Inspection on 16/01/06 for Jasmine House

This inspection was carried out on 16th January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jasmine House 12/09/07

Jasmine House 11/01/07

Jasmine House 18/05/05

Jasmine House 05/01/05

Jasmine House 28/07/04

Jasmine House 12/09/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Jasmine House Jasmine House 1a Upherds Lane Ely Cambridgeshire CB6 1BA Lead Inspector Alan Buttery Unannounced Inspection 16th January 2006 2.00pm Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jasmine House DS0000033483.V269228.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jasmine House Address Jasmine House 1a Upherds Lane Ely Cambridgeshire CB6 1BA 01353 662261 01353 662261 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cambridgeshire Social Services Linda Peckett Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (2) of places Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two places for persons aged over 65 years are for two named individuals 18th May 2005 Date of last inspection Brief Description of the Service: Jasmine House provides a long-term home to up to six service users with a learning disability, and is owned and operated by the local authority. Some of the service users have associated physical disabilities. The home is situated close to the centre of Ely, and within walking distance of the city centre. Service users are encouraged to use the nearby local facilities. The accommodation is on two floors, with one ground floor bedroom, and communal facilities and the remaining five bedrooms on the first floor. There is a lift to facilitate access to the first floor. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the current year and an unannounced visit. The homes’ manager is currently on sick leave, but arrangements have been put into place to ensure suitable management continues in the home. Since the last inspection, one of the service users has passed away, and the home currently has vacancies for two service users. A previous allowance was made for two named service users to live in the home after their 65th birthday, but neither now live in the home, and this condition will be removed and a new certificate issued. During the inspection, the acting manager, who normally works in a different service was available, and assisted the inspector with information, but was unable to provide access to staff files and training records. What the service does well: The home provides a stable and domestic environment for the service users living there who are generally all happy, and involved in day-to-day activities. The home is well furnished, and since the last inspection the staff team has remained very consistent. Requirements from the last inspection have been met, and no new requirements were made at this inspection. The service users individual plans were of high standard, showing the involvement of the service users in their preparation, and detailed risk assessments included which along with the care plans are kept under constant review. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 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 DS0000033483.V269228.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Polices and procedures are in place to assess the needs of prospective service users and ensure the home is able to meet those assessed needs. EVIDENCE: During the inspection, the procedures followed for new service users moving into the home were discussed. The Local Authority operates the home, and the locality manager would be involved along with the home manager in assessing the suitability of a prospective service user, and the impact on the other service users living there. The local care management team would provide assessment material, and initial visits and trial stays would be arranged. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Service users are involved in establishing person centred care plans, which are kept under review at all times. EVIDENCE: During the inspection, the individual plan of one of the service users whose needs have changed over the past few months was looked at. The plan was very detailed, evidencing the involvement of the service user and included detailed risk assessments. In light of the considerable changes to this persons needs, it was pleasing to note the regular reviews that had taken place, and the revisions to the risk assessments made as frequently as needed. The service user in question is currently in hospital, and in view of the considerable changes that have occurred, the home will need to consider carefully whether they can continue to meet her needs in the future, and in addition what this service users wishes to do, as she has in the past expressed a wish to move. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 10 Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, and 17 A range of activities are available to ensure all service users can take part in things they enjoy, and which them chance to develop interests and skills. EVIDENCE: The individual care plans examined illustrated the involvement of the service users, and the outcome base used, looking at how the individuals wished to develop their lives. In addition, the changes to the day time activities available have enabled service users to develop further interests as well as continuing with the things they enjoy, and to utilise far more the community facilities available in the area. In addition they continue to share activities with peers where this is appropriate. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 12 Service users are encouraged to assist with menu planning and the necessary shopping, although some are more actively involved than others. The acting manager indicated that a choice of meals is always made available, and support from dieticians is available. A record of meals is available, and this is used to ensure that meals are varied, and as far as possible healthy options are utilised. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 21 Service users physical and emotional health needs are identified and met appropriately, and procedures are in place to deal with ageing and death as required. EVIDENCE: As has been indicated already, the health needs of the service users are clearly recognised by the service, and individual care plans demonstrate how these needs are met. The home has very good links with the local community nursing team, and other professionals who all provide support and advice as required. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home complaints policy and adult protection policy ensure service users are safe and the views listened to at all times. EVIDENCE: The complaints policy has been amended to include details of the CSCI, which was a condition of the last inspection report, although the home has received no complaints this year. Training is provided to all staffing adult protection issues, although on this occasion training records were not available for inspection. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home is clean and comfortable and service users are involved in day-today activities. EVIDENCE: The home continues to offer a setting that is domestic in nature with comfortable communal areas shared by the service users. Individual rooms are well furnished, and decorated to service users tastes. On the day of the inspection, the home was clean and tidy, and there were no unpleasant odours. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: These standards were not assessed on this occasion Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42 The home is well managed and policies and procedures in place to maintain the comfort and safety of service users. EVIDENCE: The homes manager is currently on sick leave, and a temporary manager in post. The acting manager is providing adequate support to staff and service users, and has faced some difficult issues well, and is being offered a good level of support from his line manager, and in turn supporting and supervising the home’s regular staff. The level of support to staff has been particularly good in the period following the death of one of the homes service users in December 2005. It is hoped the registered manager will be able to return to work shortly, and the service must keep the CSVI informed of events. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 18 The acting manager was able to evidence health and safety checks are all in place, and suitable policies and procedures followed, for the benefit of staff and service users. Jasmine House DS0000033483.V269228.R01.S.doc Version 5.0 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jasmine House Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000033483.V269228.R01.S.doc Version 5.0 Page 20 None 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 YA37 Regulation 38(2)(c) Requirement The service must keep the CSCI informed of management arrangements Timescale for action 28/02/05 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 DS0000033483.V269228.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 DS0000033483.V269228.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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