We carried out a review of the data available to us about Jubilee House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Jubilee House, you can give feedback on this 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.
Jubilee House is registered to provide accommodation and personal care for up to six people living with learning disabilities, autism and sensory and communication impairments. The service is intended for those individuals who require a high level of support to live within a community setting. The service is made up of six individual studio apartments, with access to community facilities such as a dining area, lounge, fitted kitchen and two gardens. At the time of the inspection there were six people living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found:
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People at risk were supervised during the day and night on a one to one basis or two to one basis by staff. There were enough staff to keep people safe and meet their needs. People did not express any concerns about their safety. People were encouraged and supported to engage in activities within the community. Two people had gone out shopping on the day of the inspection. Another person was supported to go to the local shops to buy a newspaper. One person was celebrating their birthday with people and staff.
There were systems in place to safeguard people from abuse. Staff had undertaken safeguarding training and were knowledgeable about their roles and responsibilities in keeping people safe from harm. Risk assessments and support plans showed how people might behave when they were well, or when they were potentially becoming unwell. Support plans gave guidance to staff in how they should respond to promote well-being and how they should react to de-escalate increasing agitation and anxiety.
Staff respected people’s privacy and dignity. Staff communicated with people in a friendly and warm manner that reflected their communication needs. The service had received positive feedback from one person's relatives about the quality of care provided. One person told us they were happy living at the service and shared their plans to go out shopping with staff.
A relative had complimented the service on the quality of care provided to their family member. People were supported to keep in touch with their relatives and people important to them.
Systems were in place to make sure managers and staff learned from events such as incidents, concerns and investigations. The provider completed pre-employment checks for new staff, to make sure they were suitable to work at the service.
Medicines were managed safely at the service. The service was clean and had a welcoming atmosphere.
Staff had undertaken mandatory and specialist training which was regularly updated to ensure they had the skills and knowledge to support people effectively.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
There was a range of easy read documentation available for people to look at. There was an easy read complaints procedure displayed in the dining area. People were encouraged to raise any concerns or worries they had.
Staff spoken with made positive comments about the staff team and new manager. Staff felt respected, listened to and influential. The service had an open culture. The new manager was committed to providing person-centred care and learning from any incidents.
There were planned and regular checks completed at the service to check the quality and safety of the service provided.
Rating at last inspection:
The service was registered with us on 7 February 2019 and this is the first inspection.
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 any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.