropriate staff were employed. People's medication was administered as prescribed. People who required medicines on an ‘as and when required’ basis had a protocol in place to guide staff in how and when to administer them. However, these needed to be reviewed to ensure they were detailed enough. The deputy manager was in the process of addressing this issue.

Staff were knowledgeable about safeguarding and confirmed they had received training in this subject. They knew what actions to take if they suspected abuse.

People's needs were assessed, and care was delivered in line with current legislation. We observed care and support being delivered in line with people's assessed needs and choices.

People were supported to maintain a balanced diet. We observed lunch being served and found people were assisted with making choices about what to eat. Through our observations, and speaking with staff, we found they had the skills to carry out their role. We found people had been referred to appropriate professionals when required to ensure their needs were met.

One unit had been adapted to meet the needs of people living with dementia. The other unit required further decoration and redesign. This had been identified by the provider and a plan was in place to action this.

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.

We observed staff interacting with people and found they were kind, caring and delivered support in a person-centred way. Relatives we spoke with told us they were happy with the care their family member received and felt they were treated with dignity and respect.

Care plans were person centred and offered staff guidance about how to support people. Staff knew people well and assisted people to maintain their independence. Social activities were provided in line with people's interests and preferences.

Relatives we spoke with found the registered manager approachable and felt she would act on any complaints raised.

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

Rating at last inspection

This service was registered with us on 22 November 2019 and this is the first inspection.

Why we inspected

This was a planned inspection of a newly registered service.

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.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.

The provider took immediate action to mitigate any risks and implemented plans to improve the service.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.