Jubilee House

Updated 21 March 2020

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

Our inspection was completed by three inspectors.

Service and service type

Jubilee House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager was present on the day of the inspection.

Notice of inspection

Our inspection was unannounced.

What we did before the inspection

Our inspection was informed by information we already held about the service. We also checked for feedback we received from members of the public and local authorities. We checked records held by Companies House. On this occasion, due to the timing of the inspection, we did not request a PIR. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

clinical lead, nurses, care staff, office staff and domiciliary staff. 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.

We reviewed six people's care records including their pre-admission assessments, three staff personnel files, training and supervisions for staff, audits and other records about the management of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We also received feedback from four health care professionals.

Updated 21 March 2020

About the service

Jubilee House nursing home provides nursing care and accommodation for up to 48 people some who have physical needs and are living with dementia. On the day of our inspection 35 people were receiving care and support at Jubilee House.

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

Staff and the management team took exceptional steps to ensure that people and their families were at the centre of the delivery of care. People were treated as individuals whose life and experiences were considered and factored into care planning. The registered manager and staff went out of their way to ensure that people and their relatives were comforted and looked after in a kind and compassionate manner and treated with dignity and respect. Staff made efforts to exceed people’s care by paying close attention to their needs. People and relatives were at the centre of decision making about their care. Families and friends were considered an essential part of the care team.

Staff at the service went the extra mile to find out what people had done in the past and looked at ways to accommodate activities that were important to people. There were a range of activities available within the service and outside. Staff ensured that people’s lives that were near to the end were provided with care and compassion and that people’s last wishes were provided where possible.

The service had a strong, visible person-centred culture and was exceptional at helping people to live their lives to the fullest. People, their relatives and staff told us the registered manager and the senior staff were supportive, valued their input and ensured that they were included in any changes to the service provision. The registered manager and senior management took a personal interest in people and knew them well. The registered manager worked in partnership with people's families and outside organisations to improve the care and support people received. The registered manager had systems in place which monitored health and safety and the quality of people's support. The systems were responsive and had led to changes being made. The management team was proactive with regard to how people's support could be improved.

Rating at last inspection

At the last inspection the service was rated Good (the report was published on the 8 September 2017).

Why we inspected

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up

We will continue to monitor intelligence 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