Inspection on 14/09/06 for Jasmine House

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

Jasmine House 21/08/08

Jasmine House 06/12/05

Jasmine House 14/07/05

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 Pensclose Witney Oxfordshire OX28 6EG Lead Inspector Annette Miller Unannounced Inspection 14th September 2006 10:30 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 DS0000013210.V312121.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 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 DS0000013210.V312121.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jasmine House Address 7 Pensclose Witney Oxfordshire OX28 6EG 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) 01993 702860 peacockgeorge@hotmail.com Mrs Margaret Peacock Mr George Peacock Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 Brief Description of the Service: Jasmine House is a family run home. The registered proprietors are Mrs Margaret Peacock and her son, Mr George Peacock. Mrs Peacock is the main carer and Mr Peacock deals with administration. Mrs Peacock’s husband also lives in the home. Jasmine House is situated on the edge of Witney in an attractive residential area and admits up to three male and female residents aged from 65 years. The residents share two lounges, a dining room and conservatory with the family. There is one bedroom on the ground floor with en-suite facilities consisting of toilet, washbasin and shower for a resident. On the first floor there are two further bedrooms for residents and two for family members. A bathroom with a washbasin, toilet and domestic bath is also situated on the first floor shared by the family and residents. The home does not have a lift and this means that residents must be able to climb the stairs unaided to be able to live in the home. There is an attractive garden with good access from the conservatory. The fee is £342.00 per week. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the 1st April 2006 the Commission for Social Care Inspecton (CSCI) has developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’. A key inspection looks at those National Minimum Standards for the service considered most important by the Commission, and any others that the inspector considers to be necessary. The inspector arrived at the service at 10.30am and was there for 3½ hours. The inspection was a thorough look at how well the service is doing and took into account detailed information provided by the two registered proprietors who were present throughout the inspection. The inspector asked the views of the people who use the service and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. Written feedback was received from one resident and two health care professionals. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of services provided. What the service does well: What has improved since the last inspection? The proprietors consistently provide a good standard of care and no specific improvements have been identified. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 6 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 DS0000013210.V312121.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 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 the following standard(s): 1, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home’s Statement of Purpose and Service Users’ Guide provide prospective residents with details of the services the home offers, enabling an informed decision about admission to the home. All prospective residents undergo an assessment of needs to ensure that the home is able to provide the care that is needed. Intermediate care is not provided. EVIDENCE: The proprietors provide written information about the home in their Statement of Purpose and Service Users’ Guide. The Statement of Purpose is available to any resident, or representative of a resident, who requests to see it. A copy of the Service Users’ Guide is given to prospective residents for people to be clear about the services the home provides. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 9 The proprietors confirmed that all prospective residents undergo an assessment of needs before being offered a place at Jasmine House. This is to ensure that the home can provide the care that is needed. A recently admitted resident confirmed that she was assessed before admission, although there was no written record of the assessment in her care records. The proprietors should ensure that pre-admission assessments are recorded so that there is evidence of the extent of assessment and the findings. The present residents do not have any specific religious, racial or cultural needs and, therefore, the inspector was unable to assess how the proprietors would manage such issues. Any individual needs of a religious or cultural nature should be fully discussed with the proprietors before admission to find out if these matters could be met in this small home. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 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 the following standard(s): 7, 8 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The proprietors have a good understanding of the residents’ care needs and provide a very good standard of care. EVIDENCE: At the time of inspection there were two residents living in the home and each person’s plan of care was examined. The standard of care planning was generally good, with individual care needs recorded well. The action to be taken by staff could have provided more detail, although it was apparent from talking with residents that they considered their care needs were fully met. Also, the proprietors expressed verbally a good understanding of what was needed to meet residents’ care needs. There is a medication storage cupboard that provides safe storage facilities and a record is kept when medication is given. The residents said they did not wish to take responsibility for their own medication and were happy for this to be done for them. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 11 A care manager returned a comment card to the Commission that said, “This is a very well organised home and homely. Clients are very happy in the small home environment”. A GP also returned a comment card indicating complete satisfaction with the standard of care provided. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 12 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, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home provides a pleasant and relaxed environment in which residents are comfortable and well looked after. Meals are home-cooked, nutritious and nicely presented. EVIDENCE: The residents said they had formed a good friendship with each other and also the proprietors, and were happy in the home. It was clear that the residents had a high regard for the proprietors and other members of the family. The residents assured the inspector they were treated with dignity and respect. There was a good selection of videos, music CDs, books and magazines for residents’ entertainment. One resident said she looked forward to her weekly trip to a day centre and the other resident enjoyed visiting her hairdresser once a week. The day centre has its own transport and the proprietors organise transport to the hairdresser. Special events are celebrated, such as birthdays and anniversaries, and there is ample space within the home for families to visit. The home operates open visiting. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 13 Residents said they preferred to have meals served in the conservatory, although could use the dining room if they wished. Residents thought meals were ‘tasty’ and considered the standard of meals to be high. Mrs. Peacock said she used fresh, seasonal produce whenever she could. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 14 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has a satisfactory complaints procedure with evidence that residents feel their views are listened to and acted upon. EVIDENCE: The home has an appropriate complaints procedure, which is referred to in the Service Users’ Guide. Residents said they felt able to speak to the proprietors about anything of concern. The proprietors have not received any complaints since the last inspection, nor has the Commission received any information about a complaint. The proprietors are aware of issues relevant to the protection of vulnerable adults (POVA) and have access to the Oxfordshire multi-agency codes of practice about how to deal with any suspected or actual incident of abuse. They have not, however, attended formal POVA training and this is recommended. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 15 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, 21, 25 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The standard of environment within this home is good, providing residents with an attractive and homely place to live. However, there needs to be better monitoring of the temperature of hot water at outlets accessible to residents to ensure their safety. EVIDENCE: The home’s environment is comfortable, homely and well maintained. The inspector noted that cleanliness was particularly good, and residents confirmed that this was always the situation. Bathing and washing facilities consist of one en-suite shower and washbasin in the ground floor bedroom, as well as a bathroom on the first floor used by both the family and residents. The bath does not have a bath hoist and is not, therefore, suitable for residents who are unable to get in and out independently, which is the situation for present residents. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 16 The resident in the ground floor bedroom has given permission for her shower to be used by the other resident. The proprietors should keep this situation under review to ensure that the occupant of the room feels able to stop this arrangement at any time. The Health and Safety Executive (HSE) recommends that hot water to showers should be approximately 41ºC to protect residents from possible scalding (reference: Health and Safety in Care Homes 2001). The temperature of the hot water to the ground floor shower recorded 49ºC at the time of inspection. Mrs Peacock said she stayed with residents when they showered, so did not consider there was any risk, but the proprietors decided to turn the hot water supply off at the shower when it was not being used as a precaution. The inspector also found that the water to the hand basin in the dining room recorded 50ºC. A written risk assessment should be completed to identify whether residents are exposed to risk of scalding from hot water provided for bathing and washing. If risk is identified action must be taken to reduce the risk, such as fitting thermostatic mixing valves, to keep the temperature of hot water at water outlets to a safe limit (in the region of 41ºC to showers and 43ºC to baths and washbasins) as recommended by the HSE. Radiators are not guarded, nor do they have guaranteed low temperature surfaces. Therefore, a written risk assessment should be completed to identify whether residents are exposed to risk of burns from hot surfaces. If risk is identified action must be taken to reduce the risk. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 17 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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is run and managed by the proprietors who are on hand at all times to provide for the needs of the residents. EVIDENCE: The residents assured the inspector that their needs were met and that the proprietors looked after them very well. Mrs Peacock provides personal care and Mr Peacock deals with the day-to-day management of the home. Mrs Peacock said that agency staff would be employed if she were unable, for any reason, to provide care herself. In 2004 Mr Peacock attended training in care procedures and the certificate for this training was seen. Mrs Peacock has considerable experience in caring for older people, but has not obtained any formal care qualifications. Whilst it is the expectation of the Commission that carers undertake a national vocational qualification (NVQ), at least at Level 2, the inspector acknowledges that from the comments received it was clear that residents considered that Mrs Peacock provided a very good standard of care. However, the lack of this training means that the highest score that Standard 28 can achieve is 2 (partly-met). Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 18 The proprietors do not recruit staff to work in the home. Therefore, there were no recruitment files or induction records to check. All family members, including the proprietors, have undergone a criminal records bureau check. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Overall, the home is run in the best interests of the residents. However, the proprietors would benefit from updating their knowledge and skills in some areas of health and safety to ensure the safety of residents. EVIDENCE: The proprietors have many years’ experience of running a care home and caring for older people, but neither of them has obtained the Registered Manager’s Award. Therefore, the highest score that Standard 31 can achieve is 2 (partly-met). Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 20 Residents provide feedback about the home during everyday conversations with the proprietors. They also have an opportunity to give written feedback on feedback forms that are provided by the proprietors. The proprietors have a procedure for looking after residents’ money and the inspector saw itemised records showing separate deposits and withdrawals for individual residents. These records were in good order. The proprietors should consider updating their knowledge and skills in all areas of health and safety appropriate to the needs of the home and the residents, for example in handling and moving, fire safety, food hygiene, etc. Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 21 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 3 X 2 X X N/A 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 Standard No Score 16 3 17 X 18 2 3 X 3 X X X 2 3 STAFFING Standard No Score 27 3 28 2 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 23 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 2 3 Refer to Standard OP3 OP18 OP25 Good Practice Recommendations A copy of a resident’s pre-admission assessment should be kept in the resident’s care records. Staff working in the home should attend training on the protection of vulnerable adults. A written risk assessment should be completed to identify if residents are exposed to risk of scalding from hot water provided for bathing and washing. If risk is identified action must be taken to reduce risk, such as fitting thermostatic mixing valves to limit hot water to a safe temperature. A written risk assessment should be completed to identify whether residents are exposed to risk of sustaining burns from hot radiator surfaces. If risk is identified action must be taken to reduce the risk. The proprietors should update their training in all areas of health and safety appropriate to the needs of the home and residents. 4 OP25 5 OP38 Jasmine House DS0000013210.V312121.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way 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. 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