Inspection on 06/10/08 for Jasmine House

This inspection was carried out on 6th October 2008.

CSCI found this care home to be providing an Excellent 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 11/10/06

Similar services:

Kings Lane (32)

Pemdale

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Extracts from inspection reports are licensed from CQC, this page was updated on 17/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Jasmine House 41 Hillfield Road Hemel Hempstead Herts HP2 4AB     The quality rating for this care home is:   three star excellent 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: Jeffrey Orange     Date: 0 6 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Jasmine House 41 Hillfield Road Hemel Hempstead Herts HP2 4AB 01442253398 Telephone number: Fax number: Email address: Provider web address: jasminehouse41@yahoo.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Louise Andrade Type of registration: Number of places registered: Complete Care Services Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Jasmine House is registered to provide care and accommodation for six young adults with a learning difficulty or a mental disorder and is owned and operated by Complete Care Services Limited of Langthorne House, Pipers Lane, Aley Green, Bedfordshire LU1 4DS. Jasmine House is situated in a residential area of Hemel Hempstead, within easy reach of the town centre and convenient for public transport. The accommodation is on two floors and provides good communal and individual facilities furnished and equipped to a high standard, giving an essentially homely and domestic feel to the home. The home now benefits from a large conservatory which provides additional communal space for people living in the home. Outside of the home there is a well laid out garden and patio with seating available for people living in the home. There is parking available to the front of the building or on street subject to availability. The home has Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 0 6 6 Brief description of the care home a Service Users Guide and Statement of Purpose that includes contact details for the Commission for Social Care Inspection (CSCI). Weekly fees are in the region of 1650 subject to individual assessment of needs. ( As at October 2008) Personal toiletries and magazines/ newspapers are subject to additional charge. Care Homes for Adults (18-65 years) Page 5 of 27 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: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection site visit took place over several hours starting early in the day so that the morning routine could be observed. We were able to speak to most of the people living in the home and to members of the staff team on duty, including the registered manager. The responsible individual was also present for part of the visit. We have provided surveys not only for people living in the home but also for people associated with them who are familiar with the home. Where responses have already been received before this report was finalised they have been taken into account, any received afterwards will be recorded and assessed and used to inform Care Homes for Adults (18-65 years) Page 6 of 27 future regulation activity. We looked at the key records in the home, including care plans and medication administration documents together with staff recruitment and training files. The home provided us with information prior to this visit in their Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment document that focuses on how well care outcomes are being achieved for people living in Jasmine House, it also includes some useful statistical information. Weekly fees for Jasmine House remain in the region of 1650, subject to individual assessment of need. Personal toiletries and magazines or newspapers are subject to an additional charge. Jasmine House has a Service Users Guide that includes contact details for the Commission for Social Care Inspection (CSCI) and copies of the latest inspection report are available in the home. 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 Adults (18-65 years) Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The assessment process undertaken before admission is thorough and ensures that only someone whose needs can be met will be admitted. Evidence: When we looked at records of the assessment process for people who have been admitted into Jasmine House we found that it was thorough and comprehensive and identified their needs and how they were to be met. We found that information provided for people living in Jasmine House or considering doing so is clear and accessible to make sure they can benefit from it and understand it. When we talked to some of the people living in Jasmine House we found that they had been encouraged to visit the home before moving in if they wanted to and were able to. I couldnt have come to a better home was the comment of one person who has moved into the home since the last inspection. Care Homes for Adults (18-65 years) Page 10 of 27 Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. People living in Jasmine House are fully involved in the way any care they need is provided and their views are central to the way the home and its routines are managed. Support and guidance is provided within a risk assessment framework to help them maintain their independence and control over their lives to the greatest extent possible. Evidence: When we looked at some example of care plans we found that they were in appropriate formats and that there was evidence that people living in the home are fully involved in their own care-planning, both in drawing them up and reviewing them. We read records of meetings held by the people living in Jasmine House which showed that they are able to discuss any matters of concern about the routines and management of the home as well as the delivery of their care. When we spoke to the manager about outcomes from these meetings she was able to give us several examples where requests and suggestions had been taken up, for example an exercise Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: bike is being provided to help people living in the home to keep fit. We saw a menu ideas file in the kitchen, which includes suggestions from people living in Jasmine House for changes in the menu. When we talked to some of the people who live in Jasmine House, they told us that they were involved in decisions about their care and they said they felt what they said was listened to and acted upon in most cases. When we looked at risk assessments, we found that they were realistic and designed to enable and promote the independence of people living in the home. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. People living in Jasmine House are supported to maintain relationships, to access community facilities and to undertake a range of social and learning activities inside and outside of the home in line with their own interests and preferences. Evidence: When we looked at care plans, they included evidence of the involvement of the families and friends of people living in the home when that was what they wanted. We saw several of the people living in the home going out for a variety of activities. When we spoke to them they told us about the shopping trips they make, the college courses they have undertaken and the holidays they have either had or which are being planned. The home told us in the AQAA how people living in the home are involved in routines like laundry, cleaning, shopping for food and specific tasks, for example one person Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: has taken responsibility for keeping the front pathway swept clean each day. We found that because some of the people living in the home have health related special dietary needs, the home draws on the services of dieticians and keeps detailed weight records for people living in the home so that any changes in weight can be properly evaluated and the necessary action taken to safeguard their well-being. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. People who live in Jasmine House are treated with respect, their care is provided in the way they prefer and they receive effective personal and healthcare support. Evidence: When we looked at care plan records we found that they contained details of the involvement of a range of health and social care professionals with people living in the home and whilst we were at the home one person was assisted to keep a doctors appointment. This supports the assessment that people living in Jasmine House are able to access the healthcare support they need. When we checked medication records we found that they were accurate and well kept which means that people living in Jasmine House who rely on staff to help them with their medication can be confident that this wil be done safely. We found that although controlled drugs were safely stored, the controlled drug register being used wasnt suitable and that one specific type of medication was not being recorded in it in line with what is considered best practice. When we discussed this with the manager she agreed to make sure this was put right. When we talked to people who live in Jasmine House about the way their care is given Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: they told us that they were treated very well. I am very happy here, this is the best place I could have come to one person told us. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Jasmine House has an open culture that encourages people living there to express their views and concerns in a sympathetic and supportive environment. Staff are supported by training to recognise any actual or potential abuse and how to respond to it. Evidence: When we looked at the homes complaints policy and procedure we found that it was clear, easy to understand and provided in an appropriate format for the people who live in Jasmine House. We have not received any adverse comments or complaints about Jasmine House since the last inspection and the manager informed us in the AQAA that no complaints have been made directly to them either. When we spoke to staff and looked at staff training records we found that safeguarding training has been given and that more is planned. This should provide staff with the skills and awareness they need both to recognise potential abuse and to know what to do if it is seen or suspected. When we spoke to people who live in Jasmine House and as we saw them during the inspection they made it clear that they were able to express their views and make their opinions known. We saw records of meetings held with people living in Jasmine House which recorded their views on a number of issues and we were able to follow these up and found that Care Homes for Adults (18-65 years) Page 18 of 27 Evidence: they had been responded to positively where that was possible. They each also have access to or contact with individuals and organisations outside of the home, including family members and advocacy services, with whom they could readily raise any concerns that they might have. Care Homes for Adults (18-65 years) Page 19 of 27 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical environment fully meets the requirements of the people who live in Jasmine House and the standard of furniture, fittings and equipment generally is exceptional. People living in Jasmine House are able to create their own space which reflects their needs, interests and taste and reflects their individual personalities. Evidence: When we spoke with people living in the home they told us that they had been able to choose their own furnishings including new carpets in some rooms. We were invited to see several bedrooms by people living in the home and these were furnished to a very high standard in a style and with personal belongings which made them very much their own space. The home has a new conservatory at the rear which was being used constantly throughout this visit and the home has comfortable lounge, dining room and kitchen areas. We found that the home was clean and well maintained and people who live in the home told us that they help with keeping it clean, one person likes to sweep the front path to keep it clear. Care Homes for Adults (18-65 years) Page 20 of 27 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. There are consistently enough staff available, provided with the training and supervision support they need to enable them to meet the needs of people living in Jasmine House. People living in Jasmine House can be confident that they are protected by the thorough and robust recruitment process for care staff that is in place. Evidence: When we spoke to members of the staff team they were able to confirm details of the training and supervision they receive and this was supported by documentation seen. We work as a good unit and We are a good team were some of the comments made by staff and other comments such as We are well supported and Very much so were made in answer to questions asking if they felt encouraged to attend routine and additional training. Staff training records and individual training profiles were seen and provided evidence of a breadth of appropriate training, including NVQ at level 3. The homes AQAA provides further evidence of NVQ qualifications of staff with 7 out of 9 staff either already holding or working towards NVQ level 2 or above. When we looked at the recruitment records for recently recruited staff we found that Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: the process was thorough and robust and should provide confidence for people living in the home or those that are responsible for them that they are protected appropriately. The numbers on staff on duty was adequate to meet the needs of people living in the home and enabled staff to accompany them outside of the home during the inspection for social activities and to attend day service or keep routine health appointments. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Jasmine House is well managed and people who live and work in the home benefit from a robust and thorough management approach to risk assessment and record keeping. The manager has an open style of management that allows people who live and work in the home to participate in the decision making process and to have their views, needs and aspirations taken into account in the way the home is run. Evidence: The registered manager has demonstrated both on paper and in practice that she has the necessary skills and experience to manage a care service effectively and this was confirmed again by what we saw and heard during this inspection visit. She is very supportive and I very much appreciate the support of my manager were some of the very positive comments made. We observed that the manager had a comfortable and appropriate relationship with people living in the home who were evidently very much at ease with her. When we looked at key records, including risk assessments we found that they were accurate and up to date and the AQAA which the manager submitted to us was well Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: completed, realistic and demonstrated a positive approach to regulation and a robust and ongoing quality assurance process for Jasmine House. Care Homes for Adults (18-65 years) Page 24 of 27 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 Adults (18-65 years) Page 25 of 27 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 Adults (18-65 years) Page 26 of 27 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 © (2008) 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 Adults (18-65 years) Page 27 of 27 - 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!