15 February 2021
During an inspection looking at part of the service
Jubilee Court Nursing Home is a care home which provides residential and nursing care for up to 100 people. Care is primarily provided for older people, some of whom are living with dementia. At the time of this inspection 68 people were using the service.
People’s experience of using this service and what we found
Robust systems were not currently in place to ensure that when an accident or incident occurred, the registered manager had enough oversight to review whether actions taken by staff were effective. This was a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Staff training was not fully up to date. The registered manager’s understanding of duty of candour legislation was limited.
We have made a recommendation to the provider to improve their understanding of the management of people’s medicines within a care home setting.
People received care and treatment that kept them safe. The risks to their health and safety were appropriately assessed and acted on. Detailed and robust processes were in place to reduce the risk of people developing pressure sores. People were protected from the risk of abuse and neglect. Staff were recruited safely and there were enough staff in place to keep them safe. Where an incident occurred, staff acted quickly to make people safe. Robust procedures were in place to reduce the risk of the spread of infection.
People felt able to discuss any concerns they had with staff and the management. Staff understood the requirements of their role and they felt supported by the management. Effective working relationships had been formed with other health and social care agencies. They worked together to provide safe care and treatment that met their individual needs.
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 3 July 2019)
Why we inspected
The inspection was prompted in part by notification of a specific incident. Following which a person using the service died. We inspected this service at the request of the Nottinghamshire Coroner to ensure that there was no on-going risk of harm to others. The information CQC received about the incident indicated concerns about the management of pressure care and accidents and incidents. This inspection examined those risks.
We have found evidence that the provider needs to make improvements. Please see the Well-Led section of this full report.
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.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
You can see what action we have asked the provider to take at the end of this full 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.