Archived: Jasmin Court Nursing Home

Updated 26 February 2019

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 18 December 2018 and was unannounced. The inspection was carried out by two adult social care inspectors, one specialist advisor and one Expert by Experience. The specialist advisor was a nurse with experience of working with older people. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The Expert by Experience had experience in caring for older people and people living with dementia.

Before the inspection, we asked the registered provider to complete a 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. We used this information to help with the planning for this inspection and to support our judgements.

Before this inspection we reviewed the information we held about the service, which included correspondence we had received and any notifications submitted to us by the service. Statutory notifications are information the registered provider is legally required to send us about significant events that happen within the service. For example, where a person who uses the service has a serious injury.

Before our inspection we contacted staff at Healthwatch, Sheffield and they had no concerns recorded. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We also contacted members of Sheffield Council contracts and commissioning service and the NHS Sheffield Clinical Commissioning Group. They told us they continued to jointly monitor the service and support the registered provider to improve as they had concerns regarding the quality of support provided to people who used the service.

During the inspection we spoke with six people who lived at the home and three of their relatives. We also carried out a Short Observational Framework for Inspection (SOFI) to observe people's experience of life at Jasmin Court. We spoke with one visiting health professional. We met with the interim manager and regional manager. We spoke with seven members of staff. We spent time looking at written records, which included three people’s care records, four staff personnel files and other records relating to the management of the service.

Updated 26 February 2019

This inspection took place on 18 December 2018 and was unannounced. This meant no-one at the service knew we were planning to visit.

We checked progress the registered provider had made following our inspection on 19 April 2018 when we found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were Regulation 9, Person-centred care; Regulation17, Good Governance; and Regulation 18, Staffing.

Following the last inspection, we asked the registered provider to complete an action plan to show what they would do and by when to improve the key questions of safe, effective, caring, responsive and well-led to at least good. During this inspection we found the registered provider was no longer in breach of Regulation 17 and 18. However, we found further breaches of Regulation 9 and a breach of Regulation 12, Safe care and treatment.

Jasmin Court 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. Jasmin Court is located in north Sheffield and is registered to provide accommodation for up to 50 older people who require nursing and/or personal care. Accommodation is provided over two floors, accessed by a lift. A dining room and two lounges are situated on the ground floor of the home. There were 26 people living at Jasmin Court at the time of this inspection.

There was not a registered manager at the service. The service was being managed by an interim manager and the regional manager. 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.

Medicines were not always managed and administered in a safe way.

Drinks were offered to people throughout the day, however these were left on tables beside people who required support from staff to drink. This support was not always given and we saw people with several full cups of untouched drinks left beside them.

There was a limited range of activities on offer to people living at Jasmin Court. Some people and their relatives told us they would like more activities and of a wider variety.

We saw the signage and decoration of the premises could be improved and updated to better meet the needs of people living there.

Not all the quality assurance and audits systems in place to monitor and improve service delivery were effective.

From our observations we saw there were enough staff employed to meet people’s care and support needs in a timely way. However, people and their relative’s views on staffing levels were mixed.

Safe recruitment procedures made sure staff were of suitable character and background.

There were systems in place to recognise and respond to any allegations of abuse. Staff had received training in this area. Staff understood what it meant to protect people from abuse. They told us they were confident any concerns they raised would be taken seriously by management.

Systems were in place to ensure people were supported by staff who had the knowledge and skills necessary to carry out their roles in meeting people’s needs. Staff were suitably trained.

People told us they enjoyed the food served at Jasmin Court, which we saw took into account their dietary needs and preferences. People were assisted to maintain their health by being provided with a balanced diet and supported to access a range of health and social care professionals.

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.

People and their relatives told us the staff were kind and caring. We saw positive interactions between people, their relatives and staff throughout this inspection. Staff knew people and their preferences well. People told us they were treated with dignity and respect.

There was a complaints policy and procedure. This was clearly displayed in the reception area.

People’s care records reflected the person’s current health and social care needs. We saw these were evaluated monthly.

The registered provider had policies and procedures which reflected current legislation and good practice guidance.

Safety and maintenance checks for the premises and equipment were in place and up to date.

We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were a breach of Regulation 9, Person-centred care and Regulation 12, Safe Care and Treatment.

You can see what action we told the provider to take at the back of the full version of the report.