Inspection on 01/12/09 for Jah Jireh

This is the latest available inspection report for this service, carried out on 1st December 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Jah Jireh 24/11/05

Jah Jireh 21/06/05

Jah Jireh 07/12/04

Jah Jireh 01/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for older people Name: Address: Jah Jireh 127-131 Reads Avenue Blackpool Lancashire FY1 4JH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jacqueline Riley     Date: 0 1 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Jah Jireh 127-131 Reads Avenue Blackpool Lancashire FY1 4JH 01253622134 01253290891 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Jah Jireh (Charity) Homes care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. Dementia - Code DE (maximum number of places: 1) The maximum number of service users who can be accommodated is: 36. Date of last inspection Brief description of the care home Jah Jireh is a care home that is registered to accommodate 36 older people,of mixed gender and who are Jehovah Witnesses. It is a large building situated in close proximity to Blackpool town centre and local amenities such as the park, shops and public transport. There is a large private garden to the rear of the property that has ramp access to enable people to make use of it. Accommodation is provided on the ground, first and second floors. There are thirty-four single bedrooms most of which have an en-suite facility. There is one double bedroom which has an en-suite. There are five lounges, a dining room and a number of assisted bathing facilities. There is Care Homes for Older People Page 4 of 27 Over 65 0 36 1 0 Brief description of the care home space at the front of the building for approximately six cars. Services within the home include laundry, religious meetings, social activities and meals. There is a Statement of Purpose/Service User Guide, which is given to all prospective residents. This written information explains the care service that is offered, who the owners and staff are, and what people can expect if they choose to live at the home. At the time of the inspection the range of fees for care at the home were £319 to £538 per week, with additional expenses for hairdressing, chiropody and newspapers. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: A key inspection of the home was undertaken which included an unannounced visit to the service on 1st December 2009 and lasted approximately 5 hours. We spoke to a number of people living there including residents and visitor as well as the manager and four staff members. Surveys were sent to people using the service and comments were good telling us people are satisfied with the service they receive. The care records and other records relating to the care people receive were looked at. We also looked around the home with the manager and spent time talking to people living there. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an annual assessment of the quality of their service. This document is called Annual Quality Assurance Assessment (AQAA). We use this information, in part, to focus on our inspection activity. Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: We looked at how the home manages medication and found in general this is good however there were two instances where controlled drug records were inaccurate which has the potential to put people at risk. We spoke to the manager about this who is carrying out a full audit and reviewing training for staff responsible for medication administration. We looked at staff training records and found some of them to be out of date. Some files contained certificates for people who no longer work in the home. The home should ensure all staff are trained in areas of safeguarding so people are protected, and all mandatory training including moving and handling, health and safety and first aid are up to date so staff have the knowledge and skills based upon current good practice. We looked at staff files and whilst the required information was in place the files were loose leaf and difficult to follow. We advised the manager to review the files and to put Care Homes for Older People Page 8 of 27 them in some sort of order so the information can be easily audited. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are admission and assessment procedures in place to ensure the care needs of people are being met. Evidence: We looked at the records of three people living in the home. We saw they had assessment details from social workers and other healthcare professionals. The information we looked at showed the home is provided with a full history of the care needs of the person to be admitted so that they know what the needs are and whether they will be able to manage those needs. In addition the home uses its own assessment procedures which determines how the needs of the person will be met when admitted to the home. The manager told us this helps them to make an informed decision about the suitability of the person needing care. Staff we spoke to said they felt they find the information useful and it helps them recognise individual needs at the point of admission to the home. Care Homes for Older People Page 11 of 27 Evidence: A relative we spoke to said they had been asked about their parents needs before their admission, and that staff had been extremely helpful and made them feel comfortable when they went into the home. Written information about the home tells people it is based upon a religious ethos, and people we spoke to said they found the home suitable to them because it met their religious needs. Comments included, I came here because we are all part of a big family, I like to read the scriptures and the staff understand that. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously, peoples welfare is monitored and their needs are met. However errors in medication has the potential to put people at risk. Evidence: We found the home has maintained the care planning records for people using the service. The system is clear and easy to follow. Staff spoken to said, Its a good system to work with and we are responsible for putting information in the records, we make sure all the information is up to date and the manager makes regular checks. We saw good information about individual health care needs and how they were being met. Two people spoken to said they are helped to attend hospital and GP appointments. One visitor said she was happy the manager had accompanied her father to hospital recently and stayed with him, as she lives some distance away this gave her comfort in knowing he was being well cared for. The records show there are risk assessments in place for people, which highlight what the risk is, what level of risk there is to the person and how that risk will be managed. Staff spoken to said they are encouraged by the management team to evaluate Care Homes for Older People Page 13 of 27 Evidence: peoples levels of risk all the time so that individual risk is being safely managed. We saw all plans of care are being reviewed monthly and where possible the person is involved in this review so that they know their needs are being monitored and changed where necessary. By looking closely at the records there is evidence the home has good links with other health care professionals including, GPs, districts nurses and social workers. We looked at how the home manages medication. We saw it is stored safely in purposeful locked facilities. Only staff responsible for administration of medication has access. We spoke to two staff members responsible for medication administration. They told us they have received training from the supplying pharmacy, and this pharmacy has now provided the senior staff member with a training pack to provide in house training to other staff. When we looked at medication training records we found some staff have dated certificates, which require updating so people have the skills and knowledge to administer medication safely. We looked at the records of medication administration and found in general they are well recorded, however when looking at the controlled drug register we found inaccuracies on two accounts. We discussed this with the manager, who stated he would carry out a full audit and oversee the training of supervisors who are responsible for administering controlled drugs. Training in medication must be an area the home addresses so people are not put at risk. We saw peoples privacy and dignity is respected by looking at how staff talk to and respond to people. We saw staff are respectful and sensitive to people needs by the way we observed them talking to residents and assisting them. Staff we spoke to said they feel they treat people in a way they would expect their own family to be treated if in care. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities and meals provide daily variation and interest for people living in the home. Evidence: We spoke to some of the people living at the home and staff about what the routines are. They told us they are flexible so people can choose how they want to spend their time. This includes no restrictions on what time people get up and go to bed, whether they choose to stay in their rooms or use the communal facilities. We saw people using various parts of the home throughout the inspection. Some people choose to stay in their rooms where they have included TV and audio equipment of their choice as well as furnishings which make it homely. Staff told us they are given the time and the resources to provide activities which they said was usually enjoyed by everyone although they respect peoples rights if they choose not to join in. Activities include board games, trips out. A recent Illumination tour was successful. Comments included, I always look forward to the Illumination trip. Some people told us they like to read and do their own thing including using their rooms as they choose. Care Homes for Older People Page 15 of 27 Evidence: This is a home where the religious needs of people come first. People we spoke to including residents, visitors and staff told us, the home makes every opportunity to ensure the religious values and beliefs of people using the service are met. There are regular bible reading groups, people who can attend church services are helped to do so. Others who are unable to attend have access through the homes television network to watch the services being conducted at the place of worship. Comments included, I came here because I knew they could meet my religious needs, all the staff understand the importance of us being able to keep in touch with our religion. We spoke to people about meals in the home. They told us they enjoyed all the meals and the staff know if they dont like something. We spoke to the cook who was preparing lunch. They told us they use fresh ingredients wherever possible and they are provided with information about peoples individual nutritional needs when they are admitted, so they can identify any specific nutritional need if necessary. We saw people having lunch in the dining room. It is well designed and people have choice as to who to sit with. There was a relaxed atmosphere when lunch was served and it was not hurried. People who needed support were done so with dignity by the staff team. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are handled well and taken seriously ensuring people feel listened to. Lack of staff training in safeguarding people has the potential to put people at risk. Evidence: We looked at the homes complaints procedure. It is made available to people using the service so they know how to raise any concerns or complaints. Surveys we received told us people know how to make a complaint. People we spoke to said, I have never had to make a complaint but if I wasnt happy about something I would talk to the manager, I have all the information I need if I am concerned about anything. We spoke to the manager about how people are protected and they showed us records of what training staff have received. The records showed us most of the certificates were dated and therefore there is a need for staff to receive updated training in this area so people are protected. The manager told us this is an area of training he is considering in the near future. There have been no complaints made to the Commission in the past twelve months. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in suitably adapted, clean and comfortable surroundings. Evidence: We looked around the home with the manager. There are some major improvements including the extension of three existing bedrooms the first floor which will provide additional space and improved en suite facilities. Comments included, the rooms will be so much nicer with more room. There is also a range of bathing facilities on each floor so people who need assistance have the facilities in place. The home is also being decorated along corridors and in some rooms. New furniture was seen in a number of rooms looked at and the manager stated this is an ongoing refurbishment programme which will improve all rooms over the next few years. Some of the rooms we looked at were large and had individual pieces of furniture. People we spoke to told us, I like my room its cosy and I have everything I need, I like to use my room as I please, its more like a bed sit. A visitor we spoke to said she was happy her parents had been able to bring items of furniture with them, as it makes the surroundings more familiar to them. There are five communal lounges with one incorporating sensory equipment. The manager told us this is for people who like to relax in a calming environment. People we saw used a number of the lounges as well as the dining room, where some people Care Homes for Older People Page 18 of 27 Evidence: were seen having a drink and chatting. The general atmosphere of the home is relaxed. We saw there are suitable walking aids and adaptations including wheelchairs and hoists so that people with limited mobility are assisted. These items are stored in a separate room which is also used as a hairdressing salon and is equipped with all the appliances people need. Comments included, its nice to be able to pop in and get your hair done without having to go out in the cold weather. There is a well maintained rear garden area which is private. People we spoke to said they like to use the garden in good weather. They also said they like the garden parties in the summer when the garden is well used. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing arrangements mean people are cared for and supported safely. Outdated staff training means peoples care needs may not be met fully. Evidence: We looked at how the home is staffed and found there is a good skills mix on each shift. Staff we spoke to said they feel valued by the manager and felt the staff work well as a team. People we spoke to and surveys we received told us people feel supported by members of staff. Comments included, they are always there when I need them, the staff cant do enough for you. Staff we spoke said they thought the owner and manager supported them well, and listened to them. Comments included, We work really well together as a team, we are given responsibilities which the manager feels we can manage, but hes always there for support and guidance. We looked at the homes training records and found many of the certificates are out dated in areas of mandatory training including moving and handling, safeguarding people and health and safety. We spoke to the manager about this and were told there is a commitment to ensure staff have the skills to carry out their individual roles. Care Homes for Older People Page 20 of 27 Evidence: In addition there were a number of certificates in the files which were for staff who no longer work at the home. These certificates should be removed and the training files updated so the information is up to date and accurate. We looked at three staff records. They showed us staff are recruited using procedures which take into account, qualifications and experience, their suitability for the role, references, Protection of Vulnerable Adults (POVA), Criminal Record Bureau (CRB), in order to make sure people are protected. However, we found all the files to be in loose leaf, which were disorganised and the information difficult to follow. The files should be reviewed and audited so that the information is clear and easily accessible. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well run with a high level of consultation with users of the service, meaning that people can contribute to its development. Evidence: We saw the way the home is managed means that there is a commitment to ensure the needs of people using the service are met. The home takes the religious needs of the people seriously and is committed to ensure those needs are met by providing good access to religious services of the their faith and to ensure the staff also acknowledge peoples faith. Comments included, I cant imagine living anywhere else, this home meets all my needs. The manager has put in systems which help staff to contribute to the recording of care needs in records which are easy to follow. In addition the manager and other members of the management team have received training in implemented risk assessments to meet the requirements of the Mental Capacity Act 2005. Risk assessment are to be carried out on admission, whereby a Deprivation of Liberty Care Homes for Older People Page 22 of 27 Evidence: Safeguarding (DOLS), will carried out . If it is identified a person is being deprived of their liberty in order to meet their care needs and in their best interests a referral is made to Social Services for this to be recorded, monitored and reviewed. We looked at how the home gains the views of people using the service and found there are records of staff and resident meetings so that people have the opportunity to contribute to the development of the service. People are also given questionnaires about how the home is run and to offer any comments they may choose for the development of the service. The manager also uses regular audits by making spot checks on various shift patterns to ensure the home is being run in accordance with policies and procedures and in the best interests of people living there. We saw there is a clear line of management responsibility and staff communicated well with the manager and the owner throughout the inspection at the home. By looking at records we saw regular tests and servicing of essential equipment including lifting equipment, gas, electric and fire were up to date, thereby making sure the home is safe for people to live in. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 13 The home must ensure all controlled drugs are administered accurately and that records are maintained correctly. By not having accurate records of controlled drugs means people may be put at risk. 18/12/2009 2 18 13 Staff require training in safeguarding people so they have the knowledge and skills to protect people. Lack of staff training in safeguarding people means residents have the potential to be put at risk. 26/02/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 30 The home should continue to develop the staff training Page 25 of 27 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations programme so all staff have the necessary skills to meet their individual roles. In addition mandatory training should be current so that the staff team have updated their skills in these areas. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!