Background to this inspection
Updated
26 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection team
The inspection was carried out by one inspector.
Service and service type
Jasmine House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed all the information we held about the provider and spoke with the commissioning authority. We reviewed the notifications sent to us from the provider in line with their legal responsibility. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We looked at one person’s care records and aspects of the care and support for two other people. We also reviewed the records relating to staff administration of their medicines. We inspected the records for staff completion of all training in the home, and checked audits and quality assurance reports, incident and accident records so see how the home managed risk. As nobody had been employed since the last inspection we sampled one staff file to assess the quality of the records and the supervision information. The inspection involved meeting with all the people living in the home and the staff on duty.
We spoke with relatives of two people currently living in the home. We also spoke with one person from a commissioning authority.
Updated
26 February 2020
About the service
Jasmine House is a residential care home providing personal care to six people at the time of the inspection. The home is registered for up to seven people and supports people with complex needs including learning disability, physical disability and mental health. Accommodation is provided in single bedrooms.
People’s experience of using this service and what we found
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practise guidance. This ensures that people who use the service can live a full a life as possible and achieve the best possible outcomes that include control, choice and independence. People’s support focused on them having as many opportunities as possible.
The home excelled in effective monitoring of peoples’ well-being and welfare. Healthcare checks were thorough and inclusive. People were also encouraged to check their own intimate areas regularly for signs of changes. Discussion meetings were held to enable people understand and manage their mental wellbeing through talking.
We observed people’s support during our inspection and saw that staff were gentle and showed people kindness and affection, within their professional boundaries.
Audits and servicing contracts for the environment ensured that the home people lived in was safe.
Staff working in the home were recruited safely and received regular and ongoing training so they had the knowledge and skills to fulfil their role. This included medication training so that people received their prescribed medications safely and as required. There was a low turn over of staff which meant that people were supported by those who knew them well.
Care and support was provided on an individual basis. People maintained control over their lives by planning their activities and daily living schedules and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Families spoke of their continued involvement with their loved ones and spoke of Jasmine House as “extended family”.
There was an effective complaints procedure and any complaints were managed well.
Food, snacks and drinks were in plentiful supply in the home and the majority of people could access food independently. Staff supported people when cooking.
The management team had a good oversight of the support needs of the people in the home and an effective way in supporting staff to fulfil their responsibilities. Managers worked alongside support staff regularly to understand the support needs of those living in the home and the staff training needs.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published June 2017). We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.