Inspection on 28/02/08 for Jasmine House

This inspection was carried out on 28th February 2008.

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 31/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Jasmine House 48 Radnor Road Handsworth Birmingham West Midlands B20 3SR Lead Inspector Richard Eaves Unannounced Inspection 28th February 2008 09:00 Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 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 DS0000068337.V351685.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 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 DS0000068337.V351685.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jasmine House Address 48 Radnor Road Handsworth Birmingham West Midlands B20 3SR 0121 551 4326 0121 551 4326 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) Mrs Maudlyn Smiley Mrs Maudlyn Smiley Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can care for five named service users over 65 years of age which is outside the category of of registration (5 MD (E)). The home must ensure that the changing care needs of the older service users can be met, these care needs remain under regular review. 31st January 2007 Date of last inspection Brief Description of the Service: Jasmine House offers a residential service to 8 adults who are users of mental health services. Some of the people also have additional needs relating to medical conditions that restrict mobility and the home is currently able to meet these additional needs. The home is situated in a popular, residential area, and the home is not distinguishable from other houses in the road. The home benefits from being close to a range of services including a GP, shops, chemist and public transport. The property has three storeys. On the ground floor there are two en-suite bedrooms and a single bedroom, a formal lounge, lounge/diner, kitchen, combined toilet/shower, and conservatory. The laundry is housed externally in an outhouse/garage. The first floor has 4 bedrooms; 1 single, 2 en-suite singles and 1 en-suite double there is also a communal bathroom and a small manager’s office. The second floor is used for staff accommodation. At the rear of the property is a well-maintained garden. To the front of the building is off road parking and a ramp with handrail, by which you obtain access to the home. The homes range of charges is currently £332.97 to £464.00 per week. The fee information given applied at the time of the inspection; persons may wish to obtain more up to date information from the agency. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection visit was undertaken over one day by an Inspector from the Commission for Social Care Inspection using the following information: reports from the organisation relating to the conduct of the home, records maintained at the home, the annual quality assurance self assessment, meeting and speaking with the people who use the service and staff on duty. The inspection involved a full tour of the property including bedrooms of those who invited the inspector to see their room, communal rooms and the garden area. What the service does well: What has improved since the last inspection? The home has been proactive in addressing all the previous requirements and recommendations and these are listed below. Care planning has been improved with all assessed needs included. Improvements have also been achieved in risk assessments and planning risk reduction. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 6 Where people need to follow specific diets for medical reasons details of these are included in the individual care plans and a dietician has been actively involved in advising. Staff undertake induction training as specified by Skills for Care to equip them with the skills and knowledge to fulfil their roles. The home has in place a quality monitoring system based on seeking the views of the residents with a view to continuous improvement. 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. The summary of this inspection report can be made available in other formats on request. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 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 DS0000068337.V351685.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 – 5 Quality in this outcome area is good. The homes statement of purpose and service user guide are good sources of information providing details of the service enabling people to make informed decisions about admission to the home. Pre-admission assessments are undertaken by experienced staff and confirmation is given to people that their needs can be met by the home and further confirmed by contract at the time of admission, access to the community could be restricted due to the lack of clarity in the contract for one person. Prospective people are invited to visit and trial the home before commitment to staying at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes statement of purpose and service user guide are good sources of information, including the rate of weekly fees and provides details of the service enabling people and families to make informed decisions about admission to the home. The statement of purpose (SOP) requires to be read in conjunction with the business plan for the aims and objectives and mission statement, copy of these should be included in the SOP enabling the business plan to be kept confidential. The service user guide was dated September 2006 and requires review if only to amend the commissions details. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 9 All but one person have been resident at the home for a number of years and had a full review of the assessment process and are subject to regular reviews along with the care plan. The practice of keeping the assessment and care plan with the daily records requires referencing in the case file to avoid confusion. All files were seen and three case tracked, each had a detailed assessment including their mental health, social and relationships and community involvement. Other needs such as health conditions, mobility and personal care, the level of independence such as self-care and home care skills. These extensive assessments are supplemented with good social histories and pen portraits that provide real insight to the individual. One person experiencing falls has been professionally assessed. Through observations of care practices and interactions between staff and the people who live at the service, discussion with staff and the people who live at the service it was clear that the assessed needs would be met. The level of staff skills as demonstrated by the commitment to training the needs of the people using the service are met. Standard compliant contracts and terms and conditions were seen to be included in the people’s files. A form of contract with the Social Services team was also seen. The home has the facility to confirm that assessed needs can be met before accepting the individual for admission. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6 - 10. Quality in this outcome area is good. Care needs are comprehensively identified in Care Plans and the necessary directions of actions required to ensure that people’s care needs are fully met and health is promoted. Care Plans are regularly reviewed and revised as necessary. People who use the service are fully involved in all aspects of life at the home and are supported to make decisions for themselves and encouraged to be as independent as possible, even though this may mean taking risks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three people who use the service were selected for case tracking and other case files were used to confirm that the standard is consistent. The care plans were found to be ‘assessed needs’ based, which promotes choice and independence and encourages a responsible approach to taking risks to increase independence and decision making. There was clear improvement in care planning since the last inspection with all assessed needs transferring over for care planning. Each of the people case tracked had extensive range of individualised care plans with good evidence of their involvement in the Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 11 development of the plans. The range of plans included all areas specifically identified by the standard for example, plans for behaviour interventions. Staff have all received training in mental health awareness and challenging behaviour and the care plans focus on positive behaviour. In conversation with people who use the service it was clear that they knew of the level of help they individually need and what they can achieve for themselves. The care plans were seen to be subject to monthly reviews. We engaged in conversation with the people who use the service, observed care practices and inspected the files to confirm that service users are supported in decision-making processes. All people are assisted in some degree with managing their finances and detailed procedures are in place including receipts and double staff signatures to help safeguard peoples’ money. Files include good information about rights and choices and each person was seen to express these, most engaged in activity away from the home at different day centres. One person had gone to the local General Practice prior to going on for a day at the day centre, and was escorted for this to ensure accurate feedback about the individual’s health. Records confirm that meetings for people who use the service take place on a monthly basis where topics including the home, activities and staff are discussed. The minutes of these include agreed actions and timescales for undertaking. The topics in the meetings include how to make a complaint, community opportunities, daily living activities such as vacuuming and maintaining bedrooms in a clean and tidy condition. Holiday and outings planning and birthdays An extensive range of risk assessments and risk reduction plans were in place for each individual and individual person training is included in the plan of care. Confidentiality of records and other aspects of personal information are maintained securely and those inspected seen to be accurate and up to date. The topic is given the necessary priority and included in staff training and staff sign for their copy of the policy. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11 – 17 Quality in this outcome area is good. Staff support people who use the service to access opportunities for their personal development and appropriate activities. The involvement of family and friends is encouraged in agreement with people’s wishes. The home provides a varied leisure, social and recreational activities that provide interest and pleasure for the people who live there. People who use the service follow a lifestyle appropriate to their age. Meals at the home are wholesome and meet the nutritional needs of all people who live there while providing for choice, cultural and personal taste. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who use the service and information within their case files show that opportunities are provided for each to develop life skills both within the home and through attendance at day care and training courses. The case records clearly identify individual interests and means of accessing these. We met all seven people over the day, they spoke of their satisfaction with life at Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 13 the home and the opportunities they have for enjoyable activity on a day-byday basis. Three people chatted with us while waiting to go to a day centre, which they all agreed was ‘really good’. As the transport arrived they were seen to assist each other and set off happily. One further person had already left going via a GP appointment. On return she said she was well and had enjoyed the morning out. Another person said he would be going out after lunch, the other two said they had chosen to stay in but one said he might ‘pop out to the shops later’. Activities arranged within the home routinely include; individual supported shopping trips, recently a group visit to the theatre. Last summer trips out included a visit to Dudley Zoo and a day at the seaside at Barry Island. Inhouse they have progressive mobility exercises, bingo, puzzles and board games, two were seen to be playing together having elected independently to play the game. Current meetings for people who use the service include planning a summer holiday and future evening meals out; previous meals have included Chinese and other pubs and restaurants. People who use the service told us that they were free to choose and frequently spent quiet rest time in their rooms with TV and radio particularly following a busy time at the day centre. One person told us that he attends a mechanics course twice a week and is enjoying it, he also supports and follows football closely. All of the people actively participate in some element of domestic activity if only in their own bedroom or setting and clearing tables. Three people who use the service took lunch at the home during the visit, it comprised of a choice of baked fish or cottage pie and a choice of deserts, both choices were taken, the meals served looked wholesome and very appetising, both people eating in the dining room told us “It was very enjoyable”, as are all the meals at the home. Records were seen of meals taken including; what people eat away from the home. Records are detailed and indicate choices taken and quantity taken. A number of the people within the service are ageing and it is recommended that nutritional screening be introduced on a risk-assessed basis. Two of the people like culturally different meals and these are provided, some of the other people also enjoy these meals. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18 – 20 Quality in this outcome area is good. People who use the service are assisted to maximise their independence and control over their lives and staff respect their privacy and dignity and give support to achieve this. Healthcare needs are well documented and are compiled with the input of the individual service user. Arrangements for the administration of medication are good and ensure service users medication needs will be safely met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person who uses the service has an individual care plans that address the areas of personal care and support and clearly identifies where assistance is needed. These have been developed with promoting independence as a priority. We observed that only minimal support is required with personal care, mostly prompting. All interventions are documented within the care plans. The principals of respect, privacy and dignity are well established in the home. People told us that they have their own routines and these include getting up Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 15 and going to bed, they also choose how and when they spend the day such as attending day centre on certain days, these routines are documented in the individuals files and staff spoken with were conversant with what each of the people routinely did. The records show that all people’s’ health care needs were generally met by attending the local doctors surgeries, hospital appointments, and regular checks on blood pressures and sugar levels as required by health conditions. There was also evidence that where necessary people do receive specialist in put for example, physiotherapy and attending a falls clinic for one individual. A dietician has provided advise and a smoking cessation advisor has spent time with the people who smoke. One of the people who uses the service has been assessed as able to self medicate. The home uses the Boots monitored dosage system and has the support of their pharmacist who undertakes quarterly audits, which were seen to be satisfactory. We did not see any controlled drugs currently used at the home although a controlled drug register is available. We were told that if used in future prescriptions for controlled drugs would be stored in a safe. Arrangements for the receipt, storage, administration, recording and disposal of medicines comply with the homes policy and this standard. The medicine administration charts were inspected and seen to be very well completed with no omissions. The pharmacy has agreed to provide a medication trolley this will replace the current locked dresser in the dining room. A number of people take as ‘required medications’. There were no care plans in place as there should be to instruct staff in which circumstances they should be given. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. The home’s complaints and protection policies are robust providing a safe environment in which people feel they can voice concerns and that these will be listened and responded to. Staff demonstrate a sound knowledge and understanding of adult protection issues which contributes to an environment that is safe from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A clear and concise Complaints Procedure is displayed in the main hallway, which includes reference to the Commission for Social Care Inspection as the regulatory body, together with contact details, which now require amendment. We spoke with people who all said they were very happy with the service they were receiving and had received a copy of the complaints procedure. The daily reports and meeting minutes show that people who use the service express their views freely and are listened too. There have been no complaints since the last inspection. Policies relating to the protection of vulnerable people from abuse were observed to be in place and readily accessible, these included, ‘Whistle Blowing’, ‘Abuse Awareness’ and ‘Adult Protection’. Staff training files indicated that Staff had received training in respect of these Policies. There have been no safeguarding referrals. In conversation with staff it was clear Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 17 that they had the knowledge and confidence that they had been well prepared to respond effectively to the types of challenges that may present at the home. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 - 30 Quality in this outcome area is good. The Home provides a comfortable, attractive, safe and ‘homely’ place to live. The home is clean, hygienic and free from odours. People live in a comfortable home that offers them a life style suited to their age. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in a popular, residential area, and is not distinguishable from other houses in the road. The property has three storeys with people’s accommodation on the ground and first floors. The home does not have a lift and therefore has limits of suitability for people with physical disabilities. The ground floor has three bedrooms, formal lounge, lounge/diner, kitchen, combined toilet/shower, and conservatory. The laundry is housed externally in an outhouse/garage. The first floor has four bedrooms, bathroom and an office. Five bedrooms have en-suite including showers. At the rear of the Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 19 property is a well-maintained garden. To the front of the building is a limited amount of off road parking. On entering the home it was noted to be odour free, clean and inviting. Some people who lived at the service were eating breakfast while others were in the conservatory or their bedrooms; one person had gone out to the Doctor. A tour of the building confirmed that the home is clean and hygienic and in very good decorative order. The laundry is situated in the garage and is equipped with two domestic washing machines and a dryer. To reduce risk radiators need to be guarded. The risk is increasing as one person is at risk of falls. Hot water is controlled but needs to be monitored if the control is by mixing valve. The valves also should have an annual antiscald test and be serviced annually. Three people allowed us into their rooms. These rooms have been personalised. People told us they enjoyed looking after their rooms, cleaning and changing the bed linen. Staff facilities are on the second floor including the sleep in accommodation, a further staff WC is on the lower floor. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31 – 36. Quality in this outcome area is good. Staff are clear as to their individual roles and responsibilities and are enthusiastic, sufficient in numbers, well trained, supportive and committed to maximising the people who live at the service quality of life. The recruitment practices and staff training contribute to ensuring that people who live at the service benefit from the skills and knowledge of the staff. This is further enhanced by up to date and relevant formal supervisions. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were two staff at the home when the inspection began, a further staff member was escorting a person to the Doctor. The proprietor and senior arrived within a few minutes of us arriving. A two weeks rotating rota shows that in addition to senior staff two support workers are on duty during the day and one during the late evening. Night arrangements are for one sleep in with the manager or senior on call. The manager was advised to keep records of all staff activity overnight to demonstrate when the time arrives the need for additional funding to cover changed staff requirements. The current NVQ 2 qualification exceeds the standard at 85 . Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 21 Three staff files were selected for inspection and included the most recently appointed. The recruitment process was of a high standard with all necessary checks being undertaken prior to commencement. The files inspected all included an application, 2 references, interview record, CRB and POVA first check which helps to ensure that people who use the service are protected. The home uses a ‘Skills for Care’ standard for inducting new staff, other mandatory training was noted to be up to date for all staff and the home uses accredited training for medication administration. A training matrix has been introduced since the last inspection and demonstrates a high commitment to training and staff say they are well prepared for the work they do. Records for one to one supervisions were seen on individual’s files and regular staff meetings are held. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. Leadership of this home is good and staff demonstrates an awareness of their roles and responsibilities. The manager’s approach is open and positive and develops positive relationships amongst service users and with staff. The home has arrangements to review its performance, which includes seeking the views of people who use the service, families and other stakeholders. Environment management and staff training in respect of health and safety ensures that people’s safety and welfare are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The proprietor/manager is well qualified and experienced in caring for people with mental health needs and the running of a residential home. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 23 Relationships between the manager, the people who use the service and staff were very good, we were left with no doubt that the home was run in the best interests of the people who use the service. The home has developed a quality assurance system to ensure high standards of practice and a safe environment and has been implemented over the past year. All environmental elements are in place. The system provides for audits and recently included the environment, staff files and people who use the service case files along with case reviews. Surveys have been undertaken of people’s views, and of families and other stakeholders such as Social workers and other giving services to the home such as the hairdresser. Staff meetings also take place, topics included such things as quality assurance and policies and procedures. The home has policies and procedures in line with the commissions list and these were currently being reviewed and updated. Adult protection should be a priority review. Health and safety in the home were well managed. Staff received training in safe working practices. There was evidence on site that equipment was being regularly serviced. All the in house checks on the fire system were up to date and regular fire drills were being carried out. Accident and incident recording were seen to be appropriate and the manager was notifying the Commission as required of any incidents in the home. Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard YA20 Good Practice Recommendations It is strongly recommended that a specific drugs trolley be obtained for the storage of medication. It is also recommended that a care plan be devised for as required medications. The statement of purpose and service user guide should be reviewed and the aims, objectives and mission statement currently in the business-plan, incorporated into the statement of purpose. As the persons using the service grow older, standards for older persons services should be applied such as monitoring of controlled hot water and attaching radiator covers. A monitoring of night staff activity and on-call should be formally undertaken to establish when staff increase may be required. 2. YA1 3. YA27 4. YA33 Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 26 Jasmine House DS0000068337.V351685.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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