Background to this inspection
Updated
25 March 2021
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.
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
This inspection was carried out by two inspectors and a specialist advisor (nurse).
Service and service type
Jubilee Court Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We asked them if they held information about this service. We used all this information to plan our inspection
During the inspection
We spoke with three people who used the service and asked about their experience of the care provided. We spoke with 16 members of staff including, the registered manager, home manager, deputy manager, nurse, senior care workers, care workers, head of housekeeping, domestic assistant, activities coordinator, cook and kitchen assistant.
We reviewed a range of records. This included parts of or all care records of 13 people; we also looked at the medication records for 23 people. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
The home manager provided additional records as required. These were sent to us within the required timeframe. We reviewed these documents such as training data and quality assurance records away from the home and used these to support our findings of the inspection.
Updated
25 March 2021
About the service
Jubilee Court Nursing Home is a care home which provides residential and nursing care for up to 100 people. Care is primarily provided for older people, some of whom are living with dementia. At the time of this inspection 68 people were using the service.
People’s experience of using this service and what we found
Robust systems were not currently in place to ensure that when an accident or incident occurred, the registered manager had enough oversight to review whether actions taken by staff were effective. This was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Staff training was not fully up to date. The registered manager’s understanding of duty of candour legislation was limited.
We have made a recommendation to the provider to improve their understanding of the management of people’s medicines within a care home setting.
People received care and treatment that kept them safe. The risks to their health and safety were appropriately assessed and acted on. Detailed and robust processes were in place to reduce the risk of people developing pressure sores. People were protected from the risk of abuse and neglect. Staff were recruited safely and there were enough staff in place to keep them safe. Where an incident occurred, staff acted quickly to make people safe. Robust procedures were in place to reduce the risk of the spread of infection.
People felt able to discuss any concerns they had with staff and the management. Staff understood the requirements of their role and they felt supported by the management. Effective working relationships had been formed with other health and social care agencies. They worked together to provide safe care and treatment that met their individual needs.
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 3 July 2019)
Why we inspected
The inspection was prompted in part by notification of a specific incident. Following which a person using the service died. We inspected this service at the request of the Nottinghamshire Coroner to ensure that there was no on-going risk of harm to others. The information CQC received about the incident indicated concerns about the management of pressure care and accidents and incidents. This inspection examined those risks.
We have found evidence that the provider needs to make improvements. Please see the Well-Led section of this full report.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
You can see what action we have asked the provider to take at the end of this full report.
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.