Jasmine House

Updated 2 July 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was completed by an adult social care inspector.

Service and service type:

Jasmine House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 supported people with learning disabilities and/or autism. The service was registered to support five 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, choice, control and independence. People receiving the service receive planned, and co-ordinated person-centred support that is appropriate and inclusive for them.

The service had two managers registered with the Care Quality Commission, only one of whom still worked at the service. 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. The provider has since taken the required measures to ensure the registered manager who no longer works for the service de-registers as required.

Notice of inspection:

This inspection was completed on 20 May 2019 and was unannounced.

What we did:

Prior to the inspection the provider sent us a Provider Information Return. Providers are required to send us information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

We reviewed information we held about the service, for example, statutory notifications. A notification is information about important events which the provider is required to tell us about by law.

We sought information from four service commissioners and received feedback from two commissioners.

During the inspection we spoke with all four people. We spoke with the four care staff on duty and a member of the night care staff about people’s care. We completed more in-depth interviews with two of these staff.

The registered manager was not available during the inspection, so we spoke with the operations manager. Following the inspection, we spoke with the registered manager by telephone on 3 June 2019.

We reviewed two people’s care plans and two staff files. We reviewed people’s medication records, staffing rosters and records related to the management of the service.

Following the inspection, we spoke with two people’s relatives.

Updated 2 July 2019

About the service:

Jasmine House is a residential home that was providing care to four young adults who either lived with a learning disability or physical disability or other complex needs. The service is located on a quiet residential road, close to local amenities. The service has five bedrooms, two situated on the ground floor and three on the first. Stairs and a passenger lift provide access from the ground floor to the first floor. Each bedroom has an en suite shower or wet room.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People’s experience of using this service:

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, choice, control and independence. People receiving the service receive planned, and co-ordinated person-centred support that is appropriate and inclusive for them. The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways:

A person told us, "Living here feels like a proper home."

People did not feel as though they were being cared for by a ‘service’ they felt like four young people who had agreed to share a house, living their own lives, just like any other members of society. People were at the heart of the service provided by staff.

People worked in partnership with staff to ensure their care was shaped by their choices and led by their decisions.

People felt able to express their views on any aspect of their care at will and said their wishes were acted upon by staff.

People and their relatives spoke in glowing terms of how exceptionally compassionate and kind staff were. Their experience was that staff wanted to work at the service and enjoyed caring for them.

Staff provided people with a truly responsive service, tailored around each person’s needs and aspirations. This achieved outstanding outcomes for people who told us they were living lives that were truly “Fulfilled”.

People and their relatives all reported they had open and honest relationships with both staff and the registered manager.

People and their relatives told us they felt the way the service was very well-led. There was a strong emphasis on continual learning and the delivery of people’s care reflected best practice guidance.

Staff had a positive approach to risk taking with people and risks were identified and managed in a manner which did not restrict people’s rights.

People had their assessed needs, preferences and choices met by staff who had the required qualifications, skills, knowledge and experience.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Rating at last inspection:

At the last inspection the service was rated good (07 April 2017).

Why we inspected:

This was a planned inspection to check that this service remained good.

Follow up:

We did not identify any concerns at this inspection. We will therefore re-inspect this service within the published timeframe for services rated outstanding. We will continue to monitor the service through the information we receive.