Inspection on 19/12/06 for Jah Jireh

This inspection was carried out on 19th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Jah Jireh 127-131 Reads Avenue Blackpool Lancashire FY1 4JH Lead Inspector Pauline Caulfield Unannounced Inspection 19 December 2006 10:00 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 DS0000009811.V303856.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 DS0000009811.V303856.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jah Jireh Address 127-131 Reads Avenue Blackpool Lancashire FY1 4JH 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) 01253 622134 01253 290891 Jah Jireh (Charity) Homes Mr Manhar Gandesha Care Home 36 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (35) of places Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 36 service users to include: Up to 36 service users in the category of OP (old age, not falling within any other category) One (1) named service user in the category of DE(E) (Dementia over 65 years of age) may be accommodated within the overall number of registered places The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 24th November 2005 Date of last inspection Brief Description of the Service: Jah Jireh is a care home that is registered to accommodate 36 people over the age of sixty-five of both sexes and who are Jehovah Witnesses. It is a large building situated in a close proximity of 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 residents to make use of it. Accommodation is provided on the ground, first and second floors. There are thirty-four single bedrooms and twenty-eight of these have en-suite facility. There is one double bedroom that has an en-suite. There are five lounges, a dining room and a number of assisted bathing facilities. There is 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 the resident can expect if he or she decides to live at the home. Information received prior to this visit (28/07) showed that the fees for care at the home are from £291.41 to £380 per week, with added expenses for hairdressing, chiropody and newspapers. Jah Jireh DS0000009811.V303856.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 visit, which commenced at 10am for eight hours. Prior to the visit the manager completed a pre-inspection questionnaire and comments cards were received from thirty-four residents, with support from relatives and fourteen relatives also completed comment cards. The Registered Manager and four care and support staff were spoken to. The inspection involved case tracking four residents as a means of assessing some of the National Minimum Standards. This process allows the inspectors to focus on a small group of people living at the home. All records relating to these people are inspected along with the rooms they occupy in the home. They are invited to discuss their experience of the home with the inspector, however this is not to the exclusion of other people living at the home. Six residents were spoken to individually and a number of residents who were sitting in the communal areas were also spoken to. Conversation with residents was very much dependent on their ability or wishes to speak to the Inspector. The inspector also spent some time observing interactions and care practices in the lounges. A tour of the home was carried out and a selection of staff, residents and administrative records were examined. From the observations made, comments received and written documentation seen, the information has been put together to form this report. What the service does well: The residents in this home are well cared for. Staff were seen to be looking after the residents well. One resident said, through the comment card “Because of my religion, I couldn’t wish to be in a better home, surrounded by loving and caring people who show a lot of compassion.” All residents spoken to on the visit said that they are very happy with the care and support they receive. ”One resident said, “Nothing is perfect but here is as near (perfect) as it can be. Another resident added, “Both my family and I are very happy with the care I receive”. There is a good admission process with detailed assessment, information on the home and where possible a visit to the home so the resident can get learn about the home and meet some residents and staff before moving in. Each resident has a detailed plan of care that guides staff in their care of residents. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 6 There is a competent and enthusiastic staff team who understand the needs of the people living there. One resident said, “I think the staff do a very good job in keeping the residents happy.” All staff and residents are Jehovah’s Witnesses and share the same religious beliefs and practices. Residents are enabled to fully participate in their religion, attending meetings at Kingdom Hall or in the home or watching meetings at Kingdom Hall from a link up in the home, ensuring that their spiritual needs are met. Residents have a choice of religious, social and leisure activities as they wish, with support as needed. Most residents are content with the choice of activities but some would like more short trips out. Residents’ relatives and friends are welcomed into the home ensuring that residents’ relationships are maintained. One relative said in the comment card, “I am made welcome whenever I visit”. Mealtimes are pleasant and unhurried. Most residents like the meals and say the food is very good with lots of fresh fruit each day. One resident said, “The staff do very well with the meals we all have different tastes and like different things and they please most of us most of the time.” Another resident said, “ I like the meals here.” Medication procedures and administration are well managed ensuring that residents receive their medication as prescribed. The home is mostly clean and fresh smelling throughout so that residents live in pleasant surroundings. Staff training is very good. Most of the care staff have qualifications in care and there are good opportunities for other training. These skills and knowledge help meet residents care needs and protect the health and welfare of residents, relatives and staff. The manager and senior staff regularly check that the quality of care is satisfactory by looking around the home, sending out surveys and asking residents, relatives and staff their views. The manager showed a good clear approach to managing the home. He is enthusiastic and knowledgeable about supporting older people and this is passed onto the staff. Residents and staff say they feel well cared for and supported. One resident said, “the manager always shows his concern and that he cares about all thirty-six of us.” Another said, “The manager is always there when you need him. The home looks after the resident’s money carefully and securely so that the residents’ interests are protected. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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 DS0000009811.V303856.R01.S.doc Version 5.2 Page 8 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 DS0000009811.V303856.R01.S.doc Version 5.2 Page 9 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, 2, 3, 4, & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their relatives have the information needed to choose a home, which will meet their needs. The admission and assessment procedures are clear and ensure the care needs of residents are met. EVIDENCE: The home has a detailed admission policy. All residents are Jehovah’s Witnesses and have information about the home from their local Kingdom Hall. Residents come to Jah Jireh from all over the Great Britain, as there are only a few homes throughout the country that cater specifically for Jehovah’s Witnesses. The manager advised that prospective residents all receive a service user guide before admission. Residents said they had information about the home before they moved in. One resident said that they did not think too deeply on the decision to move and should have got more information before moving. Other residents said that they had plenty of information. Several residents said via the comment card that their relatives dealt with their admission and all the admission information. Residents local to Blackpool have been involved in Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 10 the home over the years as part of the congregation from the local Kingdom Hall. Residents from other areas of the country have heard about the home through their local Kingdom Hall. Th1rty four comment cards were received prior to the visit. Most residents felt they had been given enough information to assist them in making up their mind about the home. The records of four residents were examined. All of the records contained an assessment of needs. Residents confirmed on the comment cards that the manager asked them questions about their care and support needs before saying they could move into the home. The manager visits them where possible to see if the home is able to meet their needs. If this is not possible a senior manager responsible for several homes visits the resident to get the information needed. In addition, for those residents who are publically funded there is a social services assessment available. The manager advises prospective residents whether he can meet their needs or not. Once agreed that a resident will move into Jah Jireh the manager arranges an admission date and agrees on any items of furniture the resident wants to bring with them. Residents are given a written contract. On the comment cards most service users who answered said they have a contract explaining their terms of residency. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 11 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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and welfare is monitored to ensure health and personal needs are met. Medication is administered carefully and appropriately ensuring residents safety. Residents’ privacy and dignity is upheld and promoted. EVIDENCE: The records of four residents were looked at. Each resident has a plan of care which sets out in detail the care needed to ensure all aspects of health, personal care, spiritual, social and leisure needs and safety needs are met. The care plans and assessments are regularly reviewed with the residents . Residents signatures were seen on the plans and residents confirmed they were involved in planning their care. Individual resident records are completed to provide details of any health or support needs or concerns that staff need to be aware on. This gives a more informative picture of residents,. Residents have access to health care services that meet their needs. Staff members are fully aware of the healthcare and personal needs of residents and their likes and dislikes. Residents dietary, cultural and spiritual needs are met Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 12 and residents have the aids and appliances that they need as part of their care. Most residents who returned the comment cards said that they usually or always receive the care and support they need. All residents spoken to on the visit said that they are very happy with the care and support they receive. ”One resident said, “Nothing is perfect but here is as near (perfect) as it can be. Another resident said, “I feel very well taken care of.” Another resident added, “Both my family and I are very happy with the care I receive.” Most residents say that staff always listen and act on what they say. ”Comments received from relatives via the comment cards include: “Very pleased with the way mum is cared for”. “ I feel my relative is well cared for in a very loving environment and cared for with dignity”. Another relative said “Excellent care, attention and food”. Residents who have to visit hospital as a planned visit or an emergency never go without a staff escort, unless the resident prefers to do so.The manager feels that a visit to hospital should be with a familiar person, to reduce any anxiety. He lives next door to the home and he or other live in staff provide cover if needed to ensure that this happens. Most residents who returned the comment cards told us that medical support is always or usually available when needed. One resident said, “The staff are always quick to help me to get any medical support I need.” Another said, “I feel that I am getting the support I need.” Through the comment cards relatives who answered said that they are kept informed of important matters regarding their friend or relative and that they are consulted about the care of their friend or relative if they are not able to make decisions. One relative said, “Whenever I visit my mother I am always informed of any health problems.” One resident said, “I have been here a while now and any little problems have always been solved. I am very happy here.” Medication administration was checked. This was safely stored, administered, recorded and disposed of. There were a small number of residents who administered their own herbal medication. This was recorded and a risk assessment had been completed. Staff interactions with residents were frequent, friendly, caring and supportive. The practices in the home ensure that residents are treated with respect and their right to privacy is upheld. Staff routinely knock on residents bedroom doors and on bathroom doors. Residents spend their time in their rooms or the lounges as they wish. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 13 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, & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Religious, cultural, social and recreational activities meet resident’s expectations, needs and choices. Relatives and friends are encouraged to visit residents at any time to maintain the bond between them. Residents receive a healthy, varied diet according to their assessed requirements and personal choices. EVIDENCE: Bible meetings and fellowship is an important part of residents lifestyles and they are all supported to fully participate in the Jehovah Witness lifestyle. There is a link up to the local Kingdom Hall fon all TV’s in the lounges and in residents bedrooms. This gives residents the choice of watching and participating in all meetings. A DVD is made of Circuit and District assemblies which are organised to include many congregations, so within a few days of the event residents are able to see and hear all the speakers. One resident said, via the comment card “because of my religion, I couldn’t wish to be in a better home, surrounded by loving and caring people who show a lot of compassion.” Residents spoken to in the home expressed their contentment at being in a home with other Jehovah’s Witnesses, that is staffed by Jehovah’s Witnesses and being able to continue to fully participate in their spiritual life. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 14 One resident said even though she missed them that it had been worth moving a long way from family and friends to have the opportunity to live in Jah Jireh. There are also regular Bible meeting and social visits from volunteers who are members of the local Kingdom Hall. Through the comment cards twenty six residents said activities are always or usually available. Many residents are content with the range of activities, which include art and crafts, a sensory room, jigsaws and board games and regular social visits as well as a focus on spiritual opportunities and meetings. Some residents although enjoying the craft and other activities offered would enjoy short visits to the park or for a coffee in a café. They said they found longer trips too tiring. One resident said, “I think there could be more done for us residents in the way of activities especially for drives out.” The manager showed evidence of arrangements for regular trips to the cinema and to see the illuminations but these get few residents wanting to go. He thought it was worthwhile to offer short trips to see if more residents showed interest in these. One resident said I am always invited to take part in activities.” Several residents said there are plenty of activities but they don’t always choose to attend. Another resident said, “The activities are beautiful and well organised.” Mealtimes are pleasant and unhurried. Most residents said that the meals are good with at least two choices of meal. Special diets are catered for. Menus and records of food served were checked and appeared nutritious and varied. A small number of residents would prefer a later evening meal as the evening meal is at 4.30pm. There is supper later in the evening and staff will make a snack for residents if they wish. One resident said, I could do with something to eat between 6pm and 10pm. Most other residents spoken to were satisfied with the times of meals. The manager was clear that any resident could have a snack whenever they were hungry and agreed to remind residents of this. Many residents spoken to confirmed they could have a late snack. The residents choose to have their main meal at the evening meal and a snack lunch. Twenty six of those who returned the comment cards said they always or usually like the meals. Most of the residents spoken to on the visit were very complimentary about the meals. One resident said, “The staff do very well with the meals we all have different tastes and like different things and they please most of us most of the time.” Through the comment cards one resident said, “Breakfast and lunch are lovely”. Another said, ” I have a good appetite and my weight remains the same so I must be getting a balanced diet. I like the meals here.” One resident requested less quorn and more sauces for food. Another resident requested more fresh vegetables. Whilst another resident said, “we have a very balanced diet and always have plenty of fruit”. Records seen showed meat, fruit and Vegetables are bought daily. The manager has frequent meetings and surveys to find out residents views and encourages them to ask for any changes they would like. Family and friends are encouraged and welcomed in the home at any time. One relative said in the comment card, “I am made welcome whenever I Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 15 visit”. The use of the lounges as well as residents’ own bedrooms enable residents to have visitors in privacy as they wish. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 16 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for handling complaints ensure that most people feel confident that their complaints will be listened to and taken seriously. Procedures for dealing with and reporting abuse were in place to ensure that people are adequately protected. EVIDENCE: Residents spoken to knew who to complain to if they had any concerns. Most residents who returned the comment cards, Through the comment cards most residents said they know who to speak to if they are not happy and most residents know how to complain, but some residents were not sure. Through the comment cards some relatives said that they are not aware of the homes complaints procedure. The home has the complaint/grievance procedure displayed on the wall in the entrance hall but as some residents and relatives are unsure of the complaints procedure the manager should remind all residents and relatives of this. Most residents say that staff always listen and act on what they say and were confident that any concerns that they had would be taken seriously and acted upon. One resident said via the comment card “ I never need to make a complaint but if needed to, I would know where to go.” Another said, “If I have ever had a complaint it has always been taken care of.” Several residents said that they knew how to complain but had never needed to. One resident said that there was the complaints procedure in the hall. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 17 Minor concerns are dealt with effectively. There have been no complaints received by the home since the last visit. One resident said via the comment card “Management are always caring and if I have a problem they always try to resolve it.” The home has a procedure in place for dealing with safeguarding adults. Staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff had covered safeguarding adults training either on Induction training or on National Vocational Qualifications (NVQ) training. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 18 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, 20, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is good, providing residents with a comfortable and homely place to live. EVIDENCE: Through the comment cards residents say the home is always or usually clean and fresh. There are some concerns from a small number of residents about the state of the toilets as they say that even though they are cleaned frequently they are sometimes in a poor state of cleanliness, due to their continual use. One resident says that cleanliness is only an issue when the home is short staffed. During the visit the inspector checked the toilets several times and these were clean on all checks. A tour of the home showed that the general environment was good. Communal areas were homely and comfortable. However despite staff efforts there was an odour of urine in one lounge and in one bedroom and this needs attention to ensure a pleasant fresh smelling environment for residents. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 19 Aids and adaptations were in place to help the residents’ mobility, personal toilet and bathing needs. There is an ongoing refurbishment programme to ensure the building is maintained to a high standard. New curtains were being fitted in the dining room during the visit, which enhanced the look of the room. Pictures had been purchased and there was a large screen TV ready to go in one of the lounges, for residents’ pleasure. Bedrooms were well personalised and residents spoken to said that they were satisfied with their bedroom. All bedrooms have a television that is linked up to Kingdom Hall to give residents the option of watching the meetings ‘live’. There is a room in a separate building that staff are changing to an arts and crafts room. This will enable residents to complete jigsaws and other activities without needing to clear away between sessions. Residents are satisfied with the laundry system and feel that their clothes are laundered well. One resident said “All our clothing is washed and returned to us quickly”. There is a large enclosed garden at the rear of the house, which allows residents to stroll safely around. The manager said that he was arranging some guide rails to assist residents walking from one area of the garden to another to further enhance their safety. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 20 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, 30 Quality in this area is good. This judgement has been made using available evidence including a visit to the service. Staff in the home are well trained, skilled and in sufficient numbers to meet the aims of the home and the changing needs of the residents. The procedures for the recruitment and selection of staff do not provide safeguards in all areas to protect people living in the home. EVIDENCE: Residents spoken to said staff were very good. One resident said, ”They will always help if I forget something.” Another resident said, “The staff can be helpful when I need to speak to someone. Other comments were: “The carers do their best to support us.” and “they do there best to assist. Through the comment cards relatives said:” Staff seem very caring and patient with the residents.” There were sufficient numbers of staff on duty during this unannounced inspection. Staff rotas were studied. The rota shows satisfactory numbers of staff on duty throughout this period. Through the comment cards most relatives said that there are sufficient numbers of staff on duty. “Very kind and thoughtful staff, perhaps one or two more staff would be useful sometimes as they work so hard.” Via the comment card one resident said, “The carers work very hard.” One resident felt that most staff try to help quickly but some take their time. Another resident said, “I think the staff do a very good job in keeping the residents happy.” Most residents said via the comment cards that staff are Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 21 always or usually available when needed. A small number of residents said that staff do not always come immediately but one resident said, “I can’t expect the carers to be here according to my every need but when I press the buzzer, the carers are always straight here” Another resident said, “staff always come as quick as they can, if they take a little longer they normally explain that they have been helping another sister.” Residents spoken to said staff were very good and caring and would do anything they could to help. The records of five recently employed members of staff were checked. On two files there was only one reference, instead of the two required. The manager explained that this was because the employer of one of the staff concerned the employer had not sent a reference, despite repeated requests. He had received a reference from her local Kingdom Hall and all other checks. One other member of staff had only one written reference. The manager knew her from the local Kingdom Hall and had received a verbal reference but had not recorded this or followed up his request for a written reference. These areas of concern reduce the effectiveness of the recruitment and selection process in providing safeguards to protect people living in the home. All staff and volunteers had Pova First and Criminal Record Bureau (CRB) disclosures in place. Fifteen of the eighteen care staff have completed National Vocational Qualifications (NVQ) in care at level 2. Three others are working towards NVQ 2 qualifications. This is very positive and much higher than the 50 required. Two staff have completed NVQ 3 and one member of staff in addition to the manager has completed NVQ 4. Six staff are working towards NVQ 3. Staff also receive other training such as moving and handling, safeguarding adults and food handling ensuring that residents are cared for by well trained and skilled staff. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35, 37 & 38 Quality in this area is excellent. This judgement has been made using available evidence including a visit to the service. The manager is providing clear direction in the home. It is effectively managed, with good health and safety systems that support and protect residents and staff. Good quality assurance systems are in place, enabling residents, relatives and staff have a voice. EVIDENCE: The manager Manhar Gandesha has several years of experience caring for older people in hospitals and in the community. Mr Gandesha has been the manager of Jah Jireh for two years. He has completed the Registered Managers Award (RMA) as well as continuing to keep himself updated in areas of care. The manager is providing clear leadership and focus in the home. He is enthusiastic and knowledgeable about supporting older people and this is passed onto the staff. The home is well managed and residents and staff say Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 23 they feel well supported. One resident said, “the manager always shows his concern and that he cares about all thirty-six of us.” Another said, “The manager is always there when you need him. Discussions with Mr Gandesha showed a positive approach to the management of the home. Staff said how Mr Gandesha strives for the best care for the residents while still being helpful and caring to staff. The relatives of most residents at the home handle their financial affairs. The home looks after small amounts of some resident’s money. Records are kept of all transactions and money stored safely so that residents’ interests are protected. Systems are in place for quality assurance. The home has received the Investors in People award which is valid until 2009. This is an external award which recognises the owners commitment to staff training and development. The manager holds regular staff meetings and residents meetings and the views of residents and their relatives are regularly sought informally and through written surveys Staff training and good care practice were observed in the home and protect the health and welfare of residents, relatives and staff. The home has written policies and procedures informing staff of the correct way of carrying out care practices and tasks. These are regularly reviewed. The manager ensures regular recorded checks in many areas of health and safety are carried out to ensure that the home is a safe environment for residents and anyone else in the home. He has systematic checks of all areas of care and safety in the home and frequent unannounced audits to check standards of care and health and safety are good and protect residents,’ staff and visitors. In addition his line manager regularly visits unannounced to check standards of care in the home are of a good standard. Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 3 X 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 4 X 3 X 3 4 Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 25 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. 1 Standard OP29 Regulation 19 Requirement The Responsible Person must ensure that all staff have two references before they commence employment. This will ensure the safety and protection of residents from people who should not work with vulnerable adults. Timescale for action 31/01/07 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. Refer to Standard OP16 Good Practice Recommendations The Registered person should remind residents and relatives of the complaints procedure, so that they know how to express any concerns or complaints. The Registered person should make attempts to reduce the unpleasant odour in a lounge and bedroom in the home. To make it a more pleasant fresh smelling environment. 2 OP26 Jah Jireh DS0000009811.V303856.R01.S.doc Version 5.2 Page 26 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 DS0000009811.V303856.R01.S.doc Version 5.2 Page 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. 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