• Mental Health
  • Independent mental health service

Jasmine Court Independent Hospital

Overall: Good read more about inspection ratings

c/o Paternoster House Care Centre, Paternoster Hill, Waltham Abbey, Essex, EN9 3JY (01992) 787202

Provided and run by:
Barchester Healthcare Homes Limited

Report from 27 August 2025 assessment

Ratings - Wards for older people with mental health problems

  • Overall

    Good

  • Safe

    Good

  • Effective

    Good

  • Caring

    Good

  • Responsive

    Good

  • Well-led

    Good

Our view of the service

Jasmine Court is an independent hospital which provides 15 beds for men with a diagnosis of dementia.

Barchester Healthcare Homes Limited is the registered provider for Jasmine Court. The hospital is registered with Care Quality Commission to carry out the following regulated activities:

• Treatment of disease, disorder or injury

• Assessment or medical treatment for persons detained under the Mental Health Act 1983

At the time of the inspection, the service did not have a registered manager in post, however a Barchester senior hospital manager was covering this role, and a prospective registered manager had applied to the Care Quality Commission which was in review at the time of the inspection.

The Care Quality Commission last inspected this location in July 2021 following safeguarding concerns raised by external stakeholders. Concerns at this time related to staff conduct and safeguarding incidents at the hospital. At this inspection we found the service had made improvements and the service was no longer in breach of regulations.

We carried out an inspection of this service on 21 October 2025. At the time of the inspection, the service had 10 patients admitted to the ward.

At this inspection we found that the service was performing well and is meeting our expectations.

Our View of the Service

The service provided safe care, the environment was pleasant, safe and clean. The ward had enough staff and had access to the full range of specialists to meet the needs of patients. Staff minimised the use of restrictive practices and followed good practice with respect to safeguarding. Staff completed thorough risk assessments of the ward and individualised risk assessments with patients and updated these regularly and/or when risk presentation changed. Managers ensured that staff received training, supervision and appraisal and had developed strategies to boost staff wellbeing and recognise staff achievements. Feedback from patients and carers about the service was mostly positive. Most patients told us they felt safe, and that staff were caring and treated them with kindness and respect.

Mental Health Act and Mental Capacity Act Compliance

Mental Health Act

The service admitted patients under the Mental Health Act 1983. At the time of the inspection, 6 patients were detained under the Mental Health Act (MHA) and 3 patients were subject to authorisations under the Deprivation of Liberty Safeguards (DoLS).

Staff received and kept up to date with training on the Mental Health Act and the Mental Health Act Code of Practice. Mental Health Act Code of Practice training was mandatory for staff, and the compliance rate was 93.7%.

A Mental Health Act monitoring visit was conducted by the CQC on 12th August 2025. We spoke with patients that felt happy and safe at the service and praised staff and the activities provided. The patients had regular access to the Independent Mental Health Advocacy and staff had made referrals on behalf of patients.

We did raise concerns around Mental Health Act documentation and have requested assurances from the service regarding this.

Staff had access to support and advice on implementing the Mental Health Act and its Code of Practice. Staff could receive assistance from the Senior Mental Health Act administrator for the provider.

The service had clear, accessible, relevant and up-to-date policies and procedures that reflected all relevant legislation and the Mental Health Act Code of Practice.

Staff explained to each patient their rights under the Mental Health Act in a way that they could understand, repeated as necessary and recorded it clearly in the patient’s notes each time.

Staff made sure patients could take section 17 leave (permission to leave the hospital) when this was agreed with the responsible clinician.

Mental Capacity Act

Staff received and kept up to date with training in the Mental Capacity Act and had a good understanding of the five principles. Training on the Mental Capacity Act was mandatory for staff, and the compliance rate was 97.3%.

Staff assessed and recorded capacity to consent clearly each time a patient needed to make an important decision. Staff completed an assessment of each patient’s capacity to consent to admission and treatment on admission. Further assessments took place during reviews by the multidisciplinary team. We looked at 3 patient care records and could see there was evidence of assessment for mental capacity in all the records we looked at. When patients lacked capacity, we saw that correct processes were followed including best interest meetings.

We saw evidence of a capacity assessment which had been completed with a patient who was making excessive online purchases, leading to a best interests meeting.

People's experience of this service

We spoke with 5 patients during the inspection visit carried out on 21st October 2025. Three told us they felt safe on the ward, 1 did not answer and 1 said they did not feel safe but were unable to tell us why. Some people using the service at the time of our visit were older people living with dementia. Some people had complex needs which meant they could not tell us their views about the hospital. We spent time observing daily life and routines to help us to understand their experiences. Staff were caring, treated people with respect and saw that people were offered choices. This included choices of food and drinks, activities and where people chose to spend their time.

Some patients described the ward as comfortable and homely. The patients gave mixed opinions on the food with 2 saying that the food was not of good quality.

Patients told us there were enough staff on the ward, although some did say this is not always the case at night. Most patients said staff treated them with kindness and respect.

We spoke with 3 carers or family members of patients. All the carers we spoke with felt their loved ones were receiving good care and spoke highly of staff. All told us that communication with the hospital was always very good. All carers said that the environment was always clean and tidy. One carer noted that feeding their relative had not been easy for staff, but they had worked hard on this with them.

Safe

At our last assessment we rated this key question Requires Improvement. At this assessment the rating has changed to Good.

This key question has been rated as good. This meant people were safe and protected from avoidable harm.

The service was safe, clean, well equipped, well furnished, well maintained and fit for purpose. Staff assessed and managed risks to patients and themselves well. Staff understood how to protect patients from abuse and the service worked well with other agencies to do so. The service used systems and processes to safely prescribe, administer, record and store medicines. The service managed patient safety incidents well.