Inspection on 28/11/06 for The Hockeredge & Jasmine Centre

This inspection was carried out on 28th November 2006.

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

The Hockeredge & Jasmine Centre 25/09/09

The Hockeredge & Jasmine Centre 15/05/09

The Hockeredge & Jasmine Centre 10/06/08

The Hockeredge & Jasmine Centre 14/02/06

The Hockeredge & Jasmine Centre 18/07/05

The Hockeredge & Jasmine Centre 23/11/04

The Hockeredge & Jasmine Centre 16/08/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE The Hockeredge & Jasmine Centre 2-4 Canterbury Road Westgate-on-sea Kent CT8 8JJ Lead Inspector Sandra Crosby Key Unannounced Inspection 28th November 2006 10:30 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 The Hockeredge & Jasmine Centre DS0000023573.V315236.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 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. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Hockeredge & Jasmine Centre Address 2-4 Canterbury Road Westgate-on-sea Kent CT8 8JJ 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) 01843 831585 Bedstone Limited Vacant Care Home 50 Category(ies) of Dementia (12), Dementia - over 65 years of age registration, with number (23), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (27) The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Jasmine One is to be the Unit used for Service Users with Dementia from 45 years of age and upwards Old age not falling within any other categories for nine (9) Service Users whose dates of birth are 05.09.1921, 12.08.1937, 07.04.1931, 22.05.1935, 22.05.1924, 03.05.1931, 13.06.1936, 05.03.1922 and 28.02.1933 14th February 2006 Date of last inspection Brief Description of the Service: The Hockeredge and Jasmine Centre, provides two distinct services. The two Jasmine units provide residential care for adults with dementia and the main Hockeredge house provides residential care for adults who may be over the age of 65 and have past or present mental health care needs. The home is situated on the main road in a residential area between the seaside towns of Westgate and Margate. Local facilities are within walking distance of the home. There is a secure well-maintained garden area to the rear, and on road parking is available to the front of the premises. A private company owns the home, and the day-to-day running of the Home is the responsibility of the Registered Manager. Service Users health care needs, are met by the local primary health care team and includes the services of the community psychiatric nurse. Information from the Registered Provider in July 2006 states that the fees range from £367.00 to £520.00 per week. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection visit was unannounced and carried out on Tuesday 28 November 2006 between 10.30 and 15.00 and on Wednesday 29 November 2006 between 10.00 and 13.30. During the inspection the Inspector spoke mainly with the new Manager, Registered Provider, Commercial Manager Administrator for the home, Senior Team Leader, Care staff, Cook and Service Users. Some records were seen in relation to the key standards inspected. There have been changes in the management of home since the last inspection visit, and the Inspector was introduced to the new manager who has transferred from one of the other homes owned by the Company. The atmosphere of the home was welcoming, calm and relaxed, and the home was clean and orderly at the time of the inspection visit. The Inspector spent time at the key inspection visit talking with Service Users, who commented that they liked living at the home, and said that the staff were friendly and helpful. They said they enjoyed the food provided at the home. What the service does well: What has improved since the last inspection? An experienced manager has started working at the home. A keyworker system has been implemented by the new Manager, with staff working in teams. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 6 The home continues to work towards meeting all the standards and regulations. A new area has been designated as the medication area, a second medication trolley has been purchased, together with a suitable metal storage cupboard for medications. Twelve members of staff to commence NVQ training in the near future. 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 Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 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 The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 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): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. The assessment process is thorough and makes sure that the needs of the person can be met at the home. The management can demonstrate through the home’s records, practices and staff competency that it can meet Service Users’ needs. Standard 6 was judged as not applicable at this inspection visit. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 9 EVIDENCE: Amendments to the Service User Guide were discussed, and on the second day of the visit, it was seen that these amendments had been made to the documentation. Pre-assessment documentation was seen, and the use of correctly headed documentation was discussed. The Manager was able to show the Inspector a recently completed pre-assessment document that she had completed and this was seen to be appropriate in relation to the regulations. It is not the general policy of the home to admit Service Users on a short-term basis, and the Registered Manager confirmed that short-term care was only provided occasionally. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system meets the requirements of the minimum standards and regulations and the assessed needs of the Service Users. The health needs of Service Users are well met with evidence of good multidisciplinary working taking place on a regular basis. The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure Service Users’ medication needs are met, however improvement needs to be made in the recording of medication administered. Personal care is mainly offered in a way to protect Service Users’ privacy and dignity. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 11 EVIDENCE: Three Service User Plans were seen, and indicated that all components as required by regulation were in place for example, care plan, daily and risks assessments. However, care must be taken to ensure that the regular reviews are maintained, as this was not the case in one of the Service User Plans seen. The Manager said that a new Service User Plan format to be implemented. The medication records were seen and on the whole a good system of recording administration was seen, however there were issues in relation to recording the administration of medication that were discussed with the Senior Team Leader. A new medication storage area has nearly been completed, and the Manager stated that a second medication trolley had been purchased together with a suitable metal medication storage cupboard. Care staff are currently undertaking medication training. Service Users confirmed at the visit that they are treated with respect and their dignity is upheld. However an incident was observed and discussed with the Manager that indicates that all staff need to be fully aware of what may be considered as abuse. The Inspector evidenced a good rapport between staff and Service Users. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users spoken with confirmed they were happy with the lifestyle they had living at the home, were able to maintain contact with family and friends, and are able to exercise choice and control as far as is possible over their lives. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: All Service Users that the Inspector spoke with spoke well of the staff and the home, and about their different lifestyles within the home. Flexibility in routines was seen to suit individual needs. Activities are undertaken that suit the needs of the Service Users and the Inspector saw the activities person actively engaging Service Users in activities, and also going shopping to get personal items requested by Service Users. The Manager conveyed her feelings as to the importance of a comprehensive programme of activities being provided by the home. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 13 Visitors are always welcome to the home, and Service Users are encouraged to go out in the community and use the resources available to them. Service Users told the Inspector that they are taken out for example to the local supermarkets, garden centre, to the seafront and out on trips. All Service Users spoken with commented that they enjoyed the food at the home. The Manager showed the Inspector on the second day of the visit a set of revised menus that were to be started in the near future, with a stronger emphasis on fresh produce. The daily records of the food provided were seen, and unfortunately these had not always been maintained on a daily basis. The Manager agreed to address this issue. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 14 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users know their complaints will be listened to and acted on. Arrangements for protecting Service Users are satisfactory, and staff indicated that they have knowledge and understanding of Adult Protection issues. EVIDENCE: The home has a policy and procedures in place for the handling of complaints. Documentation in relation to a recent compliant was seen, and indicated that the home had dealt with the issues raised under the complaints policy of the home. It was evidenced from talking with staff that they were aware of the policies and procedures in place in relation to Adult Protection, the staff training matrix indicated that eight members of staff have undertaken training in relation to Adult Abuse this year, however a number of staff have not undertaken any training in relation to Adult Abuse, and the Manager confirmed that further training will be booked. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 15 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): 19,20,21,22,23,24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good providing Service Users with a pleasant and homely place to live. Service Users bedrooms suit their needs and lifestyles. Service users benefit from living in a home that is clean, pleasant and mainly hygienic. EVIDENCE: It was seen during the accompanied tour of the home that Service Users live in a safe, well-maintained environment including access to indoor and outdoor communal facilities. Service Users have access to sufficient toilets and washing facilities, and it was seen that facilities provided included assisted baths, and raised toilet seats. Clinical waste bins seen in Bathrooms need to be appropriate for purpose. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 16 Many of the bedrooms seen are individual and personalised, containing a wide range of personal possessions. Maintenance work and re-decoration is ongoing at the home. The home was clean, mainly hygienic and warm at the time of the inspection visit. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff morale is good resulting in a workforce that works positively with Service Users to improve their whole quality of life. Staff are multi-skilled ensuring good quality care and support. Service Users are protected by the home’s thorough recruitment procedures. The arrangements for induction of staff are good with the staff demonstrating a clear understanding of their roles. EVIDENCE: The staff rota for the home was seen, and indicated that sufficient staff were on duty at all times to meet the needs of the current group of Service Users. The Manager confirmed that staffing levels are maintained, and cover obtained for annual leave and sickness. Three staff files were seen, and these contained support that a thorough recruitment system was form, references, CRB checks, copy proof of however need to be appropriately filed within the said that this was to be done. Completed induction documentation was seen. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 18 all documentation that would in place, including application identity etc. The staff files main folder, and the Manager The home does not currently meet the requirement of 50 of care staff having completed NVQ2. The Manager reported that twelve members of staff are about to start NVQ2 and NVQ3 in the near future. A keyworker system has been implemented by the new Manager, with staff working in teams. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 19 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): 31,32,33,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. Staff are appropriately supervised and the Service Users again benefit from a well run home. Service Users’ financial interests are safeguarded, and the systems for Service User consultation are good with a variety of evidence that indicates that Service Users views are sought. The health, safety and welfare of Service Users and staff are promoted and protected. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 20 EVIDENCE: Discussions with Service Users and staff indicated that the new manager aims to provide a positive open and inclusive atmosphere. It was evidenced that the Manager was working hard to initiate changes in the home for the benefits of the Service Users. Regular Regulation 26 visits are undertaken with written records kept, together with staff meeting, and Service User Meetings. There is a system in place at the home for the regular supervision of all staff with written records kept. The Fire Log Book was seen, and all regular weekly and monthly monitoring checks are recorded together with regular fire drills being undertaken. It was requested that the names of staff taking part in Fire Drills be part of the main record kept. The accident book records were also viewed, and as a small number was viewed it was suggested that an better way of storing these that made then readily accessible when requested be put in place. The staff training matrix showed that training is ongoing at the home. Discussion took place in relation to all staff needing to undertake Dementia training, with Senior staff undertaking a more in depth course. The Manager said that she had undertaken and in depth course in relation to Dementia. Maintenance certification information was taken from the Pre Inspection Questionnaire and would indicate that the home currently has all relevant certification. The Inspector was told at a previous inspection visit, that an appropriate banking system that meets the standards and regulations in relation to the banking of Service Users monies has been implemented at the home. The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 21 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 22 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. 1. Standard OP9 Regulation 13(2) Timescale for action The registered person ensures 05/12/06 that there is a policy and staff adhere to the procedures for the receipt, recording, storage, handling administration and disposal of medicines, and service users are able to take responsibility for their own medication if they wish, within a risk management framework The registered person ensures 05/12/06 that service users receive a varied, appealing, wholesome and nutritious diet, which is suited to individual, assessed and recorded requirements, and that meals are taken in a congenial setting and at flexible times The registered person ensures 31/03/07 that service users are safeguarded from physical, financial or material, psychological or sexual abuse, neglect, discriminatory abuse or self harm, inhuman or degrading treatment, through deliberate intent, negligence or ignorance, DS0000023573.V315236.R01.S.doc Version 5.2 Page 23 Requirement 2. OP15 17(2) Sch 4 13 3. OP18 18(1)(a) The Hockeredge & Jasmine Centre in accordance policies 4. OP28 18(1)(a) with written A minimum ratio of 50 trained 31/12/07 members of care staff (NVQ Level 2 or equivalent) is achieved by 2005, excluding the registered manager and/or care manager, and in care homes providing nursing, excluding those members of the care staff who are registered nurses All staff to undertake training in 31/12/07 relation to caring for persons with Dementia – Senior staff to undertake a more in depth training course in relation to Dementia 5. OP38 18(1)(a) 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 The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 The Hockeredge & Jasmine Centre DS0000023573.V315236.R01.S.doc Version 5.2 Page 25 - 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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