CQC report explained · a nursing home
What the CQC found at Jubilee House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed, staffing levels supported people's needs, medicines were administered safely, and infection control arrangements were in place.
- Effective?
- Good
- Support plans were detailed and individualised. Staff were trained and supervised, people were supported with food and drink, and health referrals and professional advice were handled promptly.
- Caring?
- Good
- This question was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected during this focused visit. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found clear leadership, regular checks and an open culture. However, some staff were unclear about allocated work responsibilities and weekly allocation sheets were not fully completed.
What inspectors found, August 2021
Rated Good overall; inspectors found safe, effective and well-led care, with a minor issue about staff work allocations.
This was an unannounced focused inspection on 4 August 2021. Inspectors looked at Safe, Effective and Well-led after concerns about medicines and people's health care needs. They spoke with three people, nine staff and outside professionals, and reviewed care, medicine, staff and management records.
The home was rated Good for all three areas inspected. Inspectors found people felt safe and cared for. Medicines were managed safely, staffing met people's needs, support plans were detailed, staff were trained, and health referrals were made promptly.
Inspectors found a positive culture that promoted independence, choice and person-centred care. They noted that some staff were unclear about allocated work responsibilities and that weekly staff allocation sheets were not fully completed. The overall Good rating remained unchanged from the previous inspection published in January 2020.
People felt safe
People said they felt safe and staff knew how to raise and respond to safeguarding concerns.
“People told us they felt safe and cared for living at Jubilee House.” from the report
Safe medicines
Medicines were given when they should be, with trained staff, checks and safe procedures for storage and disposal.
“Medicines were administered safely. Medicines systems were organised and people were receiving their medicines when they should.” from the report
Individual support
Support plans were detailed, tailored to each person and written in formats people could understand.
“Support plans contained detailed information about people's support needs.” from the report
Promoting independence
The home supported people to make choices, take positive risks safely and develop their independence.
“People had choice, control and independence.” from the report
Management oversight
The home had regular checks, reporting and reviews to monitor quality and identify improvements.
“Robust governance arrangements were in place. A senior manager undertook regular visits and checks.” from the report
Staff work allocations
minorSome staff were unclear about their allocated responsibilities. Inspectors also found that the weekly staff allocation sheets were not fully completed.
“However, some staff said they were unclear about allocated work responsibilities.” from the report
- 01What checks are now used to make sure medicine records and administration remain accurate?
- 02How are people's health needs, referrals and advice from health professionals recorded and followed up?
- 03What has been done to make staff responsibilities clear and ensure allocation sheets are completed?
- 04What were the previous ratings and findings for Caring and Responsive at the last comprehensive inspection?
- 05How will the home support my relative's choices, independence, activities and access to the local community?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 26 August 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2020
Rated Good; inspectors found safe, kind and personalised care, with some records and facilities needing improvement.
This was the first inspection since the home registered. It was unannounced and took place on 03 January 2020. Inspectors observed daily life, spoke with one person and 11 staff, reviewed care, medicine and staff records, and checked the building.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, kind support and opportunities for people to make choices, build independence and take part in community activities.
Inspectors also found some records needed updating. One as-required medicine protocol lacked enough guidance, some health passports were incomplete, and one care plan had not been dated. The kitchen and dining facilities were also considered limited, and the lift was out of order on the inspection day.
Personalised support
Staff knew people well and support plans described their needs, communication and life stories. People were supported to make choices and become more independent.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Kind and respectful care
Staff were warm and sensitive to people's individual needs. Inspectors saw people appearing comfortable with staff and being supported with dignity.
“We saw staff were sensitive to times when people needed support.” from the report
Community activities
People were supported to go shopping, buy a newspaper, ride bikes and take part in other activities outside the home.
“People were supported to follow their interests and take part in activities, including activities in the community.” from the report
Staff skills and teamwork
Staff had mandatory and specialist training and said they were supported by the manager. Staff described a positive team culture.
“Support staff had received specialised training to meet the needs of the people who used the service” from the report
Good oversight
The home used audits, meetings and senior visits to monitor quality and identify improvements.
“A range of audits were completed on a regular basis, to monitor the quality and safety of the service provided.” from the report
Incomplete care records
needs fixingSome records did not contain all the information staff might need. Inspectors asked the manager to update care records, health passports and a food and drink section.
“During the inspection we noticed some people's care records needed further information or updating.” from the report
As-required medicine guidance
needs fixingOne protocol for medicine taken when needed did not give staff enough guidance. The manager and nurse said it would be reviewed.
“We noted that one person's PRN protocol did not contain enough guidance for staff to follow.” from the report
Staffing continuity
minorAgency staff were being used to cover vacancies and annual leave. One staff member said maintaining staffing levels had been difficult during Christmas because of sickness.
“At the time of the inspection, the service was using some agency staff to cover staff vacancies and annual leave.” from the report
Kitchen and dining space
minorThe kitchen was not designed for both staff and people's meals, and people had limited access while meals were prepared. Inspectors said the dining and kitchen facilities would benefit from being increased.
“The domestic sized kitchen had not been designed to cater for both staff and people's meals.” from the report
- 01Have all care records, health passports and the food and drink section been reviewed and dated since the inspection?
- 02What guidance is now in place for medicines taken as needed, and how is staff competency checked?
- 03How many permanent staff and agency staff usually work each shift, and how are vacancies being filled?
- 04What improvements have been made to the kitchen and dining facilities?
- 05Is the lift now working, and what arrangements are used if it is unavailable?
This was an unannounced first inspection that looked at the premises and care across all five CQC questions. This explanation was written from the published report of 1 February 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Jubilee House
2 rated inspections over 2 years: the service has held its Good rating throughout.
- August 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2020GoodSafe: GoodEffective: GoodWell-led: Good
- February 2019
Registered with the Care Quality Commission on 7 February 2019.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 99 live-in carers within about an hour of Barnsley
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 82 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Ivy was very kind and gentle in all her dealings with my late mother. They got on very well and were able to share a joke and a laugh.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.