Inspection on 06/12/05 for Jasmine House

This inspection was carried out on 6th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Jasmine House 18/02/09

Jasmine House 21/08/08

Jasmine House 14/09/06

Jasmine House 14/07/05

Jasmine House 09/12/04

Jasmine House 10/06/04

Jasmine House 04/12/03

Similar services:

The Maypole Nursing Centre

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Briars

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

CARE HOMES FOR OLDER PEOPLE Jasmine House 7 Pensclose Witney Oxfordshire OX28 6EG Lead Inspector Jane Handscombe Unannounced Inspection 6th December 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jasmine House DS0000013210.V271040.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Jasmine House Address 7 Pensclose Witney Oxfordshire OX28 6EG Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01993 702860 Mrs Margaret Peacock Mr George Peacock Care Home 3 Category(ies) of Old age, not falling within any other category registration, with number (3) of places Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 Brief Description of the Service: This is a home from home run by two highly experienced owners. It is registered to provide personal care to three men or women over the age of 65. It is not registered for physical disability or dementia. A highly individual and personal service is provided in a family-type, environment. All facilities are shared and there is no distinction between the standards for service users and those for the owners. The owners are very responsive to recommendations and requirements made at inspections. Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An Inspection was undertaken in July 2005 in which many of the key standards were assessed and have not therefore been reassessed during this inspection. In order to ascertain how the home is meeting the key standards, it is recommended that the two inspection reports be read in conjunction with each other. This was an unannounced inspection, in which both the residents and the home were unaware that an inspection was to be undertaken, and took place on the 6th December, 2005. The purpose of the visit was to see how the home is meeting the National Minimum Standards. The visit involved speaking to residents in order to ascertain their views upon the care and the services they receive at the home, and the staff who deliver the care, viewing care plans and assessments, whilst observing the general day to day operation of the home. At the time of inspection the service users were busy going about their daily activities in a calm relaxed atmosphere. The inspector was warmly welcomed, by both the staff and service users, on arrival. Much of the inspection focused upon life from the service users point of view. Overall, the general picture of gained by the inspector was of a well run, organised and caring home with a homely atmosphere and feel, which offers a client focused approach to the care provided whilst respecting the residents privacy and dignity at all times. The inspector would like to thank the residents and staff at the home for their time and co-operation during the inspection and the families, friends and health professionals who forwarded their comments to the inspector. What the service does well: Jasmine House feels very much a home rather than a care home. The resident’s are treated very much as individuals. The standard of décor and furnishings is exemplary, as is the cleanliness throughout the home. Residents were complimentary of the care they receive at the home and of the dedication of the staff. General observation and discussions with the residents informed the inspector that the staff were seen to be respectful and interacting with the residents in a manner that was thoughtful and considerate of their needs. Jasmine House DS0000013210.V271040.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 DS0000013210.V271040.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4 Prospective service users are provided with clear information about the services offered at Jasmine House to enable them to make an informed choice when choosing a care home for their needs. All service users undergo an assessment of needs to ensure that the home is able to meet these. EVIDENCE: All prospective service users undergo an assessment of needs before being offered a place at Jasmine House; this is to ensure that both parties are confident that these needs can be met. Prospective service users are provided with a service users guide and the homes statement of purpose, which give clear detailed information on the services provided, details about the qualifications and experience of the manager and owner of the home and information about the accommodation provided. Also included within this information is a copy of the complaints procedure. Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 10 and 11 All residents have a clear, detailed plan of care, drawn up from an assessment of need, which is regularly reviewed to reflect any changing care needs. The staff understand the issues around privacy and dignity, and the residents are treated with respect. Every effort to ensure the best possible care is provided and at the time of death, staff will treat residents with care, sensitivity and respect. EVIDENCE: The inspectors examined all three service users care plans, and found them to be comprehensive and clearly their individual care needs. Regular monthly reviews of the care plans are undertaken and documented. Generally, monthly personal safety and risk assessments are undertaken and clearly documented within the care plans as are their monthly recording of weight, although on the day of inspection two service users file informed the inspector that the recording of weight had not been kept up to date. Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 10 The manager informed the inspector that this would be undertaken immediately. The inspector was informed that the care planning and assessment process is undertaken by a person qualified to undertake such a task and the client is involved in the process, although two files contained no evidence to show client involvement and one failed to contain the signature of the assessor. The registered manager informed the inspector that the residents’ Care Managers signature would be sought and the omission rectified. The registered manager addressed the missing service users signatures during the inspection, in which he discussed the care plans and the assessed needs with the relevant residents and gained their signatures to evidence their agreement. Dentist, chiropodist, and opticians are all readily accessible to the residents. The inspector observed the staff communicating with the residents in an appropriate and respectful manner, using there preferred form of address, and knocking on doors before entering. Information about the resident’s wishes at the time of their death is obtained where possible at the time of their admission to the home, and the inspector observed this on examination of the care plans. Residents spoken to informed the inspector how they appreciated the care provided and one person said, “I couldn’t wish for anywhere nicer, they are so kind, I am very happy here.“ Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, and 15 The home encourages residents to maintain contact with family and friends and involvement in the local community accords with the resident’s preferences. All residents receive a wholesome nutritious diet, which is cooked freshly on the premises. EVIDENCE: Residents spoken to said that they were able to choose how they wished to spend their day and were not made to feel uncomfortable if they chose to stay in their own room, and not join fellow residents. The staff make every effort to find out what the individual residents life style, and preferences are and these are documented in the care plans. Residents are encouraged to maintain contact with the local community and their families and friends. One service user spoke to the inspector of her weekly visit to a day centre and a fortnightly visit to a club, stating ‘it is nice to be able to get out and meet other people’, whilst another enjoys visiting her friend who lives locally. Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 12 The meals provided at the home are varied, well balanced and cooked freshly on the premises. Residents were complimentary about the food provided; one resident informed the inspector that ‘the food is marvellous’ whilst another said ‘the food is very good, its cooked on the premises and very well balanced.’ The inspector was informed that anniversaries are celebrated and ‘I had a lovely birthday, they made me a beautiful cake.’ Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The inspector did not make a judgement on the outcomes in this section as all the standards were assessed during the last inspection in July 2005. EVIDENCE: Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed on this occasion, all key standards were assessed during the last inspection in July 2005. EVIDENCE: Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): During the last inspection all the above standards were assessed, apart from standard 29. Since there are no plans to recruit staff and procedures are in place if the need arises it has not been assessed on this occasion. EVIDENCE: Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The inspectors did not make a judgement on the outcomes in this section as none were inspected on this occasion. EVIDENCE: None of these standards were assessed on this occasion. Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Jasmine House DS0000013210.V271040.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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