31 May 2023
During an inspection looking at part of the service
Jubilee Lodge is a residential nursing home providing accommodation, personal and nursing care to up to 74 people across four separate wings. The service provides support to people with nursing needs and people who live with dementia. At the time of our inspection there were 55 people using the service.
People’s experience of using this service and what we found
We saw improvements had been made since our last inspection as quality assurance systems to monitor the safety of the home through audits and staff management had been strengthened. Records had now been maintained to show how staff related concerns had been safely and effectively managed. However, we identified some concerns in relation to medicines specific care plans. We have therefore made a recommendation about the governance and oversight of the management of medicines.
People were protected from the risk of abuse, and the provider had systems and processes in place to safeguard people. People and relatives told us they felt safe and were positive about the staff who supported them.
The service worked in partnership with health and social care professionals to ensure people had the best outcomes.
The provider was working towards greater consistency for people and had increased permanent care staff to reduce the reliance upon agency staff. The provider was now looking to achieve the same consistency amongst the nursing team. The improvements already made in staffing had positively impacted upon personalised care for 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.
People and relatives spoke positively of the care that was provided. One person said, “I have no criticism at all. I have no dependents and I am very grateful to be here…It is the answer to my prayers. This is my home.”
Quality assurance processes included a variety of audits. Despite the concerns we raised in relation to medicines, it was evident that the manager had a clear oversight of the service and how to sustain and develop ongoing improvement.
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 28 April 2022).
At our last inspection we recommended that the provider review their systems to respond, investigate and monitor concerns relating to staff conduct. At this inspection we found the provider had acted on the recommendation and made improvements in this area.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jubilee Lodge on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified a breach in relation to safe care and treatment relating to medicines management at this inspection.
Please see the action we have told the provider to take at the end of this 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 continue to monitor information we receive about the service, which will help inform when we next inspect.