Inspection on 29/11/06 for Jasmine Court

This inspection was carried out on 29th November 2006.

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 Court 29/09/08

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Jasmine Court 38-44 Nottingham Road Loughborough Leicestershire LE11 1EU Lead Inspector Kim Cowley Unannounced Inspection 29 November 2006 3pm Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 1 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 Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 2 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 Older People and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery 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 Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jasmine Court Address 38-44 Nottingham Road Loughborough Leicestershire LE11 1EU 01509 212666 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Rushcliffe Care Limited Post Vacant Care Home 66 Category(ies) of Dementia (22), Dementia - over 65 years of age registration, with number (66), Mental disorder, excluding learning of places disability or dementia (22), Mental Disorder, excluding learning disability or dementia - over 65 years of age (66), Old age, not falling within any other category (66), Physical disability (30), Physical disability over 65 years of age (30), Sensory Impairment over 65 years of age (6) Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No one falling within category OP may be admitted into Jasmine Court where there are 66 persons of category OP already accommodated within Jasmine Court No person under 35 years of age who falls within categories DE, MD, SI or PD may be admitted into Jasmine Court No person to be admitted into Jasmine Court in categories OP, DE, DE(E), MD, MD(E), PD, PD(E) or SI when 66 persons in total of these categories/combined categories are already accommodated in Jasmine Court No one falling within category DE may be admitted into Jasmine Court where there are 22 persons of category DE already accommodated within Jasmine Court No one falling within category MD may be admitted into Jasmine Court where there are 22 persons of category MD already accommodated within Jasmine Court No one falling within category PD may be admitted into Jasmine Court where there are 30 persons of category PD already accommodated within Jasmine Court No one falling within category SI may be admitted into Jasmine Court where there are 6 persons of category SI already accommodated within Jasmine Court No one falling within category DE(E) may be admitted into Jasmine Court where there are 66 persons of category DE(E) already accommodated within Jasmine Court No one falling within category MD(E) may be admitted into Jasmine Court where there are 66 persons of category MD(E) already accommodated within Jasmine Court No one falling within category PD(E) may be admitted into Jasmine Court where there are 30 persons of category PD(E) already accommodated within Jasmine Court Not applicable 4. 5. 6. 7. 8. 9. 10. Date of last inspection Brief Description of the Service: Jasmine Court is a new purpose built residential care home (with nursing) situated in Loughborough, close to the city centre. It opened in August 2006 and specialises in the care of residents with dementia, providing both longterm and respite care. The home has 66 single bedrooms, all with ensuite facilities, arranged into six units. Each unit has it’s own large lounge/dining area and kitchen. There is also an activities room, a hairdressing room, and a secluded garden area at the rear of the home. The fees range from £379 to £605 depending on care needs. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing information relating to the home received since its registration. During the course of the inspection, which lasted four hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to five residents living at the home by meeting or observing them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also met other residents, the Registered Manager, the Senior Manager, and nursing and care staff. What the service does well: Jasmine Court, being purpose-designed and built, is ideally suited to the needs of people with dementia. Living areas are spacious and uncluttered, being free of obstacles and tripping hazards. This makes it safer for residents to wander around. Residents’ bedrooms, all of which have ensuite facilities, are large, well decorated and personalised. All areas of the home inspected were immaculately clean, fresh, and tidy. On the day of inspection the staff team were friendly and professional and residents were well turned out and appeared content and settled. One resident, who was able to give her views, told the inspector she was very happy at the home. She said, ‘The food’s lovely, the staff are kind, and if I went out I would definitely want to come back.’ The Manager is qualified and experienced in caring for people with challenging behaviour. She is knowledgeable about dementia care, including the latest developments in this field. Although Jasmine Court is a comparatively large home, the Manager knows all the residents currently accommodated there personally, including their backgrounds and care needs. She is a ‘hands on’ Manager who has excellent relationships with staff, relatives, and residents at the home. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 6 Visitors are made welcome at the home and some are involved in the care of their relatives. The Manager said the majority of residents have family who visit, and around six relatives visit every day. Relatives’ meetings are held at the home and attendance has increased from three or four when the home first opened on this site, to about 20. During visits relatives are welcome to make their own drinks and a supply of tea and coffee is available in each of the unit kitchens. What has improved since the last inspection? What they could do better: Three improvements should be made to residents’ files: 1. Some of the documentation/contracts refer to Aaron’s – the home a number of residents previously resided in. This should be changed. The Manager said she is aware of this and gradually working through each file updating all the records. 2. A photograph of each resident should be kept in their files. This so a photograph would be immediately available to emergency services if a resident went missing. In addition, a photograph helps staff to identify residents when working from their files. This can be particularly useful to staff covering for others in a unit they do not normally work on. (See ‘Recommendations’ at the end of this report.) 3. Each file contains a ‘Getting to Know You’ personal information sheet. This tends to be filled in by the resident’s family, and gives useful information about each resident and their likes, dislikes, life story and hobbies and interest. Some sections of the ‘Getting to Know You’ form need updating. This was acknowledged by the Manager and Senior Manager, who agreed to make the appropriate changes. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. (Standard 2 [Adults 18-65] and 3 and 6 [Older People] were inspected.) EVIDENCE: Staff follow the Company’s procedure when admitting residents to Jasmine Court. When they receive an enquiry from a relative or health/social care professional they complete an ‘Enquiries Form’. This is passed to the Manager who follows it up within two days, contacting the person who made the enquiry and discussing what the home can offer. At this point the manager asks for any health or social care assessments to be sent to the home. The Manager assesses all potential residents in their own homes or in hospital. She said she does not look at other professionals’ assessments first, preferring Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 10 to visit the resident with no preconceived ideas about them. Only after she has met them does she consider what other professionals have written. The Manager said an important part of the assessment is talking to the potential resident’s family or other informal carers. ‘I recognise this is a difficult time for them,’ she said, ‘But their views and opinions are crucial to our assessments. Often they know the person being referred best and can give us valuable insight into their needs.’ (Standard 6 [Older Persons] was not inspected as this home does not provide intermediate care.) Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and social care needs are met. (Standards 6, 7, and 9 [Adults 18-65] and 7, 14, and 33 [Older People] were inspected.) EVIDENCE: Care plans and risk assessments were detailed and gave clear instructions to staff about how to safeguard residents and meet their needs. Social services reviews showed high levels of satisfaction with all aspects of the home. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 12 Three improvements should be made to residents’ files: 1. Some of the documentation/contracts refer to Aaron’s – the home a number of residents were previously in. This should be changed. The Manager said she is aware of this and gradually working through each file updating all the records. 2. A photograph of each resident should be kept in their files. This so a photograph would be immediately available to emergency services if a resident went missing. In addition, a photograph helps staff to identify residents when working from their files. This can be particularly useful to staff covering for others in a unit they do not normally work on. (See ‘Recommendations’ at the end of this report.) 3. Each file contains a ‘Getting to Know You’ personal information sheet. This tends to be filled in by the resident’s family, and gives useful information about each resident and their likes, dislikes, life story and hobbies and interest. Some sections of the ‘Getting to Know You’ form need updating. This was acknowledged by the Manager and Senior Manager, who agreed to make the appropriate changes. The Manager said residents are encouraged to make decisions about their dayto-day lives, although staff try to help them to establish a routine while in the home as this can have a positive effect on their mental health. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily life and social activities enable residents to lead purposeful lives. (Standards 12, 13, 15, 16 and 17 [Adults 18-65] and 10, 12, 13 and 15 [Older People] were inspected.) Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 14 EVIDENCE: An activities organiser is employed from 9am to 3pm every weekday. She works with residents individually or in small groups, providing activities that are suited to their needs. These include the following: • • • • • • • • Hand massages and nail care Walks, using wheelchairs where necessary Group games Reminiscence therapy ‘Date marking’ Reading aloud Craft sessions Shopping trips Staff are currently fundraising to create a sensory room at the home. They are selling bric-a-brac and other items to visitors. Visitors are welcome at the home at any time, but are asked to inform staff if they wish to come after 9pm so as not to disrupt the evening bedtime routine. The Manager said that some relative like to help out at meal or other times and they are welcome to do this. During visits relatives are welcome to make their own drinks and a supply of tea and coffee is available in each of the satellite kitchens. Policies and procedures are in place to protect residents’ rights, and staff receive training in this area during their induction. During the inspection it was observed that staff treated all residents with warmth and respect. The home employs one head chef and two assistant chefs. Meals are prepared in the ground floor central kitchen and taken to the different units in heated trolleys. The menu has been designed with input from a dietician and is four week meal rota which changes annually. Vegetarians, diabetics and those on soft diets are catered for. Pictorial and written menu boards are displayed in each lounge/dining room The Manager said that since the home opened she has consistently received good feedback about the food, and it was always praised at relatives meetings. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are met. (Standards 18, 19, and 20 [Adults 18-65] and 8, 9, and 10 [Older People] were inspected.) EVIDENCE: Residents’ personal care needs are set out in their care plans, and records showed evidence of consultation with residents and/or their families, where possible. Five local GP surgeries and a contract GP provide health services to residents at the home. A contract dentist, optician, and chiropodist, are also available, although residents can use local NHS or other services if they/their relatives wish. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 16 The home’s nursing staff are responsible for administering medication. The Manager said that before they can do this they undergo a written assessment, no matter how experienced they are, to ensure they are competent. A contract pharmacist supplies medication and inspects the home’s arrangements for medication administration every six months. The Manager carries out a weekly medication audit to check if medication is being administered safely and appropriately. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are trained to safeguard residents and are responsive if concerns are raised. (Standards 22 and 23 [Adults 18-65] and 16, 17, 18, and 35 [Older People] were inspected.) EVIDENCE: All residents or their representatives receive a copy of the home’s complaint procedure at the point of admission. This is also explained to them verbally, and referred to at relatives’ meeting and with residents on a one-to-one basis where appropriate. If someone wants to complain they have the choice of doing so formally or informally. The Manager said the majority of the residents currently accommodated would not be able to say if they had a complaint. Due to this, staff monitor their behaviour and look for any signs that something is upsetting them. If this appears to be the case staff investigate to find out what the problem is and try to put it right. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 18 There has been one informal complaint since the home was registered. This was partially substantiated. Detailed records have been kept of the investigation, the outcome, and follow-up action taken by staff. All staff receive Protection of Vulnerable Adults training as part of their induction. A training video is used which is followed by written assessment. All staff sign to say they have read and understood the principles of safeguarding adults. Staff must also attend a refresher course every year. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in an environment that is safe and well maintained. (Standards 24 and 30 [Adults 18-65] and 19 and 26 [Older People] were inspected.) EVIDENCE: The premises, being purpose-designed and built, are ideally suited to the resident group. The home is on three floors with a lift and stairs for access. It is divided into six distinct units, each with its own air-conditioned large lounge/dining room and kitchen. On the ground floor are the Manager’s office Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 20 and the central kitchen. There is an activities room and a fully equipped hairdressing room on the first floor for the use of all the residents. The activities room is also used for social events and family get-togethers. The home is spacious and uncluttered, being free or obstacles and tripping hazards. This makes it safer for residents to wander around. Furniture has been chosen to suit resident group, for example special chairs are provided that encourage residents to sit back comfortably (rather than lean forwards). These have ‘Velcro’ strips on the arms so a tray can be attached and held securely. Residents’ bedrooms, all of which have ensuite facilities, are well decorated and personalised. Some have pictures on the door to help residents recognise whether it is their room or not. All areas of the home inspected were immaculately clean, fresh, and tidy. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is excellent. This judgement has been made using available evidence including a visit to this service. Well-trained and professional staff meets residents’ needs. (Standards 32, 34, and 35 [Adults 18-65] and 27, 28, 29, and 30 [Older People] were inspected.) EVIDENCE: The home is well staffed with nurses, care and ancillary staff, and staffing hours provided exceed the recommended minimum. Those staff on duty during the inspection were professional and appeared to have good relationships with residents. The Company carries out the administrative side of recruitment, and the Manager and the Senior Manager are responsible for interviewing potential Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 22 staff. The Senior Manager confirmed that no staff start work at the home without a satisfactory POVA check and references. The Company has its own training centre based in Loughborough. All staff undergo an intensive three-day induction covering the Principles of Care, Manual Handling and Health and Safety, and Safeguarding and Communication. This is followed up by courses in Medication Management, Care Planning and Record Keeping, Challenging Behaviour, First Aid at Work, Dementia Care, Palliative Care, Infection Control, and Gold Standard Framework training (which concerns ‘end of life’ care). Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome are is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is well managed. (Standards 37, 39, and 42 [Adults 18-65] and 31, 33, 35, and 38 [Older People] were inspected.) Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 24 EVIDENCE: The Manager is an experienced, qualified nurse with a NHS background in caring for older people with challenging behaviour. In discussion she demonstrated considerable knowledge about dementia care, including the latest developments in this field. Although Jasmine Court is a comparatively large home, the Manager knew all the residents currently accommodated there personally, including their backgrounds and care needs. She is a ‘hands on’ Manager who has excellent relationships with staff, relatives, and residents at the home. She is line-managed by one of the Company’s Senior Managers who visits Jasmine Court a couple of times a week and is available by phone at other times. Records showed that residents’ views and their likes and dislike are central to the running of the home. As many of the residents are unable to give their views verbally, staff rely on their own observations, and on information collected from families, friends, and health and social care professionals. In this way staff determine how best to meet their needs and ensure they have the best possible quality of life while living at Jasmine Court. The Manager said the majority of residents have family who visit, and around six relatives visit every day. She said relatives’ meetings are held at the home and attendance has increased from three or four when the home first opened to about 20. Good systems are in place to maintain the health and safety of staff and residents at the home, and records showed the premises and equipment are properly maintained and serviced. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 25 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. Where there is no score against a standard it has not been looked at during this inspection. 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 Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT Standard No Score 37 4 38 X 39 4 40 X 41 X 42 3 43 X 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jasmine Court Score 3 3 3 X DS0000067785.V320734.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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. 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 all residents’ files contain photographs of the residents in question. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Extracts may not be used or reproduced without the express permission of CSCI. Jasmine Court DS0000067785.V320734.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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