Inspection on 29/06/05 for Jasmine

This inspection was carried out on 29th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Jasmine 19/12/07

Jasmine 24/07/06

Jasmine 23/02/06

Jasmine 25/01/05

Jasmine 23/06/04

Jasmine 09/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Jasmine Dod Lane Glastonbury Somerset BA6 8BZ Lead Inspector Justine Button Unannounced 29th June 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jasmine Address Dod Lane Glastonbury Somerset BA6 8BZ 01823 423126 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Somerset County Council (LD Services) Mrs Beverley Eileen Chant Personal Care Home Only 9 Category(ies) of Learning Disability (9) registration, with number of places Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be admitted who have concurrent physical disabilities. 2. The service user in the lower ground floor accommodation has dedicated staff support, separate from the other service users. 3. The use of the two rooms on the lower ground floor, for an additional bed, is temporary and approved until 31 March 2004. Date of last inspection 25th January 2005 Brief Description of the Service: Jasmine is service that is registered to provide support for nine service users in the younger adult with Learning disability category. Some of the service users also have physical disabilities. Somerset County Council runs the home. A registered manager is in charge of the day-to-day running of the home. Staff are employed at the home for care provision.Jasmine is situated in a residential area of Glastonbury and is close to the town centre. This has the local facilities of shops, banks, pubs and leisure amenities.Jasmine is adapted to be able to support highly dependent service users whilst maintaining a homely atmosphere. All accommodation is in single rooms. Outdoor space includes pleasing gardens to the rear. There is a large living / dining area and an additional lounge. There are sufficant numbers of adapted bathrooms. The lower ground floor is currently being refurbished. This area will form a self contained flat. The flat is to be used as an interim bed. This area has yet to registered with the CSCI. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day between the hours of 09.30 am – 3.30 pm. Nine people were residing at the home on the day of the inspection. The inspector was able to speak with four of the residents as well as staff on duty. The manager Mrs Chant was available for part of the inspection. The inspector would like to thank the residents and staff for their time and hospitality shown to the inspector during her visit. This is the first inspection using the new CSCI reporting format, which focuses on outcome statements for National Minimum Standards. The inspector’s aim on this inspection visit was to seek views on the quality of the service from as many service users as possible and to speak to staff. Records examined included care plans, duty rota’s, staff training and some health and safety records. Other records will be examined at subsequent inspection visits. A tour of the building as carried out on this visit. What the service does well: What has improved since the last inspection? There was only one requirement made at the last inspection. This related to the need to adapt and register the lower ground floor. Although the area is yet to be registered the works are being carried out and the CSCI has received the appropriate documentation. The timescales for registering the bed were discussed at the inspection and should be completed in the next few weeks. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2,3,4, 5 People who move into the home have the necessary information and can visit the service prior to moving in. EVIDENCE: Since the last inspection two people have moved into the home. These people were given information in an accessible format prior to moving in. There was documented evidence that one person visited the home prior to moving in. This visit included staying for tea and meeting both the other people who live at home and the staff. There was no documented evidence for the other person that this had occurred but on discussion with this person she stated that she had been made fully aware of the move and had visited the service prior to admission. All people who live at the service have a copy of their contract within their service user plan. The contract is an accessible format. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 All people who live at the service have a plan which informs staff of their individual care and support needs. It could not be assessed if the people who live sat the service are involved in the development or review of their plan. People who live at the service are involved in the day-to-day running of the home. Information is stored in a secure manner. EVIDENCE: Four service user plans were viewed during the inspection. The majority of the plans gave clear guidance and instruction to staff. One of the people who had recently moved into the service had previously being living in another service run by Somerset County Council. The plans had been transferred with this individual. The plans gave clear guidance to the staff on the care and support needs of the individual but had not been adapted from her previous residence. Risk assessments were seen in all the plans although some were not dated and signed it was therefore difficult to assess if these were still relevant. The people who live at service have a range of care and support needs and these were reflected in the plans. None of the plans or aspects of the plans are in an accessible format to the people whom they relate to. It is therefore Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 10 difficult to clarify if people are involved in the development and review of their plans. People who live at the service have regular meetings to discuss various aspects of communal living. These meetings are minuted. This gives people the opportunity to influence the way the service is run and to discuss any issues, which may arise from communal living. Documentation relating to people who live at the service is stored in a secure manner. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12,13,14,15,16, 17 All the people who live at the service maintain an active lifestyle. There are a range of activities on offer both within the home and the community. People who live at the service have a balanced diet. EVIDENCE: On the day of inspection people who live at the service were accessing a range of activities including music therapy. People who live at the service explained that they went and enjoyed swimming. They also had been doing some gardening recently. The minutes of the staff meeting demonstrated that there is a strong commitment from the staff team in developing inclusion within the home by supporting people to complete household task such as cooking and cleaning. There was documented evidence of continued family support and contact where this is appropriate. The people who live at Jasmine use a range of methods to communicate. At least one person uses “points of reference.” These were not seen to be used on Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 12 the day of inspection. A number of other people use pictures and symbols. There are a number of notice boards through out the building on which the symbols and pictures are placed. Some of these notice boards contained out of date information. Lunch was seen on the day of inspection. People who live at the service were given a choice of what they wanted for the meal. The kitchen was seen to be clean and tidy on the day of inspection. There was a range of fresh fruit and vegetables available. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 People who live at the service have support to maintain their health care needs. Medication is handled in a safe manner. EVIDENCE: Staff were observed to interact with people in a relaxed and comfortable manner. All personal care is conducted in the privacy of people’s bedrooms. People visit the GP as and when required, staff give support when needed. Specialist support with regard to various support needs is sought on a regular basis e.g. psychology, speech and language and dietician. Service users key worker arrange visit to the dentist and other appointments when needed. All visits to all services are well documented in the service user plan. The district nurse visits the service to carry out any nursing duties. Medication was reviewed on the day of inspection. No people currently self medicate. Medication was stored and administered in line with Royal Pharmaceutical guidelines for care homes, in all aspects except where the medication administration record (MAR) were hand transcribed. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 People who live at the service are protected by a clear complaints procedure and robust prevention of abuse policies. EVIDENCE: The home’s complaints procedure was included in all service user’s care plans and management confirmed that parents or guardians were issued a copy of the Council’s complaints procedure. The information on how to complain is also available in pictorial form, or a video is available. This is commendable. Service users spoken to, where able, confirmed that they felt comfortable raising issues of concern to staff and management. Staff are aware of the vulnerable adults and whistle blowing policies. In addition to this training there is in place a policy for the two areas. The policies complied with the Public Disclosure Act and the DOH Guidance No Secrets. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30 The service is suitable for its intended use. There is sufficient specialist equipment. EVIDENCE: A tour of the building was conducted during the inspection. All the bedrooms viewed showed a degree of individuality. All the people who live at the service are able to choose their own furniture and décor. All the rooms had personal possessions such as music systems and televisions. People who live at the service spoke of liking their rooms and all stated that staff respected their privacy. Some of the bedrooms have specialist equipment if required such as adjustable beds and overhead hoists. The manger stated that one person was now in need of an overhead hoist but that this equipment was to be installed in the near future. The communal space is clean, tidy and very homely in style. Some of the areas are in need of redecoration and new carpeting. The manager agreed with this Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 16 and stated that there are plans to complete this work once the refurbishment of the lower floor had been completed. As previously stated the building works to the lower ground floor are now taking place. In order for this area to be registered for wheelchair users the management need to ensure that the corridor is wide enough particularly were people need to access doorways. This area may also be used to accommodate people who have behaviours that challenge. The management team need to ensure that there are adequate systems in place for staff to summon assistance in an emergency situation. On the day of inspection one of the washing machines was not working. Staff confirmed that this machine had been out of order for some time and persistently broke down. The tumble dryer was also in a poor state of repair. These machines are in need of replacement. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32,33, 35,36 A competent and enthusiastic staff group supports the people who live at the service. EVIDENCE: Staff spoken to during the inspection spoke with clarity about their job roles. All were clear about the needs of the people who lived at the service. Staff recruitment files were not formally viewed on this occasion but the manger stated that there has been no change to the recruitment of staff from previous inspections. The managers for the individual services run by Somerset County Council are not on all occasions involved in the recruitment of staff for their services. It could be argued that the manager for the homes are aware of the internal dynamics of the staff teams and should therefore be involved in the recruitment of their staff. The manager stated that she did see checks such as CRB and POVA for all new staff. Somerset County Council has reviewed the system for staff recruitment. This has improved the period of time it takes for staff to commence employment and therefore reduces the impact on the people who live at the service. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 18 Staff stated that they felt that they have received adequate training in order to support the people who live at the service effectively. All stated that they received regular supervision from the manager. There was documented evidence to confirm this. Staff also stated that they felt that they could raise any concerns with the management team. The people who live at the service were very complementary about the staff team. There are regular minuted staff meetings. The last meeting occurred on the 25/05/05. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38,42,43 The service is well managed and well run. EVIDENCE: The service is well managed and run. The registered manager, Mrs Chant, is currently undertaking her NVQ4 managers award. Staff spoken to confirmed that they received regular supervision and would have no hesitation in approaching the manager with any concerns they had. Some health and safety records were viewed including the fire safety log. This showed that a fire drill had not been conducted since November 2004. It is advised that a fire drill takes place in the near future. Jasmine D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 2 3 3 Standard No 11 12 13 14 15 16 17 2 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jasmine Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations It is recommended that the menagment team review and develop systems which would enable people to become involved in the review and development of care and support plan. It is recommended that indivdula risk assessments are reviewed dated and signed. It is recommended that communication sysytems are developed and used to inform and communicate with people as appropriate. It is recommended that once the building works have been completed that a review of the communal areas place and identified areas are decorated and new carpets fitted as required. It is recommended t hat a review of the lower ground floor is conducted to ensure that the facilites are adequate for its intended use. It is recommended that the washing machines and timble dryers are replaced in order to ensure that people have access to clean clothes at all times. D53 - D02 S30092 Jasmine V232373 280605 Stage 4.doc Version 1.30 Page 22 2. 3. YA11 YA24 4. 5. YA24 YA30 Jasmine Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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