Inspection on 11/10/06 for Jasmine House

This inspection was carried out on 11th October 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 House 06/10/08

Similar services:

Kings Lane (32)

Pemdale

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Jasmine House 41 Hillfield Road Hemel Hempstead Herts HP2 4AB Lead Inspector Jeffrey Orange Key Unannounced Inspection 11th October 2006 08:05 Jasmine House DS0000064279.V315993.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 DS0000064279.V315993.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 DS0000064279.V315993.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jasmine House Address 41 Hillfield Road Hemel Hempstead Herts HP2 4AB 01582 841741 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) Complete Care Services Limited Mrs Louise Andrade Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are none Date of last inspection Brief Description of the Service: Jasmine House is registered to provide care and accommodation for six young adults with a learning difficulty and is owned and operated by Complete Care Services Limited of Langthorne House, Pipers Lane, Aley Green, Bedfordshire LU1 4DS. Jasmine House is situated in a residential area of Hemel Hempstead, within easy reach of the town centre and convenient for public transport. The accommodation is on two floors and provides adequate communal and individual facilities furnished and equipped to a high standard, giving an essentially homely and domestic feel to the home. Outside of the home there is a decked area with seating, together with a well laid out garden and patio. There is adequate parking available to the front of the building. The home has a Service User’s Guide and Statement of Purpose that includes contact details for the Commission for Social Care Inspection (CSCI). Weekly fees are in the region of £1650 subject to individual assessment of needs. ( As at October 2006) Personal toiletries and magazines/ newspapers are subject to additional charge. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection for this service and took place over three and a half hours in the morning. This provided an opportunity to meet the two service users, the manager and those members of her staff team who were having a training session that day in the home. As well as speaking with and observing service users and staff, it was possible to look at the premises, check essential records, including recruitment and medication and to look in particular at the assessment process for both service users, who have only recently moved in. What the service does well: What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 6 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 DS0000064279.V315993.R01.S.doc Version 5.2 Page 7 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): 12345 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a thorough and extensive assessment process undertaken before admission to ensure that a prospective service users’ needs are known and can be fully met by the service. Prospective service users are encouraged to visit the home prior to admission and are given a contract and statement of terms and conditions in an appropriate format. This helps them know what the home is like and will provide for them, and what they have to provide for themselves. EVIDENCE: The assessment process for the two recently admitted service users was examined and found to be comprehensive and exhaustive. The manager indicated that some assessments undertaken have not led to admission as the prospective service users’ needs would not have been appropriately met. Individual contracts were seen to include the terms and conditions for living in Jasmine House, presented in a format that helps prospective service users to access and understand them. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 8 There was evidence in records seen of a visits being undertaken by prospective service users and/or those responsible for their care. Jasmine House DS0000064279.V315993.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): 679 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in developing care plans, which establish their own goals, needs and aspirations and which reflect the way they want these to be met in practice. The home operates with the service user at the centre and staff offer support and guidance, within a risk assessment framework, to help service users regain and retain the maximum independence and control over their own lives that is possible. EVIDENCE: Care plan documents for the two service users were examined and were found to include signatures and other evidence to show that they were actively involved in drawing them up and reviewing them. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 10 Whilst the exact format of care plans is currently being finalised they do already essentially include the necessary information. Talking to and observing the way care was given to the service users provided good evidence that they are being supported and encouraged to make decisions about their lives, for example in drawing money from their accounts under supervision and in accessing community facilities more successfully. Jasmine House DS0000064279.V315993.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): 12 13 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are helped to maintain family relationships, to access community facilities and to take part in activities inside and outside of the home in line with their own interests and preferences. Meals reflect both service user taste and preference as well as any applicable dietary advice. EVIDENCE: Care plans provide evidence of the active encouragement and involvement of the service user’s families in their lives and care. Service users enjoy a range of activities including trips away from the home, accessing shops and services in the locality, attending some clubs and special social events. These activities reflect what the service users want to do and feel comfortable in doing and are being developed and expanded in line with their wishes. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 12 Copies of menus and meal choices were seen and reflected personal choice and preference and offered a flexible pattern for meals and meal times. Jasmine House DS0000064279.V315993.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): 18 19 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with assistance with personal care to meet their needs in a way that respects them as individuals and reflects their own wishes and preferences. They are helped to access any necessary community health services and are assisted with any necessary medication in a safe and sensitive manner. EVIDENCE: Care plans seen include evidence of the involvement of a range of health and social care professionals in the care of service users. This should mean that they receive the additional expert health care they need. The interaction between service users and staff as care was provided was seen to be sensitive and appropriate and there was a calm and unhurried atmosphere within the home. Medication policies, procedures and practice are robust and those records checked were accurate. This should provide service users and those responsible for them with confidence in respect of the safe administration of their medication. Jasmine House DS0000064279.V315993.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): 22 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are fully involved in their care and there is a comprehensive complaints policy, in an appropriate format readily available to them to enable them to make a complaint should they wish to do so. Staff are trained to recognise abuse and to report it appropriately if it is seen or suspected. EVIDENCE: The home has a comprehensive complaints policy and procedure, which is available in an appropriate format for service users. Service user views are canvassed and recorded as a matter of routine and their families are also involved in the review of their care needs. Training on adult abuse issues was being given in the home by a suitably qualified external trainer on the day of the inspection visit and further training was identified on the home’s training schedule. Jasmine House DS0000064279.V315993.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): 24 28 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment of the home is domestic in character and is well presented and maintained with a very high standard of furnishing and fittings so that it meets service users needs in a safe and pleasant way. Were service users with more profound physical disabilities than those currently resident to be considered for admission into the home, care would have to be taken to ensure that any required aids or adaptations could be put in place for them. EVIDENCE: A tour of the home including the communal areas of the kitchen, dining room and lounge was undertaken. The standard of furnishings and fitting seen was high and provides service users with a very comfortable, homely environment in which to live. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 16 The gardens have been laid out to include decked and patio areas which, weather permitting, complement and enhance the communal areas available to service users inside the home. On the day of the inspection visit, the premises were clean and hygienic. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of recruitment and training for staff should provide service users, and those responsible for their care, with confidence that care is being provided by appropriate numbers of staff with the training and support necessary to ensure that it meets service users’ needs safely and appropriately. EVIDENCE: The staffing levels, currently in place provide well for the care needs of the current service users. Staff training, including NVQ at level 2 and 3 is well structured and resourced so that service users can feel confident that staff have the skills and knowledge that they need in order to assess and meet service users’ care needs. The recruitment process for two recently employed members of staff was seen and included the required checks and documentation to ensure, as far as is possible, that only suitable individuals are employed in the home. Jasmine House DS0000064279.V315993.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): 37 39 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and the providers have a robust system of quality assurance in place which obtains the views of service users and those responsible for them and takes these into account when making decisions about the home and its operation. EVIDENCE: The manager has recently been registered by the CSCI and has demonstrated that she has the skill and experience necessary to ensure that the polices and procedures required to provide a safe and efficient home for service users, meeting their care needs, are in place and put into practice. Very comprehensive and useful reports are made to the CSCI on a monthly basis by the providers and with their agreement this will continue, in a revised format as discussed during this inspection process. Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 19 There is a comprehensive system of risk assessments in place and those maintenance and insurance records seen were up to date. Jasmine House DS0000064279.V315993.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 3 2 3 3 3 4 3 5 3 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 3 25 X 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 21 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. 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 YA20 Good Practice Recommendations The manager should continue to monitor the storage temperature of medication to ensure that it remains within the recommended range in each case, for example in the case of Lactulose not exceeding 20°C. When the induction programme is reviewed consideration should be given to the inclusion of an explicit section on issues around the protection of vulnerable adults and the Hertfordshire policy for this. 2 YA23 Jasmine House DS0000064279.V315993.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 DS0000064279.V315993.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. 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