Inspection on 27/04/05 for Jasmine Court Nursing Home

This inspection was carried out on 27th April 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 Court Nursing Home 31/10/07

Jasmine Court Nursing Home 09/01/07

Jasmine Court Nursing Home 10/10/05

Jasmine Court Nursing Home 19/11/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Jasmine Court Nursing Home 13 Park Place Weston Super Mare North Somerset BS23 2BA Lead Inspector Carolle Wise Scanlon Unannounced 27th April 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 Older People. 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 Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jasmine Court Nursing Home Address 13 Park Place Weston Super Mare North Somerset BS23 2BA 01934 622028 01934 626100 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) Charis House Limited Mrs Christine Cynthia Grist Care Home 24 Category(ies) of Old Age (24) registration, with number of places Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home may provide nursing care for up to 24 service users over the age of 65 (OP). 2. The home may provide nursing care for one named person aged 59 years and over until such time that the named person reaches the age of 65 years or ceases living at the home. 3. Staffing notice dated 09/10/1998 applies. 4. Manager must be RN on part 1 or 12 of the NMC register.. Date of last inspection November 19th 2004 Brief Description of the Service: Jasmine Court is a nursing home providing accommodation for 24 residents.It is located close to Weston-Super-Mare sea front with its lounge area having a very pleasant view of the sea. The shops and local amenities are close by, within walking distance of less than a few minutes. The home has a passenger lift and a stair lift allowing access to all floors. It has a front garden in the form of a patio garden for its residents. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The home had 20 residents at the time of the inspection and the inspector met with 10. Three visitors were met in the lounge area at various times and two during the process of the inspection. Care documentation including risk assessments and medication sheets were sampled during the inspection process. ‘Case tracking’ by meeting with four of the residents whose records were reviewed was also undertaken. The inspector met with the registered manager and deputy manager, laundry and domestic staff, cook and assistant and two carers during the course of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The difficulties in staff retention and recruitment are improving however this has impacted on the core staff morale. The staff have built good relationships with the residents and work hard to improve their quality of life however staff consistency has been lacking. This had impacted on the care plan and risk assessment documentation within the home which needed more detail. The staff group and manager effectively managed the staff shortage by not taking holidays during this acute period. It was evident however that this acute episode should be resolved within the month with new staff commencing employment following statutory checks. Homely remedy medication auditing needed to be carefully audited to ensure safe practice. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 6 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 Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4 & 5. Resident’s needs are assessed pre admission and opportunities to visit the home offered appropriately. EVIDENCE: A few less frail residents met recalled having a look around with their families prior to living at Jasmine Court. Most enjoyed the views of the seafront and the large open communal areas and chose Jasmine Court as it suited their needs and was close enough for their families to visit. Some remembered having a meeting with the ‘Matron’ to see if it would be okay’ for me to move in. The documentation verified resident assessments are undertaken pre admission into the home. When asked if the home met their expectations many had not formed any impressions of what life would be like living in a nursing home and still found it difficult and upsetting to have left their own homes. Several had received information about the home but ‘left it’ with their families to arrange the viewing. The visitors met on the day of the inspection intimated that Jasmine Court had more than met with their expectations; the staff ‘welcomed visitors and are approachable’. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 &11. Care plans need to be more detailed and record the actual care provided in practice this might otherwise place residents at risk. The home has made progress regarding the arrangements for administration of medication but needs to improve further regarding homely remedies. Excellent care provision and support is offered for the care of the dying and bereaved relatives. EVIDENCE: Those resident’s met during the inspection were settled and content living at Jasmine Court. Several residents were highly dependent upon the care they receive from the staff and were frail. Residents felt that the staff were ‘very helpful and kind’ with some developing a good rapport and light hearted banter with particular carer’s. The reports received regarding the care were positive with one resident asserting that the matron keeps the carers ‘in check and on their toes’. Care plans were available for all residents’ and those reviewed were evaluated monthly. Several residents have been living at Jasmine Court for more than 7 years and noted that there had been plenty of changes within that Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 10 period. The changes noted were that of the staff and the managers in particular. Some residents described their illnesses and the care and help they received; however on two care plans the care received was not fully documented. The informal process, of the staff verbally communicating the care to be provided, may be a risk to the resident and the care provided must be documented. Examples were that of a resident with a significant skin irritation not having a clear plan of care for this, and a resident with short term-memory loss whose care was not clearly recorded. Records clearly demonstrated other visiting health and social care professionals, such as the chiropodist and optician. Specialist nursing advice is also sought by the home when appropriate such as with dietary advice, tissue viability and continence. No issues arose regarding preservation of the residents’ privacy or dignity, most suggesting that the staff addressed them correctly and were always polite knocking before entering rooms etc. At the time of the inspection visitors were collecting their loved ones belongings as a death had occurred n the home. They took the opportunity to express how much they appreciated the care given by the staff and how much they had valued the support they had received during a very difficult and emotional time. The home is commended in this regard. Jasmine Courts’ pharmacy supply is now with Pharmacy Plus, using a blister pack system and four records were sampled. The self-medication policy regarding stock and ordering is now clearer. Attention is needed to the auditing of homely remedy administration and its’ recording. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 Dietary needs of the residents are taken account of and residents receive a balanced and varied menu selection, which meet their tastes and preferences. EVIDENCE: The residents described the food as ‘always something to look forward to’. A few said that they ‘have a very good cook here’. Visitors met noted that the food generally looked very appetising. The separate dining room is arranged with tables and chairs generally seating four. The meals are conducted to ensure that the staff accommodate residents’ requiring assistance with their meals. Residents chose where to sit in the dining room. Menus are produced on a four-week rota basis and are subject to change if certain vegetables etc are not in season or by resident choice. Evening menus include a less substantial hot choice such as scrambled eggs or cold such as various sandwiches. The kitchen appeared in good order, had a cleaning rota in place, with recent repairs made to the kitchen step. The current cook appeared to be working a lot of hours but advised that the home has recently recruited a kitchen assistant and cook to assist over the weekend. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 Staff demonstrated good awareness and understanding of adult protection issues providing a safer environment for residents. EVIDENCE: Protection of Vulnerable Adults training has been undertaken by the staff some new staff are booked for the training but have yet to attend. There have been no formal complaints. Residents felt able and confident about complaining if they need to. Having met three visitors whilst sat in the lounge area they all felt satisfied that the registered manager and carers would respond and record any complaints they might have appropriately and take them seriously. Staff interviewed during the inspection felt that the training they received had reinforced their ability and skills in understanding adult abuse and that it enabled them to further protect the residents. The staff demonstrated awareness of the homes ‘whistle blowing’ policy. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 &26 There have been no major changes to the homes décor since the last inspection and it remains a pleasant, comfortable environment to live in. EVIDENCE: Residents’ have well presented private bedrooms with the décor in good order. No unpleasant odours were noted during the inspection. The home has new domestic staff that have settled well into their role and the residents remark positively on the homes cleanliness. Many residents have rearranged the furniture to suit their needs with the staff’s assistance. The finishing touches in each room include that of the residents’ own possessions. Some residents spend a lot of time in their rooms, felt comfortable there enjoying their own company and privacy. Some have lockable drawers and others lockable boxes in their rooms should they chose to use them. The home has started to record the details within the care records of the residents who want to have door locks or not to their rooms, which is good practice. The reception office was in the process of redecoration at the time of the inspection and there are plans to redecorate several bedrooms as part of the ongoing environmental improvements. The tumble dryer was not working on the day of the inspection Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 14 but the home have asked for repairs to be made and getting quotes regarding a replacement. The laundry staff member demonstrated awareness of the infection control policies and laundry care procedures and has worked at the home for many years. Those residents met raised no issues regarding the laundry. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staff morale is now improving which was the result of staff turnover and sickness over a short period of time. The staff have a strong sense of team and are working positively to improve consistency of care to residents. EVIDENCE: The residents noted that at times the staff appeared busy particularly in the mornings and early evenings. None suggested that they had to wait an unacceptable amount of time for assistance when they used their call bell. At the time of the inspection there were 20 residents. The staffing rota appeared to offer a balance of experienced and new staff. Some new staff had worked in the care sector prior to their appointment. The duty rota staffing consisted of morning shifts with 3 carers and 2 trained staff; afternoons, 3 carers up until 4pm with a trained staff member; evening shifts, 2 carers and 1 trained and nights 1 trained and 1 carer. Total care staffing numbers are 10, with 10 ancillary staff, the registered manager, 2, second level nurses and 4 part time first level nurses. Staff turnover and sickness had impacted on staff morale within the home in the short term according to those met. Several staff had worked incredibly hard to cover the staff shortage until appropriate new staff were recruited many had not taken holidays. However, there was a strong sense of team and loyalty to the home, they had welcomed new staff and felt that now fully staffed their morale was improving. The registered manager had effectively Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 16 managed the staff shortage and was proud of the way staff had positively responded to the homes staffing needs. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, & 38 The registered manager is supported well by her staff and provides clear leadership with staff having clearly defined roles appreciated by the residents and visitors alike. EVIDENCE: The residents met demonstrated full awareness and understanding of the management structure of the home. Several remarked that the registered manager was approachable and available to them at any time should the need arise. The newly appointed Deputy Manager is settling into her role and is considering completing a conversion course in the near future. In the interim a first level nurse is always available on call or within the home according to the registered manager and as demonstrated by the staff rota. The staff enjoy the open approach of the homes management and feel that their views are considered in practice at staff meetings. Fire drills and training are documented and undertaken appropriately. Fire risk assessments are not yet completed but will be addressed and reviewed as soon as possible and records updated by the Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 18 Registered Manager as recommended by the inspector. General risk assessments regarding residents, for example smoking had not been reviewed for over eighteen months and a recommendation to do so was made. Documentation otherwise was stored in accordance with data protection in the Registered Managers office. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x x x x x 2 Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 20 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. Standard OP9 Regulation 13 Requirement Recording of homely medications to be in accordance with that of the Royal Pharmaceutical Society Guidance. Timescale for action 27/06/05 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. 2. 3. 4. Refer to Standard OP38 OP38 OP7 OP36 Good Practice Recommendations Fire risk assessments to be undertaken in accordance with Avon Fire Brigades guidance. Residents general risk assessments to be reviewed regularly taking into account any change in the needs of the residents Care plans to contain sufficient detail to provide care to the residents appropriately. To ensure that the laundry facilities can meet the needs of the residents. Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection .Riverside Chambers Tangier, Castle Street, Taunton, Somerset. 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. Extracts may not be used or reproduced without the express permission of CSCI Jasmine Court Nursing Home D53-D02 S61537 Jasmine Court Nursing Home V228059 270405 Stage 4.doc Version 1.30 Page 22 - 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. 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