Inspection on 18/02/09 for Jasmine House

This inspection was carried out on 18th February 2009.

CSCI found this care home to be providing an Good service.

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 21/08/08

Jasmine House 14/09/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Jasmine House 7 Pensclose Witney Oxfordshire OX28 6EG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Lough     Date: 1 8 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Jasmine House 7 Pensclose Witney Oxfordshire OX28 6EG 01993702860 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : peacockgeorge@hotmail.com Mrs Margaret Peacock,Mr George Peacock care home 3 Number of places (if applicable): Under 65 Over 65 3 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 2 1 0 8 2 0 0 8 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 Peacocks 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. Care Homes for Older People Page 4 of 23 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced key inspection process generated from the poor findings identified at the last assessment of the quality of the service by the commission in August 2008. This inspection process included reviewing information provided by the service before a one-day visit to the home. During the day the records for care planning and the administration of the service were assessed. The people who use the service were consulted about their opinion of what is provided. We also spoke to staff during the day. Care Homes for Older People Page 6 of 23 From this visit it was found that the areas that needed to improve during the last inspection as to protect the health and promote the wellbeing of the people they support have been met. No further requirements were made. A small number of good practice recommendations were given at the time of the inspection and can be found in the body of this report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has the necessary documents and processes in place should the need arise to carry out an assessment of an individuals needs before they are admitted to the home. Evidence: The home is able to provide prospective residents with information about what the service can offer before they make a decision to move into the home. The manager confirmed that there have been no changes in the residents living in the home since the last inspection in August 2008. Therefore the records for the assessment processes for the two current residents were not reviewed on this occasion. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported to obtain the personal care and support that they need. They are also assisted to maintain their health and seek any professional help to meet their medical needs. Evidence: Both residents confirmed that they were cared for very well and that their needs were being met. The records and information for the care planning and the support provided to the two residents were reviewed. This was to assess if the deficits in the risk assessments and the planned actions to reduce or eliminate them had been improved. These were with specific reference to bathing and with hot surfaces such as radiators in the areas of the home that individuals may come in contact with. From the documents seen it was clear that any risks to individuals had been identified, reviewed, and actions put in place to minimise potential areas of concerns. The records also showed that they continue to keep a good history of any specific Care Homes for Older People Page 11 of 23 Evidence: events or when support for the individuals health care needs, has been obtained. During the last inspection visit it was identified that the medication administration and record keeping was carried out effectively and safely. However, the storage facilities did not meet the necessary safe practices, as they were kept in a domestic bathroom cabinet in the single toilet upstairs. This concern has now been rectified and the home has purchased a secure metal cabinet for the purpose, which is now situated away from a communal area. This ensures that the exposure to possible moisture or infection contamination to the medications is reduced. From what information was available the staff in the home made sure that they have consulted the individuals about personal choices should their health deteriorate or at the end of their life. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home enjoy their lifestyle and continue to live as they choose. They are supported to maintain their interests where able and encouraged to participate in new. Evidence: The residents enjoying their pastimes and hobbies, such as listening to the radio, watching television, knitting, reading, and puzzle books. They have recently been encouraged to start playing a few games and from what information was provided, appear to enjoy them. The records for showing personal choices and wishes, hobbies and interests are brief but provide some information of what the individual needs support with. Both residents are still able to go out in the car for short trips, enjoy the journeys and look at the scenery. One resident continues to participate in the shopping for the home and accompanies Mr Peacock regularly to carry out this task. Short walks around the neighbourhood are also encouraged. Care Homes for Older People Page 13 of 23 Evidence: The home has a small number of visitors including relatives and friends of the residents, neighbours pop in for a chat, and the local church visit periodically. The meals continue to be enjoyed by the residents and although there is not a formal menu plan, their likes and dislikes are adhered to and meals are flexible to what they wish to eat. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service can be confident that their concerns or worries will be listened to and acted upon. The service has systems in place to protect them from possible harm or abuse. Evidence: The residents are provided with copies of the complaints procedure in the Statement of Purpose when they come to live in the home. They also appear to have a good relationship with the providers, where they feel confident to mention any concerns or worries. From previous information given, and with supporting comments from the residents themselves, any comments, concerns, or worries are dealt with swiftly. The home has not received any formal complaints or concerns since the last inspection visit. The commission has not been in receipt of any complaints during this period either. The concerns identified during the last inspection about a member of the staff team not having had the appropriate training in regard to the Protection of Vulnerable Adults has now been met. Mr Peacock has recently attended Protection of Vulnerable Adults training level two, appropriate to his responsibilities in the home, as to ensure that they have the knowledge to manage and handle any concerns should they arise. Care Homes for Older People Page 15 of 23 Care Homes for Older People Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home enjoy a comfortable homely environment that meets their current needs. Evidence: The environment of the home is pleasant, comfortable, and homely. Residents appear to continue to enjoy living there and the facilities meet their current needs and wishes. One resident has her bedroom and bathroom facilities on the first floor and the other has a ground floor room with a small en suite. The resident with the upstairs bedroom confirmed during the visit that they were still able to use the stairs safely. The deficits in the risk assessment processes, as previously stated, have been updated and ensure that the risks to individuals though the environment have been assessed and actions put in place. Throughout the home the environment and facilities show that there is a continual programme of redecoration and there is a very good standard of cleanliness. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The number and the skills of the people who care for the residents in the home, meet their needs and wishes. Evidence: The manager and responsible individual confirmed during the inspection visit that there has not been any changes in the staff employed in the home, since the last inspection visit. Neither have they had to use the services of an employment agency to supplement the staff team. The responsible individual and manager(2 staff) remain living and working in the home. Therefore the records for recruitment were not reviewed on this occasion. The management team have responded to the identified deficit in training that they have not undertaken over the last few years. Mr. Peacock has, as previously stated, attended the necessary Protection of Vulnerable Adults training in October 2008 and in addition for the Mental Capacity Act, in February 2009. Further training is booked for Moving and Handling in March. He also confirmed plans to attend Food Safety over the next few months. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well to provide a friendly homely environment that the residents enjoy living in. Evidence: The home continues to be run, as previously found, as a comfortable family environment where residents feel inclusive in the familys activities in a relaxed and pleasant atmosphere. Both people who provide the support and care have their roles that they take the lead in and together aim to provide the care and support that individuals need and expect. Through discussion with residents and Mr Peacock it was evident that there is not a formal method of seeking their opinion of what is provided. However, there is a continual dialogue of consultation and inclusion in what is going on in the home. Care Homes for Older People Page 19 of 23 Evidence: A sample of the records for one residents money that the home manages on her behalf was reviewed to see if the record keeping is carried out well and the resident is informed of what is spent. The records show that receipts and a log are kept of any transactions carried out and that the resident is informed of the status of the monies left. The relatives are also provided with a regular statement of the expenditures. The records for these were detailed but difficult to read as the handwriting untidy in places, as with some of the other records in the home. They were advised to look at this again as to improve this as to ensure that any instruction or transaction carried out can be read clearly and be understood. During the last inspection process there were concerns about the food safety practices in the home as food was seen left out, uncovered in an area of the utility where dirty laundry is managed. Since this was identified, they were able to inform that they have revisited the topic of safe storage of food, ensured that practices have improved. Mr Peacock confirmed that the topic was to be revisited as part of the planned training over the next few months. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!