Inspection on 12/12/05 for Jasmine House

This inspection was carried out on 12th December 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 House 05/12/06

Jasmine House 15/06/05

Jasmine House 11/01/05

Jasmine House 17/08/04

Jasmine House 20/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Jasmine House Jasmine Care Ltd 22 Westcote Road Reading Berks RG3 2DE Lead Inspector Ruth Lough Unannounced Inspection 12th December 2005 13:00 X10015.doc Version 1.40 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 DS0000043986.V265946.R01.S.doc Version 5.0 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. 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 DS0000043986.V265946.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jasmine House Address Jasmine Care Ltd 22 Westcote Road Reading Berks RG3 2DE 01189 590684 01189 585458 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) Jasmine Care Ltd Mrs Helena Jane Hawkins Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (1), Terminally ill (6), of places Terminally ill over 65 years of age (6) Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users category TI - not to be admitted under the age of 45 years. Service user category PD - not to be admitted under the age of 45 years. 15th June 2005 Date of last inspection Brief Description of the Service: Jasmine House is a medium sized nursing home opened in September 2003 that is registered for 40 residents. The home is two residential Edwardian semi – detached properties that were converted to a care home by previous owners. It is situated in a quiet road just off major road links to the centre of Reading and has easy access by public transport. Jasmine House is one of three homes owned by the company, Jasmine Care Ltd. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit to review the quality of service provided and the outcomes for the service users living there. The inspection visit took place over an afternoon and involved looking at records, tour of the home and discussions with service users and staff. 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. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 7 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 the following standard(s): These standards were not assessed. EVIDENCE: As above. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 8 and 10 Service users health needs are met by the home and they are supported to access external medical or professional treatment as and when required. Service users are treated with dignity and respect by the staff. EVIDENCE: The home has a detailed assessment of need process that identifies the individuals health needs and includes the skin integrity, nutritional status and mental health. Appropriate action is taken by staff for the prevention of pressure sores and any treatment required, is provided. External advice and assistance is sought from external professionals for nutritional, tissue viability and continence advice. The home also works well in conjunction with the community palliative care team to provide a homely supportive environment for service users admitted at the end stage of their lives. The service users are supported to receive dental treatment and opticians and hearing tests should they request it or if a need is identified. Service users, where able, are encouraged by the staff to take part in routine exercise sessions that are held in the home. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 9 Service users confirmed and the inspector observed that staff are friendly, polite and respectful towards them. The service users privacy and dignity is not compromised as all medical consultation or treatment occurs in the privacy of the service users own rooms. Suitable screening for privacy was seen in some of the rooms that are shared by service users. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 12,13 and 14 Service users are supported to continue with their chosen lifestyle as much as their health permits. EVIDENCE: Service users choices of how they wish to live and what their leisure interests are noted during the assessment of need and reviews of care. The service users specific interests are recorded and staff support them in regard to their individual religious observances. The home has employed a senior member of the care staff team to be responsible as part of their normal duties for the continuity and development of the general and individual’s activity programmes. This member of staff has received some training specific to the role and has further training planned. Service users are able to do as much or as little as they wish or are able. The activities range from staff taking tea with them, hand massage, manicures, reading with or to service users as group or individuals. Other activities include movement to music, sing – a – longs, films, cheese and wine parties and seasonal events. Information for the activities is displayed on the notice boards in the home and staff ensure that service users are verbally informed of the planned events. The staff provide small groups of activities such as games or reminiscence and offer alternatives should the service users wish. The service users and staff informed the inspector of the proposed Christmas activities that included visiting choirs, musical performers and a Christmas party. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 11 Relatives, families and friends of service users are given the opportunity to visit the home in accordance to the individual’s wishes. Often the home support the families to take part in the service users birthday celebrations should they choose to. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 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 the following standard(s): 17 and 18 The service users have their legal rights protected and are safeguarded form harm by the policies, procedures provided and training for staff. EVIDENCE: The home records support that those service users who wish to take part in the civic voting process are able to. The majority of who do so, are assisted to use the postal vote system and are supported by staff where necessary. The home has information for the locally available advocacy service should the need arise which is supplied in the Service User Guide and in leaflets left in the home for visitors. The policies and procedures for the protection of service users are in place and incorporate the local inter – agency protocols on vulnerable adults and abuse. The staff are given training in the induction process and at regular intervals for abuse and supporting information is provided in the staff handbook. Senior staff have attended the appropriate level training and updates in accordance to their roles. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 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 the following standard(s): 19 and 26 The home is well maintained, suitable for purpose and has a clean and pleasant atmosphere. Procedures and practices for the control of infection are in place. EVIDENCE: The home was not purpose built for the current service provision. The building was originally an existing family residence that has been converted over a number of years and different ownership. The home has many originally architectural features and retains a homely atmosphere. There is a programme of regular maintenance and routine redecoration for all parts of the building. The grounds are kept safe and accessible to service users. A recent fire inspection by the local fire authority identified deficits that need to be rectified. These were carried out swiftly and in accordance to the requirements made by the fire officer. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 14 The home is kept clean and protocols are in place to ensure that the control of infection is managed well. Sluices, bathrooms and toilets have the facilities for the disposal of soiled sanitary/ incontinence pads. The home has recently updated the laundry area to reduce the possibility of cross infection. Service users confirmed that the laundry service has improved and personal items are returned swiftly and are well cared for. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The staff have been appropriately trained to ensure that they are skilled and knowledgeable to carry out their roles. EVIDENCE: The home has a planned programme of training that is provided to staff to support their specific roles and the changing needs of the service users. There is a rolling programme of the mandatory health and safety training carried out both in the home and externally. Other training provided has included dementia, receiving and charting medication, nutrition and the use of supplements, record keeping and the recording of accidents and emergency treatments. The staffs training needs are identified in the induction and supervision processes and the carers receive foundation training in care during the first six months of employment. Service users expressed that they have confidence that the staff are suitably skilled and experienced to carry out meeting their care needs. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 The home has an effective quality assurance process that seeks the opinions of the service users and contributes to developing the services provided. The home has suitable structures in place to protect service users monies and valuables. EVIDENCE: The home has further developed the quality assurance processes and has carried out various consultation exercises involving service users, staff and others. The information that has been obtained over the past financial year is now in the process of being collated together in order to be published and provided to the participants and other interested parties. The management team have used the individual survey processes to implement changes to improve the service during the year. Service users confirmed that their opinion is sought, both individually and as a group, and that they feel listened to. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 17 The home is not involved with handling service users monies. The service users or their representatives are provided with and invoiced for hairdressing, private chiropody and any other expenses occurred that are not supplied by the home. Service users are provided with a lockable space should they wish to store valuables. Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X x HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Jasmine House DS0000043986.V265946.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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