Latest Inspection
This is the latest available inspection report for this service, carried out on 16th June 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Jasmine.
What the care home does well We found that there are no outstanding issues from the previous key inspection report of 28 August 2007. We found that each person has a medication file, which includes their photograph, details of the medication they are prescribed and information in a user friendly format which explains what the medication is for, when and how it should be taken and if there are any known side effects the individual may experience. We found that medication is appropriately stored. We saw that the medication administration records (MAR)s are usually accurately recorded. We saw that the service has a stock control system in place that includes, records of the medication received in the home, date, and quantity, also the detail of any medication returned to the pharmacy. We saw evidence that the manager carries out weekly spot checks of stock and medication administration.We saw evidence of protocols for medication that is prescribed occasionally or PRN. Protocols provide staff with detailed guidance about the circumstances under which the PRN medication is prescribed. We found that people using the service have had their health needs assessed and health action plans (HAP)`s are in place. A Health Action Plan details the actions that are required by each person with a learning difficulty, to maintain and improve their health and any help that might be needed to accomplish this. It is produced by or with them, with the support of a health facilitator. We looked at specific plans for the management of one persons diabetes. We saw that the service has been liaising and meeting with relevant health professionals to ensure that the necessary action is being taken to ensure that the person using the service has good health. This includes supporting the individual to attend regular health appointments and to understand changes that are necessary to ensure their well being. We asked people using the service in the surveys what it does well, comments included; "It provides a happy and homely environment." Staff told us that; "There is a good balance of staff from different backgrounds that offer people using the service various skills and good management." "Jasmine puts the needs of each person using the service first, giving choice and empowerment." "People`s choices and their needs come first. We are not institutionalised staff- we have autonomy to be creative." What the care home could do better: We found that, the reason medication has not been administered is not always recorded on the rear of the MAR as is recommended. We found a bottle of Co codamol tablets dispensed on 12/01/2009 for one person that is no longer prescribed according to the MAR. We recommend that this is returned to the pharmacist. We found one example from the 16 day sample of MAR we looked at where staff hadn`t signed to indicate that the medication has been administered. We confirmed when we checked the MDS that it had been administered. We asked in surveys, what could the service do better? We have been told that; "Making sure there is always two members of staff on duty. Allowing time for outings." "Have more up to date technology." Random inspection report
Care homes for adults (18-65 years)
Name: Address: Jasmine 125 Regent Road Hanley Stoke on Trent Staffordshire ST1 3BL two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Wendy Jones Date: 1 6 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Jasmine 125 Regent Road Hanley Stoke on Trent Staffordshire ST1 3BL 01782280715 01782269187 stoke.enquiry@caretech-uk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Delam Care Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 6 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 6, Mental disorder, excluding learning disability or dementia (MD) 6 Date of last inspection Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home Jasmine is a care home for six people with a learning disability and/or mental ill health. It is run by Delam Care Ltd a company owned by Caretech. The property is a detached Victorian property in Hanley, adjacent to two other care homes owned by the same company. The service has not had a registered manager in post for over 12 months. We have been speaking to the organisation about this. The Home has a small back yard area and a small front garden and shares a laundry with the two adjacent care homes. There are six single bedrooms, a lounge, dining room and small domestic kitchen. The fee range for the service is detailed in the Service User Guide. The people using the service have to pay for their own holidays, contribute to the use of the minibus and buy their own toiletries. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This report refers to a random unannounced inspection visit by one inspector, on the 16 June 2010. A random inspection is short visit that focuses on a specific subject, for this visit we decided to focus on how the service manages medication and ensures that peoples health needs are met. We also looked to ensure that any recommendations or requirements made at the last key inspection visit have been addressed. As part of the inspection in order to provide information to help us form judgements about the quality of the service, the acting manager was asked to complete an annual quality assessment (AQAA) document. The AQAA provides us, the Care Quality Commission (CQC) with a lot of information about the way the service is run and what they hope to achieve in the future. We sent out surveys to people who use the service and staff. We have received four from staff, three from people using the service and one from a social worker. We have included a sample of their comments in this report. During the visit, we spoke to two members of staff and to one person using the service. We also spent time looking at records and documents. These included care plans, medication administration, stock control and audit records, health information and health action plans. We found that the service currently provides for five people, who have a Learning Disability. The service has a manager in post, who is yet to be registered with us as a fit person, and four support workers. The service usually provides at least one support worker per shift and has introduced a mid shift, which means that an additional support worker is on duty to support people using the service when activities or outings have been planned. What the care home does well:
We found that there are no outstanding issues from the previous key inspection report of 28 August 2007. We found that each person has a medication file, which includes their photograph, details of the medication they are prescribed and information in a user friendly format which explains what the medication is for, when and how it should be taken and if there are any known side effects the individual may experience. We found that medication is appropriately stored. We saw that the medication administration records (MAR)s are usually accurately recorded. We saw that the service has a stock control system in place that includes, records of the medication received in the home, date, and quantity, also the detail of any medication returned to the pharmacy. We saw evidence that the manager carries out weekly spot checks of stock and medication administration.
Care Homes for Adults (18-65 years) Page 4 of 10 We saw evidence of protocols for medication that is prescribed occasionally or PRN. Protocols provide staff with detailed guidance about the circumstances under which the PRN medication is prescribed. We found that people using the service have had their health needs assessed and health action plans (HAP)s are in place. A Health Action Plan details the actions that are required by each person with a learning difficulty, to maintain and improve their health and any help that might be needed to accomplish this. It is produced by or with them, with the support of a health facilitator. We looked at specific plans for the management of one persons diabetes. We saw that the service has been liaising and meeting with relevant health professionals to ensure that the necessary action is being taken to ensure that the person using the service has good health. This includes supporting the individual to attend regular health appointments and to understand changes that are necessary to ensure their well being. We asked people using the service in the surveys what it does well, comments included; It provides a happy and homely environment. Staff told us that; There is a good balance of staff from different backgrounds that offer people using the service various skills and good management. Jasmine puts the needs of each person using the service first, giving choice and empowerment. Peoples choices and their needs come first. We are not institutionalised staff- we have autonomy to be creative. What they could do better:
We found that, the reason medication has not been administered is not always recorded on the rear of the MAR as is recommended. We found a bottle of Co codamol tablets dispensed on 12/01/2009 for one person that is no longer prescribed according to the MAR. We recommend that this is returned to the pharmacist. We found one example from the 16 day sample of MAR we looked at where staff hadnt signed to indicate that the medication has been administered. We confirmed when we checked the MDS that it had been administered. We asked in surveys, what could the service do better? We have been told that; Making sure there is always two members of staff on duty. Allowing time for outings. Have more up to date technology. Care Homes for Adults (18-65 years) Page 5 of 10 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 2. Care Homes for Adults (18-65 years) Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 5 5 (1b) The manager must ensure 10/10/2007 that all items not included in the cost of fees are clearly listed in the contracts and Service Users Guide. This will ensure that the people using the service have the correct information about what they may be expected to pay. The ground floor bathroom must be refurbished to provide a more suitable and safe environment for the people using the service. 01/11/2007 2 24 23(2)(d) 3 24 12 (1a)16 (2g, h, j) Food must be stored at safe temperatures to ensure the health of the people using the service. 01/10/2007 4 30 16 (2j)12 (1a) Environmental improvements 01/11/2007 must be made to ensure a high standard of hygiene and therefore safeguard the people using the service. The organisation needs to formalise their Quality Assurance arrangements to ensure that the views of people using the service, 01/11/2007 5 39 24 Care Homes for Adults (18-65 years) Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action staff and stakeholders are gathered, the results collated and a report as to any action required available. Care Homes for Adults (18-65 years) Page 8 of 10 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, 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 1 2 20 20 The service should ensure that stock control records are accurately maintained. The service should ensure that medication no longer prescribed is returned to the pharmacist. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
