Inspection on 21/06/05 for Jah Jireh

This inspection was carried out on 21st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 19/12/06

Jah Jireh 24/11/05

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 Care Home 127-131 Reads Avenue Blackpool FY1 4JH Lead Inspector Janet Spink Unannounced 21 June 2005 8:30 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 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 Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jah-Jireh Care Home Address 127-131 Reads Avenue Blackpool FY1 4JH Telephone number Fax number Email 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 291491 Jah-Jireh (Charity)Homes Mr Manhar Gandesha CRH Care Home 36 Category(ies) of OP Old Age 35 registration, with number DE Dementia 1 of places Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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). 2. One (1) named service user in the category of DE (D) (Dementia over 65 years of age) may be accommodated within the overall number of registered places. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 7 December 2004 Brief Description of the Service: Jah Jireh is a care home that is registerd 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 amentiites 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 facilites. There is space at the front of the building for approximatley six cars. Services within the home include laundry, religious meetings, social activities and meals. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and was conducted over five hours. The inspector spoke to eight residents, the manager, assistant manager and looked at relevant documentation. Staff were not spoken to on this occasion. What the service does well: What has improved since the last inspection? During the last inspection a requirement was made in relation to carrying out risk assessments for window restrictors to be fitted in first and second floor bedrooms. These have now been fitted, which will ensure the safety of residents. Locks have also been fitted to bedroom doors and some residents were seen to be making use of their keys and locking their doors when out of the bedroom. This was a recommendation following the last inspection. Training has greatly improved since the last inspection with the majority of staff having done first aid, moving and handling, infection control and medication training. The manager has demonstrated a commitment to training by ensuring that staff have opportunity to undertake a recognised qualification in care (National Vocational Qualification). The manager has now completed the Registered Manager’s Award. Discussions with residents confirmed that there has been improvement in respect of social activities offered in the home. There have also been some trips arranged to the Hot Ice show and drives in the car. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 6 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 Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 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 standard(s) 2 and 3. Standard 6 is not applicable to this home. All new residents have a full assessment completed prior to moving into the home, ensuring that the home can meet their needs. EVIDENCE: Three files were looked at to assess the home’s admission practices. All three residents had been assessed by an appropriately trained person such as a social worker or health professional. They also included assessments carried out by a representative of the company, which included information such as dietary needs, mobility and communication. Terms and conditions were on file for each person and had been signed by the resident. This ensures the resident knows what to expect from their stay at the home. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 9 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 standard(s) 7, 8, and 10 The home ensures that residents’ health and personal care is closely monitored and reviewed so that individual needs are met by the staff team. EVIDENCE: The inspector case-tracked three residents who had different levels of care needs. This meant looking at their individual care plans and other documentation relevant to them as well as talking with them. There were two care plans in place that gave clear guidance for staff in relation to dietary needs, mobility and social needs. One care plan was in the initial stages of development as the resident had very recently moved in to the home. The daily notes were read, which confirmed that the home ensures that appointments to other health care professionals such as the GP, hospital and chiropodist are recorded. The care plans are reviewed monthly, but it was noted that changing needs of one resident had not been up-dated and the plan therefore was not reflecting the current needs of a resident. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 10 The home was found to be meeting the health and personal care needs of the residents. A resident explained to the inspector that she was always assisted by two members of staff when being bathed and that the hoist is used. This was documented on the care plan. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 11 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 standard(s) 12, 14 and 15 There has been much improvement in the home in respect of social activities as a plan is in place for residents so that they benefit from social stimulation. Meals are nutritional and a varied diet is provided to residents ensuring they receive meals that promote their health. EVIDENCE: The inspector was told by a resident that she had recently enjoyed a trip to the Hot Ice Show, and another commented that she “really likes the art classes on a Monday and the exercises classes in the evening.” Other activities offered in the home are religious meetings (these can be linked to individual TVs in bedrooms from Kingdom Hall) and film shows. The registered manager has made arrangements for the garden to become more accessible for people so residents can be involved in gardening if they wish. Residents spoken to explained that food is “lovely” and that fresh fruit and vegetables are served each day. A light meal is served at lunch time while the main cooked meal is served in an evening. The inspector observed people who needed help feeding being assisted in a respectful manner. Regular drinks and snacks being offered during the day. Some residents have tea making facilities in their bedrooms offering further independence. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 12 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 standard(s) None of these standards were assessed on this occasion. EVIDENCE: Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 19, 20, 23, 24, 25 and 26 The home has made some improvements and residents are living in a safe and well maintained environment. It is clean and hygienic ensuring residents are living in a pleasant and comfortable home. Improvements could be made to the laundry system to ensure residents always have their clothing returned. EVIDENCE: The inspector noted that window restrictors have been fitted to all first and second floor bedroom windows as recommended during the last inspection, which will ensure the safety of all residents. Bedroom doors now have locks fitted to ensure residents have privacy, and the inspector observed some residents choosing to lock their doors when they left their bedrooms. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 14 At the time of the inspection the home was found to be warm, clean and airy. There are staff employed as housekeepers who are responsible for cleaning and the laundry of the home. Comments were made about some items of clothing not being returned from the laundry and discussions with manager confirmed that he intends to address this with the staff to review the system to ensure this does not continue. All bedrooms seen met the needs of the person accommodated and contained personal items such as photographs, books and ornaments. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Staffing levels are appropriate to meet the needs of the people accommodated. Recruitment practices are robust ensuring protection for the people living at the home. EVIDENCE: Staffing levels meet the needs of the people accommodated and this was confirmed by looking at the rota and discussions with residents. The inspection was unannounced and the registered manager was on duty with an assistant manager, four care staff, two housekeepers and the cook. There were 34 residents accommodated. There has been one member of staff recruited since the last inspection and she was selected in a professional manner with all necessary police checks and references being obtained. This will ensure the safety of the residents. Training has improved and this was evidenced through staff files and certificates. Eight members of staff have completed first aid since the last inspection and other training has included medication procedures from Boots the chemist, moving and handling and infection control. Four members of staff have completed NVQ (National Vocational Qualification) in care level II or III. Eleven others have enrolled for this. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, and 33 The home is well managed and run in the best interests of the residents. There is good leadership, guidance and direction to ensure that residents receive consistent care. EVIDENCE: The manager has recently successfully completed the Registered Manager’s Award. This will assist him to continue to manage the home in a responsible and professional manner. One resident informed the inspector that Mr Gandeesha is “the best manager we have ever had.” Another explained that she had commented during a residents’ meeting that a second handrail would be of benefit to her by the stairs and that “this was put up within a week.” It was evident from the inspection that the manager ensures that the home is run for the best interest of the residents and that he listens to their views and comments. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x x 2 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 Standard No 16 17 18 Score x x x 3 3 3 x x x x x Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 18 No Are there any outstanding requirements from the last inspection? 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 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 7 26 Good Practice Recommendations Care plans should reflect the current needs of residents and be reviewed when necessary as well as monthly. The laundry system should be reviewed to ensure residents always have their own clothing returned to them. Jah-Jireh Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Portway 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 Care Home F57 F09 S9811 Jah Jireh V211070 200605 Stage 4.doc Version 1.30 Page 20 - 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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