CARE HOMES FOR OLDER PEOPLE
Jah Jireh 127-131 Reads Avenue Blackpool Lancashire FY1 4JH Lead Inspector
Ms Janet Spink Unannounced Inspection 24th November 2005 09.45 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.V251942.R01.S.doc Version 5.0 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.V251942.R01.S.doc Version 5.0 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.V251942.R01.S.doc Version 5.0 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. 21st June 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. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over three hours. The inspector spoke to residents, the manager, assistant manager, staff and looked at relevant documentation. Comment cards were received from residents and relatives. What the service does well: What has improved since the last inspection?
Care plans have improved since the last inspection as they are now more detailed and are being reviewed on a regular basis. During the last inspection it had been noted that one care plan did not contain up-to-date information about a resident’s needs. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 6 Residents feel that the laundry system has improved and they are usually getting their clothes back from the wash. This will need to be monitored to make sure this continues. 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.V251942.R01.S.doc Version 5.0 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 DS0000009811.V251942.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 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 the following standard(s): 7 and 8 All residents have care plans that ensure staff have guidance in meeting residents’ personal and healthcare needs. EVIDENCE: Two care plans were looked at, which described levels of care needed for mobility, diet, medication, communication etc. These are clearly written and are being reviewed each month to make sure changing needs are monitored and that care plans reflect current needs. 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. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 10 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 and 13 This home continues to improve the opportunities for residents through recreational activities to make sure residents benefit from social stimulation. Residents are able to maintain contact with families and friends as they wish. EVIDENCE: Residents felt that there has been improvement in the home during the last twelve months in the provision of activities in the home. One of the five lounges has been turned in to a sensory room with lights, calming music and relaxing furniture available for residents. There are weekly activities such as film shows, crafts and exercises as well as occasional trips such as an outing to the cinema to see “ Pride and Prejudice.” Other activities offered in the home are religious meetings (these can be linked to individual TVs in bedrooms from Kingdom Hall). The manager is committed to ensuring that preferred activities continue to be offered. A resident told the inspector that her visitors come whenever they wish and do not make an appointment. Her friends also take her out in to the local town. Two comment cards were received from relatives and these confirmed that they feel welcome when visiting the home. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 11 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 The home ensures that residents are aware of their rights and has a complaints procedure. Systems are in place to reduce the risk of abuse. EVIDENCE: When asked about making complaints a resident told the inspector that We don’t have anything to complain about – all they do is make sure we are happy.” The home does have a complaints procedure, however residents were not always aware of this. They were aware that if they have concerns they would go to the manager and were confident that their concerns would be dealt with. A number of comment cards were received from residents and all confirmed that they had never had to make a complaint. The manager gives opportunities for residents to voice their opinions through resident meetings, annual surveys and weekly 1-1 meetings with residents. Most staff have received training for “awareness of abuse” and when another five do this in the next week, it will mean that all staff have been given this training. This will go some way to ensure residents are protected from abuse. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 12 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): 26 There has been some improvement to the laundry system to make sure residents always have their clothing returned to them, however this needs to be monitored. EVIDENCE: During the last inspection a few residents commented that clothes had been going missing when sent to the laundry. The manager has looked at this and changed the system to make sure all residents have their items returned to them. He has purchased nametags for all residents and given staff some responsibility for checking drawers and wardrobes for un named items. Residents spoken to felt that there had been some improvement in this, however the manager should continue to review this to make sure residents are satisfied with this service. The building was found to be clean, warm and airy. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 13 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 and 30 There are sufficient staff on duty to meet the needs of the residents. Training continues to be provided which means residents are cared for by well-trained staff. EVIDENCE: The inspection was unannounced and there was the manager on duty with the assistant and three members of care staff. There were also two cooks and two housekeepers. Training is given to staff in moving and handling, first aid, infection control, and awareness of abuse and food hygiene. Some staff have also done some training in dementia care. Housekeepers are given the chance to do NVQ in domestic skills. There is a total of 23 care staff and 8 of these have completed NVQ level II in care, while 3 are ready to have their completed work assessed and 6 are waiting to commence this award. The manager works hard at making sure the team are trained and are aware of good practice. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 14 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, 36 and 38 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. The home is well maintained to ensure the safety of residents and staff. EVIDENCE: The manager has 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 “the manager is very kind and wants to make us happy.” It was evident from the inspection that the manager ensures that the home is run for the best interest of the residents and gives them every opportunity to air their views and comments. A comment on a card received said “ We have our say.”
Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 15 Residents told the inspector that meetings are held regularly and that the manager comes round to see if they want anything. This resulted in residents having fish and chips from the “chippy” one evening. The Inspector was provided with documentation in relation to maintaining a safe environment. This included records of equipment testing and servicing as well as regular safety checks on the water system, gas supply and electrical installations. All staff have 8 weekly 1-1 supervisions, and a record of these is kept in the staff file. This provides opportunity to discuss training needs, competence, conduct etc. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 16 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x 3 x 3 Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 17 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 Refer to Standard OP27 Good Practice Recommendations 50 of care staff should achieve NVQ level II in care. Jah Jireh DS0000009811.V251942.R01.S.doc Version 5.0 Page 18 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
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