Background to this inspection
Updated
11 December 2019
The inspection
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.
The inspection team
The inspection was completed by two inspectors and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Jasmine court is a care home providing residential care for people over 65 some of whom are living with dementia. The home can accommodate up to 66 people, at the time of inspection there were 51 people living in the home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager who was in the process of applying to register with CQC. This means the provider was legally responsible for how the service is run and for the quality and safety of the care provided.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make
Notice of inspection
The first day of the inspection was unannounced and the second day was agreed with the provider.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with nine people who live in the home and six of their visitors. We met with the manager, deputy manager, a team leader, six care staff and two visiting health professionals. We reviewed the services policies and procedures and records relating to the care and support people received. We reviewed recruitment records and governance records. We toured the building and reviewed the maintenance and environmental risk assessments.
Updated
11 December 2019
About the service
Jasmine Court provides residential care to up to 66 adults over the age of 65 some of whom are living with dementia. The home is purpose built with accommodation over three floors. People living with dementia are mainly on the top two floors. At the time of inspection there were 51 people living in the home.
People’s experience of using this service and what we found
People and their relatives told us they felt safe in the home and were protected from avoidable harm. Staff understood how to recognise abuse and avoidable harm and were confident to raise concerns. People were further protected by an improved analysis system of incidents which minimised the risks of reoccurrence.
People were confident staff knew how to support them and understood their needs. Not all care plans were as detailed as others, this was being addressed by the management team together with support from the local authority. There was no evidence care needs had been missed. Staff felt they had the right amount of support and training in order to support people.
People told us staff were kind and caring. Staff understood the importance of dignity and respect and ensured people felt comfortable with their support. Some people experienced significant distress at times, due to living with dementia. Staff were skilled in recognising how to interact and reassure people.
People's needs were reviewed and updated regularly. Referrals were made to other professionals when required and their advice and guidance was included in care plans. People felt able to raise their concerns and were confident they would be responded to.
The service was well managed, staff had clearly defined roles and responsibilities. Regular checks ensured care was provided as required. People and their relatives reported feeling confident the service was well run. People felt able to express their views and give feedback about their experiences.
Rating at the last inspection
The last rating for this service was requires improvement (published 18 October 2018), with breaches in relation to to the management of risks to receiving care, good governance and failure to meet the conditions of their registration. We also made a recommendation in respect of mental capacity assessments. Since this rating was awarded the home has changed its name and the registered provider of the service has changed. We have used the previous rating and enforcement action taken to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.