Jasmine House

Updated 26 May 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 completed by one inspector.

Service and service type

Jasmine House 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 House 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, although they were on holiday at the time of the inspection.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because the service is small, and the person was 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 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 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 used all this information to plan our inspection.

During the inspection

We spoke with the person who used the service, the assistant manager and a staff member. We reviewed a range of records. We looked at a variety of records relating to the care and support provided. This included the person’s care file and 2 staff files in relation to recruitment, and various audits/reports relating to the quality and safety of the service.

After our visit we sought feedback from two professionals who had worked with the service.

Updated 26 May 2023

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

About the service

Jasmine House is a residential care home providing bespoke accommodation and personal care for the benefit of one named person living with a learning disability. Jasmine House is a domestic property in a residential area of Paignton. The service is situated close to the town centre with access to local beaches, medical and support services as well as shops, restaurants and a cinema.

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

Right support: Model of care and setting maximises people’s choice, control and Independence;

The person was kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so. The person was able to tell us they felt safe and enjoyed their life with the staff supporting them. Their body language while interacting with staff was relaxed and positive, which also indicated they felt safe.

The person was 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.

The person lived safely and free from unwarranted restrictions because the service assessed, monitored and managed safety well. There were comprehensive risk assessments in place covering all aspects of the service and support provided, including safe access to the community. Triggers for risky behaviours were mitigated and the success of this was evident in the significant and sustained reduction of negative outcomes the person experienced.

Medicines were managed as necessary. Infection control measures were in place. Health and social care professionals were regularly involved in people’s care to ensure they received the care and treatment which was right for them.

There were effective staff recruitment and selection processes in place. There was a very stable staff team consisting of the provider and their family who had supported the person for many years.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights;

Staff relationships with the person were caring and supportive, which the person confirmed. Staff provided care that was kind and compassionate. The stable team and the person had formed close relationships over many years.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive, and empowered lives;

People’s equality, diversity and human rights were respected. The service’s vision and values centred around the person they supported. The organisation’s statement of purpose documented a philosophy of maximising the person’s life choices, encouraging independence and having a sense of worth and value. Our inspection found that the organisation’s philosophy was embedded in Jasmine House. For example, the person was constantly encouraged to lead a rich and meaningful life that they chose.

The service worked hard to instil a culture of care in which staff truly valued and promoted the person’s individuality, protected their rights and enabled them to develop and flourish safely whilst exploring new experiences.

Staff felt respected, supported, and valued by the registered manager which supported a positive and improvement-driven culture.

A number of methods were used to assess the quality and safety of the service people received. The service made continuous improvements in response to their findings.

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

Rating at last inspection

The last rating for this service was Good (published 29 October 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service and length of time since 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 COVID-19 and other infection outbreaks effectively.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.