Jubilee Court

Updated 7 December 2022

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.

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

The inspection was carried out by two inspectors.

Service and service type

Jubilee Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Jubilee Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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

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 a health and social care providers. 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 all this information to plan our inspection.

During the inspection

We visited the service location on 18 October 2022 and had a video call with the registered manager, deputy manager and regional manager on 3 November 2022. We spoke with 17 people and two relatives. We also spoke with 10 staff including the registered manager, ancillary staff and support workers. We received feedback from health and social care professionals.

We reviewed a range of records. This included seven people’s care records and medication records. A variety of records relating to the management of the service were also reviewed. These included training records, incident records and quality assurance processes.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

What we did after the inspection

We sought assurance about records involving people's care and support needs and preferences.

Updated 7 December 2022

About the service

Jubilee Court is a residential care home providing personal to up to 91 people. The service provides support to older people, some of whom are living with dementia, in one purpose-built building. At the time of our inspection there were 88 people using the service.

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

People were supported safely in most cases. However, there were areas where this needed further development. This was in relation to correct positioning when people were eating and consistent approach to falls risks and monitoring. Medicines were managed safely. We found that records and quantities tallied and recording systems, were used consistently. Infection control practices were in place and staff knew what they needed to do. However, we identified occasions when staff were not wearing their masks correctly.

People had their care needs met. People told us in most cases this was done in a person-centred way. However, we raised awareness of areas to review to ensure this was always delivered in a way that promoted people’s choices. For example, appropriate bedding and spending time with people after a fall.

People and staff said there was generally enough staff to meet people’s needs. Agency staff were supporting the home, many having worked at the home often. Staffing levels at peak times had been increased to help ensure people’s safety and welfare was promoted.

The registered manager had managed another of the provider’s locations and moved to Jubilee Court in April 2022. They had recently been joined by the deputy manager from their previous location. There were management systems in place and registered and deputy managers were further developing these to drive improvements in the home. People, relatives and staff were positive about the management and leadership in the home. Lessons learned were recorded and actions implemented. The registered manager was extremely knowledgeable about people living in the home and areas needing further development.

Following our feedback, action was taken to address all points raised. These actions, and supporting records provided, gave us reassurance that any risks were mitigated.

We found the registered manager to be open and responsive to feedback. Visiting healthcare professionals told us that the management team and staff worked well with them.

People told us that their needs were met, and staff were nice. They told us they felt safe. Relatives were confident about the standard of care and told us staff were friendly. Relatives felt the management team and staff were approachable and knew people well.

People had access to food, drink and call bells throughout our inspection. We saw that staff were friendly in their approach with people.

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.

Rating at last inspection

At the last inspection, the service was not rated. (Published 16 February 2022). At the last rated inspection, the service was rated good (Published 23 May 2019).

Why we inspected

The inspection was prompted in part due to information of concern received about safe care and risk management. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good based on the findings of this inspection.

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

Enforcement and Recommendations

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 monitor the service and will take further action if needed.

Follow up

We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.