Inspection on 10/10/06 for Jah Jireh

This inspection was carried out on 10th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Jah Jireh 16/02/06

Jah Jireh 19/12/05

Jah Jireh 01/02/05

Jah Jireh 05/08/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Jah-Jireh 7 Beechfield Court Leyland Lancashire PR5 2WA Lead Inspector Mr Patrick Rooney Unannounced Inspection 10:00 10 October 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jah-Jireh Address 7 Beechfield Court Leyland Lancashire PR5 2WA Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01772 623710 01772 454019 Jah Jireh (Charity) Homes Mr Russell Charles Baker Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36), Physical disability (1) of places Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 36 service users in the category of OP (Old age, not falling within any other category). One named service user in the category PD (Physical Disability under the age of 65 years of age) may be accommodated with the overall number of registered places. 16th February 2006 Date of last inspection Brief Description of the Service: Jah-Jireh is situated in a residential area in Leyland, close to local shops and facilities. The home provides 24-hour personal care for up to 36 older people. Jah-Jireh homes have been established and are run wholly and solely to give accommodation and care to members of the community of Jehovah’s Witnesses. The home provides accommodation throughout two floors in both single and shared rooms, and the majority have an en-suite facility. The communal areas are situated on the ground floors. The home has a passenger lift. The grounds to the house are extensive, and private for the residents to enjoy. Current weekly charges for a place in the home are from £385 Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit and took place over a five-hour period. A pre inspection questionnaire was completed by the manager. The inspector consulted care records and spoke to most of the residents living at the home. He discussed their care with them and visiting relatives. Comments received from residents and relatives were positive and were complementary about the care they receive. Their comments include: “I am completely satisfied with the loving care I am receiving”. “ I was able to visit the home before coming here”. “This is a very good home it feels like home here”. The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. Questionnaires were issued to residents and relatives. What the service does well: What has improved since the last inspection? There was evidence at this visit of CRB numbers showing that staff have received these clearances. Previously they had only been available at head office. Records are now maintained of all cleaning in the home and a housekeeper employed to supervise and monitor this. Assessments and care plans are signed wherever possible by residents or their representatives. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 6 Information about independent advocacy services are available to all residents and are both contained in the service users guide and is pinned on the homes notice board. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome group is excellent; this judgement has been made using available evidence including a visit to this service. There are excellent pre admission procedures in place and the assessment process prior to admission to the home is comprehensive and gives good detail about care required. EVIDENCE: The home has a thorough introduction and admission process; prospective residents and their families are provided with excellent information about the home including a DVD. Prospective residents are able to visit the home and a flat has been made available for visitors to stay at the home in order to get to know the home better prior to any decisions being made. Records were examined for four residents and these residents were spoken to about the care they receive. They confirmed that the home is able to meet their needs. Resident’s comments include “I am completely satisfied with the loving care I am receiving”. “ I was able to visit the home before coming here”. “This is a very good home it feels like home here”. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 9 There is a comprehensive needs assessment carried out prior to placement, this forms the basis for a care plan to be developed. The cultural and religious needs of residents form an integral part of the assessment. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. Residents care plans are comprehensive and ensure health and personal needs are fully met, care is provided ensuring privacy and dignity is maintained. EVIDENCE: During the visit the files of four residents were looked at and their care discussed with them. Each resident had an individual care plan, which provided comprehensive information and detail to ensure that health and personal care needs can be fully met. Care plans are reviewed monthly, residents and their families are able to take part in the process. Care plans and reviews contained signatures of the resident or their representative. Comments received about the care were, “The home is very well run, efficient service providing care that appears well above average”. “We are more than pleased with the care, it is very good”. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 11 Resident’s files contained records for monitoring and recording visits by health care professionals including doctors or district nurses. All these records were up to date and provided detailed information. Where possible residents or their representatives are able to sign the records to show their participation in the process. Medication policies and procedures were looked at and records examined, these are mainly, however on the it was noted that some antibiotics had been missed from the morning round. Staff giving out medication should always consult the MAR sheets when giving out medication. A risk assessment is carried out to ensure any resident wishing to self medicate is able to do so. All staff giving out medication have received training in this. A regular monitoring of temperatures in the medical fridge and medication storage room should be carried out. Residents said that they are happy with the care they receive and said that staff are kind and considerate, their comments are included in the previous section. Good interaction between residents and staff was observed during the visit. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. The home provides residents with choice and routines are flexible, this ensures they are able to exercise control in everyday life. EVIDENCE: Residents are consulted about activities and an activities coordinator is employed to ensure individual needs are cared for. A variety of activities are provided, including religious study groups, light gardening, visits to garden centres, shopping, library facilities, visiting entertainers and cinema. While there is a variety of activities provided some feedback was received that on occasions staff were not able to sit and spend time with residents due to being busy. The homes routines are flexible and revolve around the needs of residents, residents are encouraged to take part in aspects of life in the home, one resident enjoys helping to run the in home shop. Another resident was observed to be involved in helping with teas for other residents. Residents said they are happy with how the home is run and are able to have choice in all aspects of everyday life. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 13 Information is available regarding independent advocacy services, this is provided in the service user guide and on the homes notice boards. Residents are provided with a very good variety of freshly made food every day. Menus shoed this to be the case, also fresh fruit, vegetables and meat are delivered several times a week. Resident told the inspector that they enjoyed the food and are consulted about what is included in the menus. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome group is excellent; this judgement has been made using available evidence including a visit to this service. There are good arrangements in place for residents to raise concerns and the homes policies ensure residents are protected from abuse. EVIDENCE: The home has a complaints procedure, which is accessible to residents and their families. Copies are available on the homes notice board and are contained in the service users guide. Residents said that they are aware of the procedure and feel able to raise any concerns with the manager who is always available in the home. The inspector was also told by residents that they have every confidence in the staff and managers, who always ensure that any issues they raise are dealt with in a kind and caring manner. A record of complaints is kept and ensures that complaints are dealt with appropriately and responded to within the required time. There is a protection of vulnerable adults procedure including a whistle blowing policy. Staff have received training in the protection of vulnerable adults and have done training in recognising abuse and none violent crisis intervention. Staff were able to tell the inspector about the procedures to be followed if they had any concerns. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome group is excellent; this judgement has been made using available evidence including a visit to this service. The home is well maintained and the environment is clean and comfortable. EVIDENCE: There is an on going maintenance programme for the home, all areas seen were of an excellent standard. Residents are able to choose colours for their rooms and they are personalised with their own possessions. There is an extensive garden area, which is available for residents to use. Pathways are safe and rails provided where required. A housekeeping supervisor has been appointed who inspects all areas of the home and supervises the cleaning. A cleaning report is maintained, which ensures that there is always a cleaning schedule in place. All areas of the home were observed to be spotlessly clean and hygienic. Residents and relatives surveys said that the home is always very clean and inviting. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. Arrangements for staffing the home ensure there are sufficient skilled staff on duty to meet the needs of residents. EVIDENCE: Staffing rotas showed that the home is providing sufficient skilled and experienced staff to meet the needs of residents, however many residents are becoming more dependent and consideration should be given to ensuring staffing levels remain adequate. Those staff spoken to during the visit had worked in the home for many years and provide continuity and security for residents they care for. Recruitment procedures are detailed and ensure that residents are protected. Staff records were looked at and showed that references are obtained and Criminal Records Bureau clearances are received before staff take up post. All new staff receive a comprehensive induction and are allocated an experienced mentor during this process. On going training is also provided in all aspects of care for the elderly, this was confirmed from the training matrix and from discussion with staff. There are currently 50 of staff who are trained to NVQ2 level and more staff are currently doing this. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome group is excellent; this judgement has been made using available evidence including a visit to this service. The home is well managed, which ensures residents interests are protected and health and safety issues are promoted. EVIDENCE: The registered manager has extensive experience the management of residential care services for the elderly and has The Registered Managers Award there is good support from the responsible individual of the company owning the home and regular visits are made. The manager has also carried out training in risk assessment and has put in place risk assessments for the home. Every room has a risk assessment every two months and records are maintained. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 18 Health and safety is taken seriously and staff receive training in moving and handling, health and safety and first aid. All safety certificates and risk assessments are carried out and are up to date. Staff are all trained in moving and handling, first aid, health and safety, food hygiene and infection control. The homes parent company have a training department and ensures training is kept up to date. Residents and staff are happy with how the home is run and there are clear lines of accountability. Resident’s views are taken seriously and resident surveys have been carried out. Residents meetings are arranged and the manager is in daily contact with all the residents. Both residents and staff feel they are able to approach the manager with any ideas or issues they may have. The home is currently accredited with Investors in People and has fourstar RDB rating. The home looks after resident’s personal allowances, these are kept in a safe and good records are maintained of any transactions. All the homes policies and procedures have been reviewed and updated. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X 3 4 Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP9 Good Practice Recommendations Staff administering medication should always consult the MAR sheet to ensure medication such as antibiotics are given a the right time A record should be maintained of the temperature in the medication room. Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Jah-Jireh DS0000005936.V302376.R01.S.doc Version 5.2 Page 22 - 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. 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