Background to this inspection
Updated
9 June 2023
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.
Inspection team
This inspection was carried out by 1 inspector.
Service and service type
Jubilee Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement dependent on their registration with us. Jubilee Lodge is a care home with nursing care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the CQC to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
Our first visit to the care home was unannounced. We informed the provider before we visited the second time. This was because we needed to be sure that the management team would be available to support the inspection when we visited.
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 this information to plan our inspection.
During the inspection
We spoke with 1 person who used the service and 2 family members about their experience of the care provided. We also spoke with the registered manager, senior home manager and 2 staff members who provided care to people. We contacted 1 healthcare professional to find out their experiences of working with this provider.
We reviewed a range of records. This included people's care plans and risk assessments, medicines management procedures and staff files in relation to training and recruitment data. A variety of records relating to the management of the service, including audits and policies were also reviewed.
Updated
9 June 2023
About the service
Jubilee Lodge is a residential care home providing personal and nursing care to up to 3 people. The service provides support to people who misuse drugs and alcohol or have mental health issues. At the time of our inspection there were 3 people using the service.
People's experience of using this service and what we found
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.
Quality assurance processes in place to monitor the care provision were not regularly completed by the registered manager. We made a recommendation about this.
Staff were aware of the Mental Capacity Act (2005) principles and knew how to support people in the decision-making process. However, mental capacity assessments completed by the provider had not always included all the necessary information. People's consent for closed- circuit television (CCTV) required reviewing. People's goals and achievements were not always clearly recorded. Actions taken by the provider to address these gaps will be reviewed at our next planned inspection.
People told us the service was safe. People were encouraged to make choices and their independence was valued by the staff that supported them.
Risks associated with people's care were identified and assessed making sure they received the care they needed. People were supported to take their medicines independently. The provider followed best practice guidelines to effectively manage risks associated with infection prevention and control (IPC). Processes were in place to recruit staff safely. Staff were available to support people where they required assistance.
Systems were in place to monitor the care being delivered to people. Staff felt supported in their roles. People had access to healthcare support as required. A refurbishment plan was in place to improve the home environment.
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 (published 13 November 2018).
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jubilee Lodge on our website at www.cqc.org.uk.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
This was a focused inspection and the report only covers our findings in relation to the Key Questions Safe 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.