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CQC report explained · a residential care home

What the CQC found at Jasmine House

Goodpublished 26 May 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
The person was protected from abuse and avoidable harm. Risk assessments, medicines systems, infection controls, recruitment checks and arrangements for responding to incidents were found to be effective.
Effective?
Good
No separate rating was given in this inspection. Inspectors found staff worked with health and social care professionals and supported the person to make decisions.
Caring?
Good
No separate rating was given in this inspection. Staff relationships were caring and supportive, and the care was described as kind and compassionate.
Responsive?
Good
No separate rating was given in this inspection. The person was supported to make choices, take part in activities and live a rich and meaningful life.
Well-led?
Good
The service had a positive, person-centred culture. Managers and staff understood the person's needs, communicated well and used quality checks to support improvement.
The latest report, explained

What inspectors found, May 2023

Jasmine House was rated Good; inspectors found safe, kind and person-centred care, with some staff training still being updated.

This was an announced inspection on 20 April 2023. One inspector spoke with the person using the service, the assistant manager and a staff member. They also reviewed care records, staff recruitment files, quality checks and infection control arrangements, and contacted two professionals afterwards.

The home supports one person with a learning disability. Inspectors found the person was safe, medicines were managed properly and risks were carefully assessed. Staff knew the person well and supported their choices, independence, community activities and relationships.

The care was described as kind and compassionate. Inspectors found a stable staff team, good working with health professionals and effective systems for checking quality and safety. The overall rating was Good, as were the ratings for Safe and Well-led.

The last rating was also Good, published on 29 October 2018. This inspection will be followed by continued monitoring of information received about the service.

What inspectors praised
  • Strong knowledge of the person

    Staff knew the person very well and could recognise when they were worried, unhappy or unwell. This helped staff respond to risks and changes in wellbeing.

    “Staff knew the person very well and could recognise if the person was worried or unhappy.” from the report
  • Careful risk management

    Risk assessments covered the person's support and community activities. The report says this approach helped reduce incidents over time.

    “There were comprehensive risk assessments in place covering all aspects of the service and support provided.” from the report
  • Kind and compassionate care

    Inspectors found close, supportive relationships between the person and the stable staff team. The person said they felt safe and enjoyed their life.

    “Staff relationships with the person were caring and supportive. Staff provided care that was kind and compassionate.” from the report
  • Choice and independence

    The person was involved in decisions about care and support. Staff encouraged independence, new experiences and activities chosen by the person.

    “The person was supported to have maximum choice and control of their lives” from the report
  • Good oversight

    The provider and assistant manager used checks and reviews to monitor quality and safety. Staff were committed to changing support as the person's needs changed.

    “Governance processes were effective and helped to hold staff to account, keep the person safe, protect their rights and provide good quality care and support.” from the report
What inspectors were concerned about
  • Training was still being updated

    minor

    Safeguarding training and some other staff training were in the process of being updated. The report did not say this had caused harm, but families may want to ask when the updates will be complete.

    “Staff had training on how to recognise and report abuse and they knew how to apply it. This training was in the process of being updated.” from the report
Questions to ask them, based on this report
  1. 01When will the safeguarding and other staff training updates be completed?
  2. 02How do you make sure the person can continue making choices and taking part in community activities?
  3. 03How would the person's care be covered if a usual member of the stable staff team was unavailable?
  4. 04How often are the person's risk assessments and support records reviewed?
  5. 05How do you involve health and social care professionals when the person's needs change?

This was an announced inspection focused on Safe and Well-led, including infection prevention and control; the report does not give new ratings for Effective, Caring or Responsive. This explanation was written from the published report of 26 May 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, October 2018

Jasmine House remained Good; inspectors found safe, kind and personalised care, with some improvements needed to risk and staff records.

The inspection took place on 2 October 2018. One inspector spoke with the person living there, the provider and a staff member. They checked care plans, medicines records, staff records, policies and the home.

The home supported one person with a learning disability. Inspectors found that care was safe, caring and tailored to the person's wishes. The person had choice, privacy and opportunities to become more independent and take part in the community.

All five areas were rated Good: safe, effective, caring, responsive and well-led. The rating was unchanged from July 2016. Inspectors made recommendations about giving more detail in a choking risk assessment and using current positive terminology in care plans.

What inspectors praised
  • Choice and independence

    The person was supported to make everyday choices and develop skills, including shopping, cooking and using technology.

    “The person was supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible” from the report
  • Safe medicines and premises

    Medicines were stored and recorded safely. Fire precautions, evacuation practice and safety checks were in place.

    “Medicines were being stored safely and clear records were kept of their administration, use and return or destruction.” from the report
  • Positive outcomes

    Inspectors found that consistent support had reduced negative incidents and helped the person build confidence and community links.

    “As a result of the person being settled and consistently supported, the number and frequency of negative incidents they experienced had been reduced to very few.” from the report
What inspectors were concerned about
  • Choking risk assessment

    needs fixing

    The person ate quickly, which created a potential choking risk. Staff understood how to reduce the risk, but inspectors recommended adding more detail to the written assessment.

    “We have recommended the provider expands the risk assessment in line with current good practice.” from the report
  • Staff records

    minor

    The provider agreed to add a full work history to staff files and keep records of who worked each shift.

    “The provider agreed to ensure the staff files contained a full copy of the person's working history, and ensure records of the names of staff members working on each shift were maintained.” from the report
  • Care plan terminology

    minor

    Care plans contained enough information for the person's current needs, but inspectors recommended using more up-to-date positive terminology.

    “We have recommended the provider seek guidance on current positive terminology for inclusion in the care plans.” from the report
  • Formal quality checks

    minor

    The home used feedback and audits, but did not have a formal annual quality assurance system based on the person's views.

    “The service did not have a formal annual quality assurance system based on gathering the person's views” from the report
Questions to ask them, based on this report
  1. 01How have you expanded the choking risk assessment, and what practical steps do staff follow when the person eats quickly?
  2. 02Have staff files been updated with full work histories and are shift-by-shift staffing records now kept?
  3. 03What current positive terminology is used in the care plans, and when were they last reviewed?
  4. 04How do you record the person's views about the service without a formal annual quality assurance system?
  5. 05How would staffing be covered if the provider or a family member was unavailable?

This was a planned inspection covering all five CQC questions, with one person living at the home; the rating remained unchanged from July 2016. This explanation was written from the published report of 27 October 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Jasmine House

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. May 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Jasmine House →

  2. October 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Jasmine House →

  3. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2011

    Registered with the Care Quality Commission on 31 August 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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