Inspection on 18/05/05 for Jasmine House

This inspection was carried out on 18th May 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Jasmine House 12/09/07

Jasmine House 11/01/07

Jasmine House 16/01/06

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 1a Upherds Lane Ely Cambridgeshire CB6 1BA Lead Inspector Alan Buttery Announced 18 May 2005 @ 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jasmine House Address 1a, Upherds Lane Ely, Cambridgeshire, CB6 1BA 01353 662261 01353 662261 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) Cambridgeshire County Council Linda Peckett Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 (2) of places Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Two named individuals over the age of 65 Date of last inspection 5/01/2005 Brief Description of the Service: Jasmine House provides a long term home 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, and mental health issues, and one service user is now over the age of 65.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 I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the current year, and an unannounced visit. The service users in the home all lead active community based lives, and on the day of the inspection, were all out and about. As a result, a second visit was arranged, at which time it was possible to meet three of the service users, and discuss their views on the service. These views are incorporated in this report, along with observations made during a staff meeting, which was being held at the time of the first inspection. Cambridge County Council operates the home, and the home therefore follows all the county council policies and procedures. What the service does well: What has improved since the last inspection? Since the last inspection, the statement of purpose and service user guide have been revised, and meet the requirements of the regulations. In addition further assessment work has been carried out, looking specifically at the daily activities undertaken by service users. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 standard(s) 2 Policies and procedures are in place to ensure that any service user moving to the home has had a detailed assessment completed, and is clear that the home is able to meet the assessed needs. EVIDENCE: The home provides long-term accommodation for the service users living there, but following the death of a service user earlier this year, currently has a vacancy. A policy is in place to manage the admission of a new service user, and this was discussed with the manager. An initial referral from the local learning disability team would be followed by an assessment of the persons needs by the home manager, with a view also taken on the compatibility of a new admission with the other service users in the home. Initial visits would be arranged, followed by a longer visit before a final decision would be made by all parties involved in the process, including the service users and their family. A prospective new admission has been identified, and the home is in the early stages of assessing whether they are able to meet this persons needs, before looking at the wider issues of compatibility. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 standard(s) 6,7 and 9 Detailed care plans and risk assessments are in place and regularly reviewed, ensuring that all staff are aware how to meet the individual needs of the service users, and able to offer appropriate support in making decisions affecting their everyday lives. EVIDENCE: Each of the service users in the home has a detailed care plan, ensuring that staff are aware of their needs, and how these needs should be met. These care plans were seen during the course of the inspection, and discussed with the manager. Service users are supported in making choices regarding all aspects of their lives, for example, discussions are being held with service users who currently attend a local day service in, and the intention is to provide activities during the day, which the service users have chosen. These discussions have also identified the need for one of the service users to retain the structure that attending the day centre gives, to try and change things completely, would be very difficult for the service user to cope with. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 10 These changes will assist the service users in becoming more independent, and risk assessments are used to ensure the safety of service users, without unnecessary restrictions. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 standard(s) 12, 13, and 16 Evidence clearly demonstrated that service users are able to use local community facilities as well as more specialist services, and the activities available are appropriate, and kept under review. EVIDENCE: As has been indicated above, service users are encouraged to take part in activities appropriate to their age and culture, as well as activities in their local community. Day service activities are being revised, to offer a more community-based programme. The manager and staff team are all working to ensure that service users are supported in choosing suitable activities, and still have the opportunity to look at new experiences. During the second part of the inspection, the inspector was able to talk to three of the service users who indicated that they are generally happy with the service and choice offered, although one of the service users would prefer to move back to the Huntingdon area, where she lived previously. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 12 This has been acknowledged, and raised with her care manager and further discussions will take in the coming weeks. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 standard(s) 18 and 19 The initial assessments and care plans ensure that service users health, physical, emotional and personal support needs are identified and met in an appropriate manner. EVIDENCE: Service users health and personal care needs are identified through the assessment and review process, to ensure that needs can be met. The home offers support to the service users in an appropriate way, and the service users spoken to during the inspection were happy with the service they receive, and the way in which it is delivered, and have a good relationship with the staff team in the home. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 standard(s) 22 and 23 Although service users felt happy their comments and concerns would be listened to, insufficient information is available within the policies to enable them to raise these concerns with the CSCI if they wished to. EVIDENCE: Service users spoken to during the inspection felt happy that their views are listened to, and any concerns they have taken seriously. One service user identified issues, and these were discussed with the manager who was able to clearly show that the concerns are being listened to, and will be addressed where possible. The complaints procedure in the home remains an issue, but is apparently being addressed, and a new procedure being written. The home operates under the county council policies and procedures, but needs to ensure these to not bring them into conflict with the CSCI or care standards regulations. Staff have all received adult protection training through the local authority, and are aware of procedures. Any new staff will receive training as part of their induction. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 standard(s) 24 and 30 The home offers a very suitable environment, in which service users contribute to the daily activities, such as cooking and cleaning. EVIDENCE: Jasmine house offers a clean and comfortable home, on a very domestic scale, which is very appropriate to the needs of the service users living there. There are sufficient communal areas, which allow service users he chance to spend time quietly if hey choose, or relax in the kitchen joining in or watching the preparation of meals. Individual rooms are decorated to individual choice, and service users have the opportunity to bring personal items with them. The home was clean on the day of the inspection and there were no unpleasant odours. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home employs sufficient staff at present to meet the needs of the service users, with a variety of training available. EVIDENCE: Staff all receive training both internally and through county council courses, and a detailed induction programme is available for new starters. Statutory training requirements are updated annually. The home’s manager is currently completing an NVQ assessor’s course, which will make NVQ training easier to manage. Staff have also received training specific to individual service users needs, for example around dietary issues. Staffing levels are suited to the service users living in the home but should be reviewed before any new admission takes place. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 Policies and procedures are in place to ensure the health and safety of service users and staff is protected at all times. EVIDENCE: As has already been indicated, discussions were held with three service users as part of the inspection, and the views of staff members at a team meeting were also observed. It was clear from the discussion that the views and wishes of service users are listened to, and reflected in the support provided. The home is owned and operated by Cambridgeshire County Council, and has all the health and safety policies in place to ensure the protection of service users and staff. Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 18 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 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Jasmine House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 19 yes 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 22 Regulation 22(7) Requirement Carried Forward The homes complaints literature must incluide contact details for the CSCI Timescale for action 31/8/2005 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. Refer to Standard 33 Good Practice Recommendations Staffing levels should be reviewed before a new service user is admitted Jasmine House I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 I53 I03 S33483 JASMINE HOUSE V227183 180505 STAGE 2.doc Version 1.30 Page 21 - 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. 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