Jubilee Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

People told us they felt safe living at Jubilee Care Home. The provider had systems and processes in place to ensure people were safeguarded from the risk of abuse. The provider was open and honest when things went wrong and could demonstrate lessons they had leant to improve the service. Risks associated with people’s care had been identified and documented to ensure staff knew how to keep people safe. Staff were recruited safely and there were sufficient staff available to meet people’s needs.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Throughout our assessment we found systems were in place to learn from accidents and incidents. The provider had learned lessons following a recent incident. These included updating policies and procedures and providing refresher training for staff. The provider had an accident and incident analysis which gave a breakdown of incidents. The registered manager used this to identify trends and patterns and mitigate future risks.

People told us they felt safe, and staff knew them well. One person said, “I have no worries here [Jubilee Care Home].” Another person said, “I feel safe because if I press my buzzer there is somebody [staff] there.”

Staff and leaders had learned lessons and developed new systems to improve the home. Staff had confidence in the registered manager and felt involved in learning and used this to develop the service.

We spoke with visiting professionals who were complimentary about the home and the care people received. One professional said, “Referrals are made in a timely and appropriate way and staff carry out care and support in line with our guidance.” Another professional said, “I can’t fault it here, I really can’t.”

Staff and leaders had learned lessons and developed new systems to improve the home. Staff had confidence in the registered manager and felt involved in learning and used this to develop the service.

The provider and registered manager took appropriate actions to ensure people received timely and appropriate care. We found people had been referred to appropriate professionals when required to ensure people's needs were met.

During our assessment we spent time observing staff interacting with people. We found staff were kind and caring and offered appropriate support. There was a very calm and relaxed atmosphere throughout the home and there were no instances of unsafe practices observed during the assessment.

Systems and processes were in place to help keep people safe. The safeguarding policy was accessible, and staff were aware of the protocol to follow to keep people safe. The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). The provider was working in line with the Mental Capacity Act. Mental capacity assessments and best interest decisions were detailed and had been completed in line with best practice. Where appropriate the management team had applied to the local authority for Deprivation of Liberty Safeguards (DoLS) authorisations. Staff were aware of any conditions which required monitoring and recording as part of this process and to ensure people received care and support in line with their best interests. The registered manager told us they were passionate about making sure people were able to live their lives with minimal restrictions.

Staff were knowledgeable about the safeguarding process and knew what action to take if they suspected abuse. Staff were clear about how to report any alleged abuse and they were aware of the whistleblowing policy and process. The registered manager was knowledgeable about safeguarding processes and was passionate about making sure staff felt able to raise any concerns they had.

People and relatives were complimentary about the home. People and were satisfied with the care they received, and relatives were comfortable knowing their family members were well cared for. People told us they felt safe living at the service. People had access to information about how to raise any concerns they might have. People told us they felt able to approach any members of staff or the management if they were worried.

We observed staff supporting people in a safe way. People who required equipment such as hoists to assist them to transfer, were assisted safely and in line with their care plan. Staff ensured people were not left without staff observing even if this was from a distance to ensure support was unobtrusive. For example, one staff member assisted someone to the toilet but ensure the person had their privacy maintained by remaining in close proximity to them.

Risks associated with people’s care had been identified and actions had been taken to minimise risks. People had risk assessments which clearly documented how risks were managed safely.

Staff told were knowledgeable about risks associated with people’s care. Staff were knowledgeable about specialist diets and thickened fluids. The registered manager told us the ethos of the care and support provided was to support people safely whilst enabling people to take positive risks.

People and relatives were complimentary about the home. People and were satisfied with the care they received, and relatives were comfortable knowing their family members were well cared for. One person said, “I feel safe because there is always plenty of staff around.”

We observed staff supporting people in a safe way. People who required equipment such as hoists to assist them to transfer, were assisted safely and in line with their care plan. The provider and registered manager had ensured signs were available to help people who were living with dementia to navigate around the home. We saw colourful paintings and pictures on the walls, which gave interesting stimulus for people living with dementia.

The provider ensured equipment such as hoists were maintained, and regular maintenance of the premises was carried out.

Staff told us they knew where to find people’s risk management plans and they told us there was time to read them. Staff were knowledgeable about specialist diets and thickened fluids. The registered manager told us the ethos of the care and support provided was to support people safely whilst enabling people to take positive risks.

People and relatives were complimentary about the home. People and were satisfied with the care they received, and relatives were comfortable knowing their family members were well cared for. One person said, “I have a buzzer but have never needed to use it.” A relative said, “The atmosphere here is calm.”

We observed there were sufficient numbers of staff available to support people safely. We observed new staff had opportunities to shadow more experienced staff while learning their job roles. Staff were observed to be following safe practice and communicated with each other to ensure people’s needs were met.

People and relatives were complimentary about the home. People and were satisfied with the care they received, and relatives were comfortable knowing their family members were well cared for. People told us there were enough staff to respond to their needs and provide safe care. One person said, “The staff are all very nice and you can ask them a question and they will tell you. I think there are enough staff.” Another person said, “I have no worries, I have everything I need.” People told us they had access to a nurse call system and staff responded quickly when people required support.

The provider had a process in place to ensure staff were recruited safely. New staff received an induction which included training in many different areas. The registered manager made sure staff had regular supervisions and an annual appraisal. Staffing numbers were calculated dependent on people's needs.

Staff told us they had enough training and felt competent to carry out their role effectively. New staff told us they had a thorough induction and were able to spend time shadowing more experienced members of staff before working alone. Staff told us there were enough of them to support people safely.

Staff we spoke with were knowledgeable about infection prevention and control. Staff confirmed they had received training to ensure people were protected from the risk and spread of infection.

People and relatives were complimentary about the home. People and were satisfied with the care they received, and relatives were comfortable knowing their family members were well cared for. People were positive about the cleanliness of the service. One person said, “My room is cleaned every day.”

We found improvements had been made in this area since our last inspection. There were enough staff available to manage the laundry and cleanliness of the home. Audits were carried out regularly to ensure the home remained clean.

We carried out a tour of the home and found it was predominantly clean and well maintained. Staff used personal protective equipment as appropriate. For example, staff used gloves and aprons when serving lunch.

Processes in place were effective and ensured people received their medicines as prescribed. People who required medicines on an ‘as and when ‘required basis, had protocols in place detailing how and when people required them. Medicines were stored appropriately.

People and relatives were complimentary about the home. People and were satisfied with the care they received, and relatives were comfortable knowing their family members were well cared for. People told us they received their medicines as prescribed, and they never has to request their medicines as the staff knew when they were to be administered. One person said, “Staff give me my medicines and it’s on time. I take my morning tablets at 9am and they are never late.”

Staff told us they received the appropriate training and support to ensure medicines were administered as prescribed. The registered manager informed us staff had competency checks to ensure training had been effective.