Archived: Jasmine

Updated 11 February 2017

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.¿

This inspection took place on 12 and 16 January 2017 and was unannounced.¿ It was carried out by one adult social care inspector.¿

Before the inspection we looked at the information we held about the home. This included action ¿plans which had been completed by the provider in response to the shortfalls found at the last ¿inspection. We looked at notifications we had received. A notification is information about ¿important events which the provider is required to send us by law. We reviewed previous ¿inspection reports. We looked at the Provider Information Return (PIR). This is a form that asks ¿the provider to give some key information about the service, what the service does well and ¿improvements they plan to make.¿

Most people had communication difficulties associated with their learning difficulty. We spoke ¿with one person at length about their service and had limited conversations with two other ¿people. We also spoke with two relatives who were visiting on the first day of our inspection.¿

We spoke with five care staff and the registered manager. We observed care and support in ¿communal areas and looked at three people’s care records. We also looked at records that related ¿to how the home was managed such as three staff files, staff training and staff meeting records, ¿staff rotas, health and safety checks and quality assurance audits. Following our visits we ¿contacted four relatives to gain their views on the quality of the service.¿

Updated 11 February 2017

This inspection took place on 12 and 16 January 2017 and was unannounced. It was carried out ¿by one adult social care inspector.¿

Jasmine provides care and support for up to seven people who have learning disabilities and ¿physical disabilities. The home has two distinct areas. People who live in the main part of the ¿home require 24 hour staff support. There is a one bedroom self contained flat for people who are ¿more independent, which is used for short stays. There were seven people living at the home at ¿the time of our inspection. Six people lived in the main part of the home; one person lived in the ¿self contained flat.¿

A registered manager was responsible for the home. A registered manager is a person who has ¿registered with the Care Quality Commission to manage the service. Like registered providers, ¿they are ‘registered persons’. Registered persons have legal responsibility for meeting the ¿requirements in the Health and Social Care Act 2008 and associated Regulations about how the ¿service is run.¿

At the last inspection on 1 and 3 June 2015 we found the provider to be in breach of Regulations ¿¿9, 10, 12, 16 and 18 of The Health and Social Care Act 2008 (Regulated Activities) Regulations ¿¿2014. This was because people’s medicines were not well managed to ensure people received ¿them safely or effectively. People were not communicated with effectively and their choices were ¿limited. Staff practice was inconsistent and they were not well supported in their roles. People’s ¿independence was not supported. People were not always supported by staff they knew as staff ¿consistency and numbers varied. People’s care was not planned and delivered in line with their ¿current or changing needs. People’s care was not reviewed regularly. People’s activities and trips ¿out of the home were limited. There was a complaints procedure in place but complaints were not ¿well managed. We also found the provider to be in breach of Regulation 18 of the Care Quality ¿Commission (Registration) Regulations 2009. This was because the provider had failed to ensure ¿that they had notified us of all significant events as required by law.¿

We found the provider to be in breach of Regulation 17 of The Health and Social Care Act 2008 ¿¿(Regulated Activities) Regulations 2014. This was because people did not receive consistently ¿high quality care. There was a lack of consistent management and leadership of the service. The ¿systems in place designed to monitor the quality of the service and its compliance with the law ¿were not effective. After the inspection, we used our enforcement powers and served a Warning ¿Notice on the provider. This was a formal notice which confirmed the provider had to meet this ¿legal requirement by 11 November 2015.¿

We also recommended the provider reviewed guidance about best practice in and application of ¿the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards as people could not be ¿assured that others close to them were involved in making decisions for them if people were ¿unable to themselves.¿

At this latest inspection we found all the necessary improvements had been made. Our Warning ¿Notice had been complied with.¿

We spoke with one person at length about their service and had more limited communication with ¿two other people. We also used our observations and discussions with people's relatives and staff ¿to help form our judgements.¿

Staff understood people's needs and provided the care and support they needed. The home was ¿a safe place for people. One person said, ““It does feel safe living here. All of the staff are nice to ¿me.” One relative said, “It’s a safe place. We have no concerns about safety at all.”¿

People interacted well with staff. Staff knew people and understood their care and support needs. ¿People made choices about their own lives. Various forms of communication were used if people ¿were unable to use speech. People took part in various activities and trips, were part of their ¿community and were encouraged to be as independent as they could be.¿

Staffing levels were good and people received good support from health and social care ¿professionals whose advice was acted upon. People’s care was regularly reviewed.¿

Staff had built close, trusting relationships with people. One relative said, “All of the staff are just ¿so interested in [name]. They have really taken the time to get to know her.”¿

People, and those close to them, were involved in planning and reviewing their care and support. ¿There was a close relationship and good communication with people's relatives. Relatives felt ¿their views were listened to and acted on.¿

Staff were well supported and well trained. Staff morale was good. Staff spoke highly of the care ¿they were able to provide to people. One staff member said, “There has been a real focus on ¿person centred care. That’s what we aim for. It’s all about seeing each person as an individual.”¿

There was a management structure in the home, which provided clear lines of responsibility and ¿accountability. All staff worked hard to provide the best level of care possible to people. The aims ¿of the service were well defined and adopted by the staff team.¿

There were effective quality assurance processes in place to monitor care and safety and plan ¿ongoing improvements. There were systems in place to share information and seek people's ¿views about their care and the running of the home.¿