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Inspection carried out on 10 July 2018

During a routine inspection

Jasmine House is a supported living service. This service provides care and support to people living in one of two houses, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living: this inspection looked at people’s personal care and support. Staff support was provided for 24 hours each day.

Care was commissioned and provided by the local authority.

There was a registered manager in place. 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 our last inspection on 18 December 2016, we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were cared for by staff who provided care and support that ensured people's safety and welfare and took into account each person's individual preferences. People were supported to manage their medicines safely. People were cared for by staff who had been recruited and employed only after appropriate checks had been completed.

There were sufficient staff available to safely meet people's needs and support them with a variety of activities. Staff were sufficiently skilled, experienced and supported to enable them to meet people's needs effectively.

People continued to be supported with decision making and to have as much choice and control of their lives as possible. People were supported to maintain a balanced diet with suitable food and fluid.

People continued to be supported to access healthcare when they required it.

People received care and support from staff who were caring, respectful and friendly. Staff treated people with respect and dignity. Staff knew the people they supported well, and understood, and met, their individual preferences and support needs. People's care plans provided staff with sufficient guidance to provide consistent care to each person.

Staff supported people to maintain relationships that were important to them. People were encouraged to access the community and develop individual interests and hobbies. Staff supported people to maintain existing relationships that were important to them.

The provider continued to have a robust complaints procedure in place. The service was well managed. There were effective systems in place to monitor the quality of the service people received.

Inspection carried out on 18 December 2015

During a routine inspection

Jasmine House - Ely provides personal care to people living in two supported living premises and one person in their own flat. There were ten people using the service when we visited. The inspection took place on 18 December 2015 and was announced.

A registered manager was not in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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. A manager had been appointed and they were in the process of applying to be registered with the Care Quality Commission.

Staff were knowledgeable about reporting any abuse. There were sufficient numbers of staff and recruitment procedures ensured that only suitable staff were employed. Risk assessments were in place and actions were taken to reduce identified risks.

Staff had received training regarding the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS). This legislation sets out how to proceed when people do not have capacity and what guidelines must be followed to ensure that peoples freedoms are not restricted. The provider had made a number of DoLS applications to the local authority and was awaiting their completion.

Staff were supported and received training to do their job and to ensure people’s care needs were met. The staff were in contact with a range of health care professionals to ensure that people’s care and support was well coordinated.

People’s privacy and dignity were respected and their support was provided in a caring and a patient way.

Care was provided based on people’s individual health and social care needs. There was a process in place so that people’s concerns and complaints were listened to and these were acted upon.

The provider had quality assurance processes and procedures in place to monitor the quality and safety of people’s care. People were able to make suggestions in relation to the support and care provided.

Inspection carried out on 11 June 2014

During a routine inspection

An adult social care inspector carried out this this inspection on 11 June 2014. The focus of the inspection was to answer five key questions; is the service safe, effective, caring, responsive and well-led?

As part of this inspection we spoke with four people who used the service, a family member of person using the service, the registered manager and four members of care staff. We reviewed records relating to the management of the service which included two care plans, daily records, safeguarding procedures, staff recruitment and training records and quality assurance monitoring records.

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at

Is the service safe?

Risk assessments regarding people�s individual needs and activities were in place to minimise potential dangers as much as possible. Staff understood their roles and responsibilities in making sure people were protected from the risk of abuse. The provider ensured that all staff were kept up to date with safeguarding training and accompanying reporting procedures. Effective recruitment procedures were in place to ensure that only people suitable to work with vulnerable adults were employed. The premises were well maintained and met the needs of people living in the service.

Is the service effective?

We found that care staff were knowledgeable about people�s individual care and support needs. Observations we made during our inspection confirmed that the care staff provided friendly and consistent support when assisting people with personal care. People were also able to make choices regarding how they wished to spend time during their day either in the service, or when accessing facilities in the wider community.

Is the service caring?

Observations made during our inspection showed that people received warm, consistent and respectful support from care staff and they were enabled to make choices and changes when required. One person told us that, �I am very happy living here.� Staff told us that they were very well supported and supervised by the manager and senior staff so that they could provide safe care and support to people.

Is the service responsive?

We saw that people�s personal care and social support needs were assessed and met. This also included people�s individual choices and preferences as to how they liked to be supported. We observed that people could make changes to their support and had been involved in reviews of their support as much as possible. We saw that reviews were in place to update people�s care and support needs.

Is the service well led?

The service was effectively managed and staff told us that they felt well supported and were regularly trained to safely provide care and support. Observations made during our inspection showed that staff were responsive and attentive so that people were supported consistently and safely. Health and safety checks were in place to monitor the services provided. The service gathered opinions from people who used the service, their relatives and staff to identify any improvements that could be made to the service.

Inspection carried out on 30 May 2013

During a routine inspection

During our inspection on 30 May 2013 we spoke with five of the six people living at Jasmine House. People told us that they were happy with the care and support that they received and that they liked the care staff who worked at the home.

We observed the care and support that staff were providing to people and saw that care staff were considerate and attentive at all times.

We found that people's care plans were comprehensive records of care and included the proactive measures that were in place to ensure that people received the appropriate type of support. We found that staff had a very sound knowledge of how to support people and how to ensure their safety at all times.

Medication was being managed and administered in a safe and well documented manner.

The premises were clean and well maintained. None of the bedrooms had full ensuite facilities and there were not any separate toilet facilities for staff to use. This meant that staff and people living at the home shared the limited toilet facilities.

Staff were supported through regular supervision provided by their line manager and had received appropriate and suitable training to ensure they were suitably skilled to provide the individual support that people required.

Inspection carried out on 1 June 2012

During a routine inspection

We received positive comments from people about how they were respected and treated by staff. One person said, �I really like living here. The people who work here are kind to me.� One person told us the home had provided them with information and had ensured they could access music clubs and venues and other places that they liked to visit.

People told us that the care they were being given helped them to achieve the things they wanted to do. People were very positive about the quality and type of support they were being provided with. One person said, "I am happy living here because the support I receive from staff helps me." Another person said they had been helped to move into the home and that they were happy about being able to do that.

Inspection carried out on 8, 9 May 2011

During a routine inspection

We spoke with four people who use the service and one relative. People who used the service were offered a range of activities throughout the day, including a recent trip to a seaside town. People attend various day services, which give them opportunities to participate in the local events and facilities in Ely. The staff have built relationships with other care homes, one of whom provide their own day care. People from Jasmine house attend a number of sessions there. Staff were seen engaging with them in regular activities and they were offered choices around daily routines.

One person, who was a relative of a resident, told us how their relative came to be living at Jasmine House, how well they had settled in and how this had been managed very well.