Jubilee Villa Care Home Ltd

Jubilee Villa Care Home Ltd is a residential care home providing personal care to 17 people at the time of the inspection. The service can support up to 17 people over the age of 18 years who may have mental health needs or dementia.

The home has bedrooms over the ground and first floor. People have access to communal areas and the garden.

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

People were safe as the infection, prevention and control procedures had been revised by the provider and effectively implemented.

The provider had undertaken work to correct potential hazards to people.

The provider had worked alongside Shropshire Fire and Rescue to complete any actions required by them to make the service fire safe.

The provider had revised their process for risk assessment and had involved professionals to complete appropriate environmental assessments.

The provider had introduced quality monitoring systems in order to drive good care.

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 requires improvement (published 29 April 2021).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

We undertook this targeted inspection to check whether the Warning Notice we previously served in relation to Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to follow up on a Warning Notice or other specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Jubilee Villa Care Home Ltd is a residential care home providing personal care to 17 people at the time of the inspection. The service can support up to 17 people over the age of 18 years who may have mental health needs or dementia.

The home has bedrooms over the ground and first floor. There is no passenger lift at the home. People have access to communal areas and the garden.

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

People were not always safe as the infection prevention and control procedures were not effectively implemented.

The provider did not have effective systems in place to identify environmental issues which could put people at the risk of harm.

The provider did not have effective systems in place to identify and drive good and safe care provision.

People received their medicines as prescribed. Staff understood how to protect people from the risk of abuse and knew what to do if they suspected something was wrong.

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.

People and staff found the management team to be approachable and their opinions were valued and respected.

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 5 February 2020).

At this inspection we found improvements were needed to keep people safe and to effectively monitor the quality of service provided.

Why we inspected

The inspection was prompted in part due to concerns received about the environment and the providers infection prevention and control procedures. A decision was made for us to inspect and examine those risks.

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

You can see what action we have asked the provider to take at the end of this full report.

Following our inspection site visit the provider took action to mitigate the risks to people.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to keeping people safe and the providers monitoring of the provision of care at this inspection.

Please see the action we have told the provider to take at the end of this report.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

We found the following examples of good practice.

• People were supported by staff who were trained in Infection Prevention and Control (IPC) and wore Personal Protective Equipment (PPE) in line with current guidance.

• A whole home testing programme was in place and people and staff were tested for COVID-19 in line with current guidance.

• Staff procedures had been amended to reduce the risk of transmission of COVID-19. Only one staff member was permitted to take a break at one time and handovers now took place in a communal area to ensure social distancing.

• Staff risk assessments were undertaken which identified staff who were at disproportionate risk of COVID-19. Measures were put in place to mitigate risk to those staff such as shielding or them not being permitted to support people who had tested positive for COVID-19.

Jubilee Villa Care Home Ltd is a residential care home providing personal care to 16 people at the time of the inspection. The service can support up to 17 people over the age of 18 years who may have mental health needs or dementia.

The home has bedrooms over the ground and first floor. There is no passenger lift at the home. People have access to communal areas and the garden.

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

People were supported by enough staff to help keep them safe. Staff were aware of the risks to people and supported them in a way which minimised those risks. Staff understood how to report concerns they may have about people’s safely.

People’s medicines were managed safely and people got them when they needed them. The home was clean and staff wore gloves and aprons to help stop the spread of infection. The registered manager monitored and reported safety incidents.

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.

People’s needs were assessed in line with best practice guidance and staff received training to meet those needs. People were supported to eat and drink and manage a well-balanced diet. Staff ensured people had access to the healthcare they needed and saw healthcare professionals as they needed to.

People were supported by staff who they had built good relationships with. Staff engaged with and interacted with people to help them make their own decisions. People were afforded respect, dignity and privacy.

People’s care was focused on them as an individual. Staff gave support to people to help prevent social isolation and involved them in activities, where they wanted to. People were confident to raise complaints but had not needed to. If people wished to receive end of life care at the home, protocols were in place to enable this to happen.

The provider and staff had created a homely, friendly and inclusive environment for people to live in. People benefitted from a stable staff team who worked well together to achieve the best outcomes for people. The quality of the care provided was monitored and improved as necessary.

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 9 August 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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.

Jubilee Villa Care Home Ltd is registered to provide accommodation with personal care to a maximum of 17 older people. There were 16 people living at the home on the day of our inspection. Some of the people using the service were living with dementia.

A registered manager was in post and was present during our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had systems in place to monitor the standard of care provided. Whilst most of these systems were effective, the provider recognised improvement was needed to make sure they were fully effective.

People were supported safely by staff within the home. Staff had received training in how to recognise when people may be at risk of harm or abuse. They knew how to protect people and how to report any concerns they may have about a person's safety. Where risks to people's safety were identified, action was taken by staff to make sure those risks were reduced as far as possible.

People were supported safely by sufficient numbers of staff. People experienced consistent care because they were supported by the same care staff. The provider completed employment and character checks on staff before they started work at the home. This helped to make sure they were suitable to work with people.

People were supported to take their medicines safely and when they needed them. People only received their medicines from staff that were trained to support them.

People were supported by staff who had the skills and knowledge to meet their needs. Staff received training that was relevant to the people they supported and their needs. Staff were supported in their roles to enable them to provide effective care.

People were only supported with their consent. Staff involved people and helped them to make choices and decisions about their care. Staff understood how to protect people's rights if they could not make their own decisions. They worked with relatives and other healthcare professionals to make sure all decisions were made in a person's best interest.

People had enough to eat and drink. People's health needs were met and they were supported to access healthcare services when needed.

People received support from staff who had a caring approach. Staff were polite and friendly and listened to and respected people's wishes. People's dignity and privacy was respected by staff at all times.

People received care and support that responded to their changing needs. People enjoyed the atmosphere of the home and were involved in what happened there.

Staff worked for the benefit of the people they supported. They showed a commitment and enthusiasm in making sure people had good quality care in a safe and friendly environment.