About the service: Jasmine Court is a care home providing personal and nursing care and accommodation for up to 66 people, some of whom have dementia. Care is provided within six units over three floors. There were 56 people living at the service at the time of our inspection.People’s experience of using this service:
Appropriate numbers of staff had not been suitably deployed to meet people’s needs in a safe or timely manner.
The risks associated with people’s care and support had been assessed, though guidance within people’s risk assessments and plans of care had not always been followed.
People were not always provided with their medicines in a timely manner. Medicine management was not always robust.
The providers safeguarding processes for the recording and reporting of unexplained bruising had not always been followed.
Systems in place to monitor the quality and safety of the service being provided were not always effective.
Best interest decisions were not always made by the appropriate people.
People were involved in making decisions about their care and support whenever possible and their consent was always obtained.
The staff team were aware of their responsibilities for keeping people safe from abuse and avoidable harm and had received training in the safeguarding of adults.
People told us they felt safe living at the service. They told us the staff team were kind and caring and they treated them in a considerate and respectful manner. Observations made during our visit showed people were not always treated in a dignified way.
People’s needs had been assessed prior to them moving into the service and they had access to relevant healthcare services.
People's food and drink requirements had been assessed and records kept for people assessed as being at risk of not getting the food and drinks they needed to keep them well were up to date.
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.
The necessary protective personal equipment was available, and the staff team had received training in infection control.
There were arrangements in place to make sure action was taken and lessons learned when things went wrong to improve the service provided.
Appropriate checks had been carried out on new members of staff to make sure they were suitable to work at the service, and training and support had been provided.
People were provided with a comfortable and homely place to live.
People were involved in how the service was run through meetings, the use of surveys and day to day conversations with the registered manager and the staff team.
The staff team had received training on end of life care to enable them to support people at the end of their life with dignity and compassion.
A formal complaints process was in place. People knew who to talk too should they have a concern about their care or support and the registered manager made sure complaints were handled appropriately.
Relatives and friends were encouraged to visit, and they told us the staff team made them welcome at all times.
The registered manager and management team worked in partnership with other agencies, so people received care and support that was consistent with their assessed needs.
We found four breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have told the registered provider to take at the back of the full version of the report.
More information is in the detailed findings below.
Rating at last inspection: Good (report published 13 December 2016) all the key questions were rated Good except for safe which was rated requires improvement, and the service was rated as Good overall.
Rating at this inspection: We found evidence to demonstrate and support the overall rating of Requires Improvement.
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for those services rated Requires Improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk