Jasmine Lodge

Updated 26 April 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by an inspector.

Service and service type

Jasmine Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Jasmine Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave a short period notice of the inspection because some of the people using it sometimes find visitors to the service stressful and they needed time to prepare. In addition, because the service is small, and people are often out, and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

We reviewed the information we held about the service and the service provider. We looked at notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We used all this information to plan our inspection.

During the inspection

We spent time observing how staff interacted with people to help us understand the experience of people living at the service. We spoke with the registered manager, the team leader and 2 staff members. We looked at range of records relating to the home, which included records relating to health and safety, and the management of the home. We spoke with 2 people’s relatives and received correspondence from 2 visiting professionals. We looked at 4 people’s care plans, audits, training data, 2 staff recruitment records, quality assurance records and meeting minutes. We have continued to seek clarification from the provider to validate the evidence found.

Updated 26 April 2023

About the service

Jasmine Lodge is a residential care home providing personal care for up to 6 people. At the time of inspection there were 4 people living there. The service was a detached bungalow with a large garden within a small rural village. People had their own bedrooms. There were shared bathrooms, eating and living areas. The building had been adapted to meet the needs of people with physical disabilities. Some people had specialist needs associated with mental health and epilepsy.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Right Support:

Risks to people were not always managed safely. Medicines that were prescribed on an as required basis were not always managed safely. Staff did not always have the information needed to support people in line with their current needs. However, the systems in place ensured that people were protected from abuse and improper treatment. Jasmine Lodge was kept clean. There were enough staff to safely meet people's needs. Emphasis had been placed on ensuring that staff had the skills, knowledge, and experience to meet people’s needs.

A person was enjoying increased independence following an operation to improve their eyesight. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care:

The service’s minibus had been off the road for at least 6 months so this had an impact on the number and quality of outings that could be provided. We observed that staff worked with people in a person-centred way to involve them as far as possible in all activities that were carried out around the home. This included laundry and cooking. Records of activities were basic and lacking in detail. Staff were caring in their approach and people responded warmly to them. We saw people smiling and responding with happy faces when staff spoke with them. Staff ensured people’s privacy was always maintained.

Right Culture:

Staff felt supported by the registered manager and team leader, but they felt they were not present in the home enough. The registered manager also felt stretched in the role with competing priorities. Staff told us they did not feel supported by the organisation.

Staff had not attended regular supervision meetings, but team meetings had been used to try to improve staff morale and staff all told us they worked well as a team and were generally happy in their work.

Following the last inspection extensive support had been provided initially to address the shortfalls we found. However, the frequency of auditing has meant that matters identified during this inspection in areas such as medicines management and fire safety had not been picked up. The provider had also introduced new electronic systems for care planning and storing records; some of the matters raised as part of our inspection were directly related to a lack of close monitoring. However, it is recognised that it is still early days with the new systems and processes.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 4 August 2022) and there were breaches of regulation. We served the provider Warning Notices under Section 29 of the Health and Social Care Act 2008. The notices require the provider to become complaint with breaches relating to risk, abuse, dignity, and governance.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained requires improvement.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jasmine Lodge on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We identified continuing breaches in relation to safety and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.