Background to this inspection
Updated
13 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Jasmine 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 who was currently going through registration process with the Care Quality Commission. This means 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
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
Due to the presenting needs of the person who was the receiving regulated activity we were unable to speak to them about their experience of using the service. However, we did review their care records. We spoke with three members of staff including the manager, assistant manager, and team leader.
We reviewed a range of records. This included one person’s care records and medication records. We looked at one staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
13 November 2019
About the service
Jasmine provides personal care support to adults who have a learning disability, or a mental health condition.
The home was a domestic style property. It was registered for the support of up to six people. Although five people were living in the home only one person was in receipt of regulated activity with regards to being supported with their personal care.
The building was situated in residential area. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff did not wear anything that suggested they were care staff when coming and going with people.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People’s outcomes were exceptional. People were encouraged on a daily basis to build their level of independence and were supported to move through the service if appropriate, enabling them to live independent lives. This meant people were supported to manage and embed daily living skills.
Jasmine was very homely, and people were at the heart of decisions which were made to improve the environment of the service. Staff encouraged people to feel they had the autonomy to make decisions for themselves, which included how and where they wanted to spend their time.
People’s risks were monitored, and robust plans were in place to ensure they could be as independent as possible and take positive risks. People were encouraged to feel part of the wider community and could choose when to go out with the support of staff where needed.
People were encouraged by dedicated staff who supported them to be in control of planning of their own care. People were highly valued as individuals and their opinions were respected. People were able to drive their own care plan and were empowered to state how they liked their care to be delivered, including their preferences, which staff truly respected.
People’s health needs were effectively monitored, and people were supported or encouraged to attend routine appointments to ensure their health needs met. People were supported by an inclusive team around them whereby staff and other external professionals played an integral part in their lives.
People were encouraged and supported to take part in sociable events. Jasmine had a positive culture and staff demonstrated respect and understanding of working in people’s home environment.
People were supported to have maximum choice and control of their lives 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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensured people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 07 March 2017)
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.