Inspection on 11/01/07 for Jasmine House

This inspection was carried out on 11th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jasmine House 12/09/07

Jasmine House 16/01/06

Jasmine House 18/05/05

Jasmine House 05/01/05

Jasmine House 28/07/04

Jasmine House 12/09/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Jasmine House Jasmine House 1a Upherds Lane Ely Cambridgeshire CB6 1BA Lead Inspector Alan Buttery Key Unannounced Inspection 11th January 2007 10:00 Jasmine House DS0000033483.V326492.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 House DS0000033483.V326492.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 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 House DS0000033483.V326492.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jasmine House Address Jasmine House 1a Upherds Lane Ely Cambridgeshire CB6 1BA 01353 662261 F/P 01353 662261 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) www.cambridgeshire.gov.uk Cambridgeshire County Council Linda Peckett Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person over 65 years of age in the category LD(E) Date of last inspection 11th October 2006 Brief Description of the Service: Jasmine House provides a long-term home to up to six service users with a learning disability, and is owned and operated by the local authority. Some of the service users have associated physical disabilities. The home is situated close to the centre of Ely, and within walking distance of the city centre. Service users are encouraged to use the nearby local facilities. The accommodation is on two floors, with one ground floor bedroom, and communal facilities and the remaining five bedrooms on the first floor. There is a lift to facilitate access to the first floor. The local authority operates the service, with contractual arrangements in place with the local learning disability partnership, and fee levels vary depending on service user need. These fees were not available within the home. A copy of the last inspection report was in the office and available to service users and families. Jasmine House DS0000033483.V326492.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 unannounced inspection, during which the key standards were discussed with the registered manager, and judgements made. The inspection took place on two days, as on the first visit, the manager and service users were all out. There were no vacancies in the service on the date of the inspection, although one service user was leaving the following day, moving back to his mother’s house. Discussions around staffing indicated a considerable problem, with a number of vacancies and a current freeze on recruitment. What the service does well: What has improved since the last inspection? What they could do better: Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 6 A major concern revolves around the staffing of the service, with few regular members of staff, a reliance on bank staff and a recruitment ban. Staff are not being replaced if they leave, for example there is no longer a deputy manager, and morale is low. A wholesale review of staffing levels is required, ensuring that sufficient staff are available to cover both health and social care needs. Some individual plans are extremely good, and this should be seen as a standard for the others, and evidence of review and the involvement of service users in the plans should be available. 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 House DS0000033483.V326492.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 4 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Detailed information is gathered and visits arranged to ensure that the needs of the service users could be met. EVIDENCE: The home is owned and operated by the local authority, and uses their policies and procedures. Over the past year there have been new admissions to the home, and evidence of the procedures was seen on the files examined, ensuring that detailed information was obtained for the service users to ensure identified needs could be met. As part of the process visits were arranged to ensure that both the service user wishing to move to the home and the service users already in the home were happy. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Individual plans provide detail to ensure staff are able to safely meet the needs of the service users but service users should be involved more in the process. EVIDENCE: During the inspection, service user records were examined, and further work discussed to ensure that all care plans reflect fully the needs of the service users and show how these needs can be met. The care plans must be kept under review at all times and amended when necessary. . Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 10 The home is using person centred principles in the preparation of care plans and risk assessments, but should try to evidence how service users are themselves involved in the process. It is clear that the manager and staff seek to involve service users in all aspects of their care, but this should be better documented, and if the service users are unable to contribute, families may be involved. As part of the care planning process, risk assessments are used to ensure the safety of service users, both within the home and outside, and the safety of staff when moving service users. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. A range of activities are available, and links to the local community are good, but staffing issues must not restrict the activities available. EVIDENCE: As discussed earlier, some further work is required on care plans, and one of the examples seen contained an extremely comprehensive development plan, with clearly identified aims and objectives, and this sets a standard for all the personal plans to achieve. A plan of activities was available, and discussed with three of the service users, and provides a good mixture of activities throughout the week, both age and culturally appropriate, and involving the local community. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 12 Service users families are encouraged to spend time with the service users both in and out of the home, and evidence was seen on files examined that this is happening. A varied diet is available, with input where necessary from dieticians, and service users spoken to say that the food they were given was very good. It is however clear that some planned activities, and certainly ad hoc activities are being restricted by the staffing pressures faced by the service, which is not acceptable. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. EVIDENCE: The individual plans, although needing some further work do detail the manner in which personal support is given. The local health professionals ensure that both the physical and emotional needs of service users are met, and staff support the service users in attending any health appointments. This does impact on the time available for activities, and some further consideration must be given to ensure that all needs can be met, and that attending health appointments does not restrict the availability of social activities. The Service users in the home are unable to manage their own medication, and staff are trained to ensure the safe administration of medication. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place, ensuring any issues are appropriately dealt with. EVIDENCE: The home follows the local authority procedure on complaints, and this was discussed with the manager during the inspection. One complaint has been received by the home, which was appropriately dealt with in accordance with the policy. All staff are given training in adult protection issues, and follow the local authority procedures. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Although offering a clean and safe environment, some redecoration work is required EVIDENCE: Although offering a safe environment for service users, the home does need some refurbishment to bring it to a more homely and comfortable environment for the service users living there. Any redecoration undertaken appears to be done by staff, and a programme of refurbishment should therefore be instigated as soon as possible. The home is kept clean and on the day of the inspection, no issues were noted. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 16 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 33, 34 and 35 Quality in this outcome area is poor This judgement has been made using available evidence including a visit to this service. The existing staff team are dedicated, and competent, but a lack of recruitment is now affecting the service available to the service users in the home EVIDENCE: A major area of concern within the service is staffing, and although it is clear the staff employed are competent qualified and very committed, a shortage of staff, allied to a recruitment block, and other ongoing issues mean morale is low within the team. The shortage of staff means that activities cannot always be undertaken, and an increased number of medical appointments mean that this is further restricted. For example, one of the service users has to attend hospital for regular treatment, this takes one of the two staff members available away fro a significant part of the day and means only one member of staff is available for the other five service users, and depending on what activities are planned, some have to be cancelled. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 17 It also leaves the home in a potentially unsafe position if there were an emergency. Previous inspections have highlighted staffing issues, and it must therefore now be addressed as a priority, and further changes to the staff team will happen in the near future, and action is therefore needed now to address these issues. Recruitment policies and training ensure that those staff that are present are competent, and service users are not placed at risk. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 18 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is well managed, but more support from higher management is needed EVIDENCE: The home is well run by the current manager, notwithstanding the issues identified earlier in the report, but lacking in effective support from a higher level. The staff team appear committed to the service users, but morale is low, due to the reasons above, and current uncertainties. However this does not appear to be transmitted to the service users in the home. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 19 Service users are clearly part of the home, and during the inspection, three service users spoken to clearly felt happy that their views and opinions were heard, which is again a credit to the manager and staff. Policies and procedures are in place to ensure all health and safety matters are properly regarded, with training given to staff. Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 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. Standard YA6 Regulation 15(2)(b) Requirement Individual plans must be kept under review at all times to ensure currently identified needs are met Individual plans must demonstrate the involvement of the service user in their preparation. A programme of redecoration and updating must be introduced A detailed review of staffing must be undertaken, and steps put in place to ensure adequate regular staff are employed. Timescale for action 31/03/07 2. YA6 15(1) 31/03/07 3. 4. YA24 YA33 23(2)(b) 18(1)(a) 31/03/07 31/03/07 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 YA34 Good Practice Recommendations Recruitment procedures should ensure that appropriate numbers of staff are employed Jasmine House DS0000033483.V326492.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 House DS0000033483.V326492.R01.S.doc Version 5.2 Page 23 - 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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