Inspection on 14/07/05 for Jasmine House

This inspection was carried out on 14th July 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 18/02/09

Jasmine House 21/08/08

Jasmine House 14/09/06

Jasmine House 06/12/05

Jasmine House 09/12/04

Jasmine House 10/06/04

Jasmine House 04/12/03

Similar services:

The Maypole Nursing Centre

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

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 7 Penclose Witney Oxon OX28 6EG Lead Inspector Jane Handscombe Unannounced 14th July 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 House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Jasmine House Address 7 Penclose Witney Oxon OX28 6EG 01993 702860 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) Mr & Mrs Peacock Care Home (CRH) 3 Category(ies) of Care Home only (PC) registration, with number Old age, not falling in any other category (OP) £ of places Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/12/2004 Brief Description of the Service: This is a “home from home” run by two highly experienced owners. It is registered to provide personal care to three men or women over the age of 65. It is not registered for physical disability or dementia. A highly individual and personal service is provided in a family-type, environment. All facilities are shared and there is no distinction between the standards for service users and those for the owners. The owners are very responsive to recommendations and requirements made at inspections. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place during the afternoon of 14th July 2005. The pupose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents to ascertain their views upon the care they receive at the home, staff members and the manager, viewing records held whilst also observing the day to day operations of the home. Family members visiting the home were also invited to give feedback. The home is one with a homely ‘family’ atmosphere, which was presented as clean, tidy and of very good décor. Residents were going about their daily activities in a very relaxed atmosphere whilst staff were observed to provide care and support to the residents in a calm, unhurried manner and respecting their individuality, privacy and dignity at all times. Comments received during the inspection included: ‘I am very happy, they look after me very well’ ‘I am very well cared for’ ‘I am lucky, really very lucky’ The inspector would like to thank the residents and the owners for their warm welcome and their assistance during the inspection process. What the service does well: The care provided at Jasmine house is of a very good standard. Residents were complimentary of the care receive and have a good rapport with both the staff and fellow residents. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 6 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 H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 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 House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 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) 1, 2,3 and 5 Prospective service users are given the information needed to allow them to make an informed choice when deciding upon where to live. A written statement of terms and conditions is provided to all residents. Service users are not admitted to the home before a full assessment of needs is undertaken, to ensure both parties are confident that those needs will be met. EVIDENCE: The home provides all prospective service users with the opportunity to visit and discuss any aspect of the service with the manager and supplies a leaflet containing information about Jasmine House and the services they offer, to enable the prospective service user to make an informed choice when deciding upon where to live. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 9 Prospective service users all have an assessment of needs carried out by either the manager, or if they are referred by social services, by their care manager, to ensure that the home is able to offer the level of support and care that is required and that the service user is confident that their needs will be met. Visits to the home are arranged, at which the prospective service user meets the staff and fellow residents in order to gain a ‘feel’ of the home before making a decision. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 10 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 and 10 Clear comprehensive risk assessments and care needs are undertaken and well documented in individual plans of care and ensure the residents health, safety and welfare. EVIDENCE: The inspectors viewed all the care plans for the residents in attendance during the inspection, which were found to have been drawn up from a full assessment of needs and were comprehensive, detailed and well documented. Risk assessments are undertaken as are reviews of care so as to ensure the health, safety and well being of the residents within the home. Service users medication records were seen to be well documented and accounted for. Service users assured the inspector that they are treasted with dignity and respect at all times. The owners were observed to knock upon doors before entry and treat the residents with dignity and respect at all times. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 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) 12, 13, 14 and 15 The residents are able to exercise choice in relation to their leisure and social activities, their food and meals, the routines of their daily living, in their personal and social relationships and in their religious observances. EVIDENCE: Residents, all of whom have a television in their own room enjoy watching television, listening to music, sitting out in the well maintained garden, receiving visitors and reading books. There is a visiting hairdresser and podiatrist to the home, if the residents require, and whilst the home provides some newspapers, along with the ‘Witney Talking News’, others can be supplied upon request and at an additional cost. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 12 One resident spoke to the inspector of two clubs she attends, where she is able to socialise with other members and take part in outings which ‘I really enjoy’. The inspector was informed that ‘the manager is very good and provides transport wherever possible.’ The meals offered at Jasmine house are cooked freshly on the premises, are wholesome and appealing and ‘very tasty’ and can be taken in the dining room or where the residents require. Discussions with residents informed the inspector that the residents find the lifestyle they experience at Jasmine House meets their expectations and needs and that they are helped to exercise choice and control over their lives. Residents manage their own financial affairs, with the assistance of their families or representatives. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 13 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, 17 and 18 The home has a complaints procedure, which service users are aware of as are their families and feel confident in placing a complaint should the need arise. Residents legal rights are protected and all are on the electoral role, whereby they can choose to vote in person or by postal vote EVIDENCE: Whilst the home has received no complaints, residents and their families are confident that any concerns or complaints they may have, will be listened to, taken seriously and acted upon appropriately. Steps are taken to ensure that all residents are able to vote in the elections, if required, and this can either entail a postal vote or by visiting the local polling station to suit the residents preferences. Discussions with both owners demonstrated they had a good knowledge around the area of abuse and the home has a copy of the national prevention of the abuse of vulnerable adults. The owner and inspector discussed the Oxfordshire multi-agency codes of practice and it was recommended that a copy be obtained for future reference. It was noted that the complaints procedure needs updating to reflect the Commissions name change. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 14 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) 19, 20, 23, 24, 25 and 26 The home provides safe, comfortable well maintained surroundings, which are equipped to meet the residents needs. A pleasant garden is available for use by the residents and is equipped with garden seats and tables and a wooden summer house. Bedrooms are comfortable and decorated with service users own possessions. EVIDENCE: Residents live in a safe, well maintained environment and the owner implements recommendations made by fire officers and Environmental Health immediately. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 15 The owner followed good practice requesting a re-inspection by a fire officer after this inspection, but the fire service declined to visit stating that it is the policy of the Oxfordshire Fire and Rescue Service not to routinely inspect residential care homes that are registered for less than four residents. An environmental health officer last visited the home in April 2003 and the owner was informed that the next visit will be in 2006 unless a problem comes to light. Routine maintenance is carried out on the home, which was observed to be of a very good standard. The owners have undertaken some work on the garden as it was felt this would improve the health and safety of the residents. Edging slabs have been placed around all borders and flower beds. Number of large roses have been moved to ensure residents comfort when strolling around the gardens. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 16 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, 28 and 30 The home is run and managed by the two owners who are on hand at all times, providing for the needs of the residents. The hours provided and the skills between them meet the service users needs and the manager undertakes further training in order to ensure the residents needs are met appropriately EVIDENCE: Whilst the home have not had the need to recruit further staff, they have undertaken CRB (Criminal Records Bureau) checks on all family members, as a matter of good practice. The manager has undertaken further certification training in care procedures and is in the process of looking for an NVQ assessor, which would allow him to undertake NVQ Level 4 training, and meet the standard. A score of 2 in this report has been given to reflect this. Residents spoken to during the inspection assured the inspector that their needs were met appropriately and that they were ‘very well looked after’. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 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) 31, 33, 35, and 38 Those living at Jasmine House are confident that the home is well managed and that they benefit from the management and the ethos of the home. The home is run in the best interests of the residents. EVIDENCE: The home is run very well with the two owners experience and skills complimenting each other. Between them they have many years of experience in caring for older people and running a home. The manager has not yet undertaken NVQ level 4 in care due to problems in accessing an assessor who can undertake the assessing at Jasmine House although he is still endeavouring to find one and continues to update his skills when necessary, thereby ensuring he meets the residents needs. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 18 Records of the management of Residents finances are not undertaken by the owners since they do not undertake the role of appointeeship, this is strictly undertaken by residents family members or by representatives. The health safety and welfare of residents are promoted and protected. Risk assessments are carried out for safe working practices and the owners ensure compliance with all relevant legislation. Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 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 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x 3 x 3 x x 3 Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 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 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. 2. Refer to Standard 18 16 Good Practice Recommendations It is reccommended that the owners acquire a copy of the Oxfordshire multi agency codes of practice It is reccommended that the complaints procedure be ammended to include the newer regulatory body Comission for Social Care Inspection Jasmine House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Burgner House 4630 Kingsgate Oxford Business Park (South) Cowley, Oxford, OX4 2SU 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 House H57_H08_S13210_Jasmine House_V238925_140705_Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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