Jasmine Court Independent Hospital

Updated 22 September 2021

Barchester Healthcare Homes Limited is the registered provider for Jasmine Court Independent Hospital, providing 15 beds for men with a diagnosis of dementia and expressing challenging behaviour.

The hospital is registered with Care Quality Commission to carry out the following regulated activities:

• Treatment of disease, disorder or injury
• Assessment or medical treatment for persons detained under the Mental Health Act 1983

The current registered manager has been in post since July 2020.

The Care Quality Commission last inspected this location in July 2019 following safeguarding concerns raised by external stakeholders. Concerns at this time related to management of medicines, care plans, risk and capacity assessment documentation, physical health needs and leadership at the hospital.

What people who use the service say

• We spoke with five carers and all spoke highly of the staff and told us they were very happy with the care their relative received. All five carers said they felt their relatives were safe and staff were able to manage patients with challenging and complex needs positively.
• Three of the five carers said that their relatives were treated with dignity and respect and four carers felt there was regular communication between staff and themselves. Although one carer said sometimes, they were notified at short notice of meetings and ward rounds.
• Four carers told us they felt considered and involved in their relative’s care and that management had effectively managed communication and facilitation of contact during COVID-19 restrictions.

You can find information about how we carry out our inspections on our website: https://www.cqc.org.uk/what-we-do/how-we-do-our-job/what-we-do-inspection.

Updated 22 September 2021

We rated Jasmine Court as requires improvement because:

• Managers had not ensured staff administered and recorded medicines safely, in line with the provider’s medication management policy. Staff made six medication errors as a result of not checking records against previous records for accuracy.
• Staff had not reviewed a patient’s T3 form despite some of the medicines being stopped.
• Managers did not complete all actions as a result of investigations of incidents. Staff documentation of completion of three actions was unclear and nine out of ten actions were incomplete. As a result, we were not assured that managers were making improvements to all patients’ care following investigations of incidents.
• Managers had not ensured that staff were following the provider’s enhanced observation policy for continuous observations. Staff were completing observations for longer than the maximum timeframe of two hours which was not in line with the provider’s policy.
• Staff had not ensured all care plan approach meeting records were completed or available within patient records. We were not assured that staff were aware of all updates to care and treatment plans for patients.
• Staff had not completed best interest meeting records for all patients requiring a best interest decision to be made for them. We identified this as an area for improvement at our last inspection in May 2018.
• Managers did not have sufficient oversight of the service to ensure safe care and treatment for patients. Managers still had areas of improvement to be made with regards to medication management, ensuring all records of care programme approach and best interest meetings were available and to record actions as complete as a result of incident investigations. Staff completion of enhanced observations in line with the provider’s policy required improvement.

However:

• Managers were working on improving their oversight of concerns raised by stakeholders. The provider had made recent changes to the leadership at the hospital and were advertising for a new registered manager.
• Staff treated patients with compassion and kindness. They respected patients’ privacy and dignity. They understood the individual needs of patients and supported patients to understand and manage their care, treatment or condition.
• Managers had recently implemented a nursing checklist system, a nursing communication book, daily medication checks and medication and documentation audits to enhance the systems and processes in place for staff to improve the quality of patient care.

Updated 12 May 2017

Updated 22 September 2021