Jubilee House

Updated 26 August 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. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

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

An inspector and a Specialist Advisor inspected the home.

Service and service type

Jubilee House 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, including Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service about their experience of the care provided. We spoke with nine members of staff including the registered manager, regional clinical lead, senior support workers, support workers, office and maintenance staff.

We reviewed a range of records. This included four people’s support records and medication records. We looked at 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 reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We received feedback from three staff members. We looked at training data and quality assurance records.

Updated 26 August 2021

About the service

Jubilee House is a residential care home providing personal care for up to six people with learning disabilities, autism, and sensory and communication impairments. The service is intended for people who require a high level of support to live in a community setting. The service has six individual studio apartments, all with access to communal dining, lounge, kitchen and gardens. Six people were living at Jubilee House at the time of our inspection.

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

People told us they felt safe and cared for living at Jubilee House. Systems ensured people were safeguarded from abuse. Staff were confident managers would act if concerns were raised. Risks to people were assessed and monitored. People were encouraged to maintain their independence safely. Staffing levels supported people’s needs. Medicines were administered safely, and best practice guidance was followed. Infection prevention and control procedures were in place. Lessons learnt from incidents were considered and shared with staff.

People's needs and choices were assessed and recorded. People’s choice, control and independence was always maximised. People received person-centred care which promoted their dignity, privacy and human rights. Staff received a thorough induction and received regular training. People were supported and encouraged to eat a balanced diet. Staff received regular team meetings and supervisions. Staff were encouraged to raise concerns and participate in these. Timely referrals were made, and advice sought from health professionals and intensive support teams. 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.

There was an ethos to deliver high quality care and support, and encourage people to develop their independence. The registered manager had an open-door policy, knew people well, and encouraged staff to discuss concerns. A governance framework was in place which included regular checks and audits across all aspects of the service. The service regular reviews what they have done well and what could be improved.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. Based on our review of the key questions of Safe, Effective and Well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. This was because people received support which was person-centred, planned, proactive and co-ordinated. The support was appropriate and inclusive for them. The environment was designed to support people's privacy and independence. The culture at the home supported positive risk taking and had an emphasis on positive behaviour support. People had choice, control and independence. People were supported to live as full a life as possible and achieve the best possible outcomes.

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 31 January 2020).

Why we inspected

We received concerns in relation to the management of medicines and people’s health care needs. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

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.

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 remains good. This is based on the findings at this inspection.

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

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.