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CQC report explained · a residential care home

What the CQC found at Jubilee Lodge

Goodpublished 1 March 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control procedures were being followed, including safe use of PPE, testing, cleaning, visitor screening and hospital admissions.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection, although people could use video calls to maintain contact with families.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection. The provider was aware of current guidance and had introduced support sessions for staff.
The latest report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors found good infection control, with further work needed to identify early signs of deteriorating health.

This was a targeted, announced inspection of infection prevention and control measures. The report gives an inspection date of 10 November 2020 on the front page and 11 November 2020 in the detailed section.

Inspectors were assured that visitors were screened and supervised, social distancing was supported, PPE was used safely, cleaning was thorough and people were admitted safely. People could also keep in touch with families through video calls.

The home was being prepared as a designated setting for people discharged from hospital with COVID-19. The service was inspected but not rated, so this report does not give a standard overall quality rating.

What inspectors praised
  • Visitor safety

    Visitors were screened, supervised and supported to follow social distancing and infection control rules.

    “Staff supervised all essential visitors to ensure social distancing and infection control guidelines were followed.” from the report
  • PPE and cleaning

    PPE was stored in designated stations and cleaning continued through the day and night.

    “Cleaning schedules were thorough. The schedules through the day were continued at night to ensure all areas were regularly cleaned to reduce the risk of transmission.” from the report
  • Safe admissions

    Inspectors found that the provider understood current guidance, including how to admit people safely from hospital.

    “The provider was fully aware of all current best practice guidance including the safe admission of people from hospital.” from the report
  • Family contact and staff support

    People could use video calls to stay in touch with families. Staff were also offered sessions to discuss the pressures of the pandemic.

    “People could choose to use applications such as video calls to maintain contact with their families.” from the report
What inspectors were concerned about
  • Recognising deteriorating health

    needs fixing

    Inspectors signposted the provider to resources to improve staff understanding of the early signs that a person's health may be deteriorating.

    “We have signposted the provider to resources to develop their approach regarding identifying the early signs of a person's health deteriorating.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to help staff identify early signs of a person's health deteriorating?
  2. 02How would you safely admit my relative if they were discharged from hospital?
  3. 03How often are communal areas, bedrooms and equipment cleaned during the day and night?
  4. 04How do you screen and supervise essential visitors, and how are visits managed if infection risks change?
  5. 05How will my relative keep in touch with family if visits are restricted?

This was a targeted inspection of infection prevention and control for a proposed COVID-19 designated care setting; the service was inspected but not rated and the other four questions were not assessed. This explanation was written from the published report of 14 November 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.

An earlier report, explained

What inspectors found, March 2018

Rated Good; inspectors found safe, kind and personalised care, although some relatives said staffing could limit outings.

This was a planned, announced inspection on 16 January 2018. Inspectors spoke with people using the home, relatives, staff and health and social care professionals. They also checked care plans, medicines records, staff checks and training, complaints and quality audits.

The home supported people with learning disabilities who used respite care. Inspectors found systems to protect people from harm, enough staff on the day, safe medicines arrangements and suitable staff training. People were supported with food, health care, communication, activities and making their own choices.

People and relatives described kind and respectful care. Inspectors saw positive interactions and found that care was personalised. The home had a registered manager, asked for people's views and used audits to improve the service.

The overall rating stayed Good, as did the ratings for Safe, Effective, Caring, Responsive and Well-led. This means inspectors found the home met the required standards at the time of this inspection, with no serious risks or concerns identified.

What inspectors praised
  • Kind and respectful care

    People were treated with dignity and staff gave them time to communicate and make choices.

    “We saw staff to be supportive and respectful at all times.” from the report
  • Personalised support

    Care plans reflected people's needs and preferences. Staff knew people well and adapted support to them.

    “Staff knew people well and were able to tell us about individual needs, likes and preferences.” from the report
  • Safe care arrangements

    Inspectors found suitable safeguarding, risk assessment, recruitment, building safety and medicines systems.

    “People's medicines were managed safely and they received them as prescribed.” from the report
  • Activities and independence

    People were supported to make choices, do things for themselves and take part in activities and outings.

    “People were encouraged to remain as independent as possible and to do as much as they could for themselves.” from the report
  • Listening and improvement

    The home collected views from people, relatives and staff and used audits and feedback to improve the service.

    “Suggestions were acted on to shape and improve the service.” from the report
What inspectors were concerned about
  • Staffing could affect outings

    needs fixing

    Although inspectors found enough staff on the day, some relatives said there were only just enough staff and that outings could be restricted when staffing was limited.

    “The only restrictions are down to staffing levels. If there is enough staff people can go out. If not, people can't.” from the report
Questions to ask them, based on this report
  1. 01How do you decide the staffing level and skills needed for each person's respite stay?
  2. 02What happens if staffing levels mean a planned outing cannot go ahead?
  3. 03How will you support my relative to communicate their choices, pain or other needs?
  4. 04How are my relative's care plan and risk assessments reviewed before and during each stay?
  5. 05What activities and outings could my relative take part in during their stay?

This was a comprehensive inspection of the home, covering all five CQC questions and the overall rating. This explanation was written from the published report of 1 March 2018 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.

The story over the years

Every inspection of Jubilee Lodge

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. November 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Jubilee Lodge →

  2. March 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Jubilee Lodge →

  3. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Registered with the Care Quality Commission on 21 December 2012.

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.

Next steps

Weigh the report against the rest

Care at home

28 live-in carers within about an hour of North Yorkshire

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 £1,010 to £1,290 a week. 27 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.”
Claire A., about Carla M.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
Beatrice N., about Rosemary H.
See live-in carers near North YorkshireProfiles, rates and reviews are free to look at.

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.