CARE HOMES FOR OLDER PEOPLE
Jah Jireh 72-76 Main Street Ellenborough Maryport Cumbria CA15 7DX Lead Inspector
Nancy Saich Unannounced Inspection 27th December 2006 10:30 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 DS0000022593.V315956.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 DS0000022593.V315956.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Jah Jireh Address 72-76 Main Street Ellenborough Maryport Cumbria CA15 7DX 01900 816943 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) Miss Joanna Hindmoor Miss Joanna Hindmoor Care Home 17 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (17), of places Physical disability (1) Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 17 service users to include: up to 17 service users in the category of OP (Old age, not falling within any other category) up to 5 service users in the category of DE(E) (Dementia over 65 years of age) 1 named service user in the category of PD (Physical disabilities under 65 years of age) may be accommodated within the overall number of registered places. 28th December 2005 Date of last inspection Brief Description of the Service: Jah Jireh is an older property that has been extended and adapted to provide accommodation for older people. The home is in a residential area of Maryport and is within walking distance of local amenities and is served by public transport. The home has its own garden and car park. The home is run by Ms Joanna Hindmoor and owned by the Hindmoor family. It is one of a number of Jah Jireh homes across the country but operates independently from the Jah Jireh organisation. The residents and staff of the home are all Jehovah’s Witnesses and this commitment is essential before anyone comes to live -or work- in the home. The home is next to the Kingdom Hall and the congregation play an important part in the life of the home. The home can take up to seventeen older people, five of whom may have dementia. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the main or ‘key’ inspection for the year. The lead inspector, Nancy Saich sent out questionnaires to residents and to people who visit the home. She also asked the manager for information about the home. All of this was returned promptly. Almost every resident sent back a questionnaire and these surveys were all very positive. The inspector visited the home unannounced, met with staff, the management team and the residents. She saw staff individually and in small groups. She sat in the lounge with the residents and spent lunchtime with them. She also spoke privately with people in their rooms. The inspector read various files and documents that supported what was said to her and what she saw during the day. The evidence for the judgements came from a mixture of what was said, what she observed in practice and what was written evidence. However the main factor in the judgement was the high levels of contentment and satisfaction seen in the residents. What the service does well:
The home makes sure that they go out to visit any new resident to discover their wants and needs. The files showed that they had gone over all the information with new residents and that social workers and other professionals had been involved in new admissions. Three residents said they were happy with the way they came to the home. The residents said that they were well cared for. Each person had a written plan that helped staff give them the right kind of care and attention. These ‘care plans’ and the daily notes showed that personal care was given at the level each person needed and that health issues were attended to. The notes and the residents themselves showed that the home contacts relevant health workers and follow through treatment plans. One person had made a remarkable recovery from a fall due to the care given. Other people spoke about using reflexology as well as traditional treatments. Medicines were being managed properly. Staff spoke of residents as their ‘brothers and sister’ and saw them as valued members of their community. This was evident in the way they spoke of them and how they treated them. The inspector saw respectful and friendly interactions between staff and residents. Residents had the dignity that comes from good care and from being treated properly. This is some of the things they said: ‘We are lucky with every one who works here. …they are all very good’
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 6 ‘They work to Christian principles and this is how we want to live…’ ‘Staff are all very good with me…understand my needs and put up with me’ ‘Staff are nice with everyone and very patient with the oldest people in our home’. ‘It is peaceful here. …residents and staff believe in the same things and we all get on very well together’. This home has some very fit and active residents and some people who are frailer and might be in the last stages of life. The inspector checked on this care and found it to be of a very high standard. A member of staff and residents spoke about this type of care. One person said: ‘Someone will always sit with a person at the end so that the good care continues right to the end…’ The home is good at making sure they listen and act on any concerns or complaints. Residents said they had no complaints but were aware of how to complain if they had to. They also said that there was nothing abusive happening in the house and that anything of the sort would be noticed very quickly. One person said: ‘We are all very close to each other and protect each other. We have privacy but we are interested in each other and would notice something like this…’. Staff and management were aware of how to deal with any situation where someone needed protection. Staff said they were having further training on this in the new year. The residents said that they had the kind of lifestyle they wanted. They could get up and go to bed when they choose, spend time alone in their rooms and go out when they want. The home is situated next to the Kingdom hall and residents attend meetings in the hall or watch on closed circuit TV. They also go out into the community to spread the message that is central to their beliefs as Jehovah’s Witnesses. The staff also offer other activities in the home and residents are offered trips out into the community. Several people also go out alone either to the local shops or with friends. Residents go out to the local hairdresser. The inspector enjoyed talking to the residents, as all of them were very assertive people who were confident that the home was run for their benefit. This showed the inspector that the staff team treat them in the right way that allows them to continue to feel valued and respected. They said that their wishes and needs were always considered and that they lived together in a very harmonious way. No one felt they were talked down to or disregarded. Residents were able to say and do exactly what they wanted but the inspector also noted that they were very considerate of each other and of the staff. The residents said they really enjoyed their meals. Nothing is ready made. Everyday residents said they were offered things like high fibre cereals, homemade soup, fresh fruit and good varied main meals. Residents are offered real coffee and have mineral water. The kitchen had plenty of fresh food available and was clean and orderly. Residents looked well and said that the good food kept them healthy. Jah-Jireh is a comfortable house with pleasant lounges and dining room. Almost all of the residents have single rooms with ensuite toilet and sinks.
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 7 Residents said that their home was always clean, tidy and warm. They were happy with their rooms and looked relaxed and comfortable in the lounge and the dining room. The staff are careful about keeping things hygienic and clean but the house is very much a home and has lots of little touches that make it a nice place to live in. The home has good staffing levels and the Hindmoor family are in the home on a daily basis. The manager and her parents are very much a ‘hands on’ management team. The staff said that when they were busy they helped out with all the care and practical tasks. Staff and residents thought there were enough staff on duty to give good levels of care. The inspector checked the personnel records and spoke to staff. She discovered that the manager makes sure that new staff are the right sort of people to care for vulnerable older people. She then gives them suitable training to help them develop into the job. Once the staff become more established they complete their NVQ qualifications in care. All staff attend short courses to help them give the right kind of care to residents. The inspector spoke to staff and residents about this and they thought that the team were competent and properly trained. Jah-Jireh is managed by Joanna Hindmoor. She is helped in this by her parents and by her deputy. The residents said that they were all efficient, kind and caring. Residents obviously trusted and respected Joanna and went to her with any problems. Several people spoke about her: ‘ I would go to Jo with any problems…’ ‘Joanna is very good with everyone and we trust her…’ She makes sure that all the systems in the home run smoothly so that the residents can have a stress-free life. The inspector checked on food hygiene, fire safety, residents’ money, maintenance and health and safety matters. She found all of this to be in order. The inspector spoke to staff and found out that they are closely supervised so that the manager can make sure they know how to give the best possible care. They also get the chance to talk about their work with more senior members of staff. The manager makes sure that there are good systems in place to keep the quality of the care and services high. The inspector read the last audit of quality done in the home and discovered that residents were generally very happy with the way things were managed in the home. What has improved since the last inspection?
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 8 The home has developed a new system for writing up residents written plans of care and are busy upgrading these. The home had a perfectly good TV in the main lounge but they have bought a new wide screen high definition TV so that people with poor eyesight or hearing will be able to watch TV in comfort. They have also replaced a stair carpet, bought some new beds and bed linens, a new sofa and a new tumble drier. The manager has completed her award that allows her to assess staff’s competence for their NVQ awards. This means that she can help staff complete the award as part of their normal work. Generally the home tries to improve things for residents all the time and are keen to get ideas on how to improve things. 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. The summary of this inspection report can be made available in other formats on request. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 9 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 DS0000022593.V315956.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home makes sure that they only take new people who will fit in with the existing group and whose needs they can meet. EVIDENCE: The inspector met with the last three people to come to the home. They said that the manager and another member of staff had come to visit them before they came into the home. They also said that they were given the chance to visit and have a look around. The inspector read all three of their files and found that the home had used the social workers assessment and then followed this up by making their own assessment. In one case they had done quite a bit of work to make sure the resident got more help than had been available before the admission. Jah Jireh DS0000022593.V315956.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents in this home get such good care that it was plain to see that every person was as well and as properly cared for as possible. EVIDENCE: Every person in this home has a written plan that shows staff what they need to do for residents and what they can manage for themselves. The inspector read a number of these ‘care plans’ and found that they showed a good picture of each person’s needs. She also saw some new plans that the manager and the deputy were working on. These improved the way information about residents is held. The inspector liked the fact that the residents were being encouraged to write these themselves. Residents said that they received very good care and attention. They said they could see the doctor whenever they needed and that someone would take them to any health care appointments. The district nurse visits daily and the inspector had some feedback from the local surgery who felt that residents got good levels of health care.
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 12 The inspector checked on medicines held on behalf of residents. She found that they were ordered, stored, given out and disposed of correctly. Residents are encouraged to take their own medicines where possible. Residents’ medicines are checked regularly by the doctor so that any strong drugs are kept to a minimum. Residents said that the staff were all very nice and that they felt that they were treated in a respectful way. The inspector saw the way staff and residents interacted and she judged that the staff team gave all the residents high levels of respect and treated them in a dignified manner. One member of staff said they saw them as respected members of the congregation who still had an important role to play in their community. A number of people in the home are very fit and active but some residents are very frail and coming to the last stage of life. The inspector saw these people and judged that they were receiving suitable and special care to help them in at this stage. Generally residents looked very well and happy. They were well groomed and had a dignity that comes from good care and good treatment. Jah Jireh DS0000022593.V315956.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. 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. The residents were happy with the arrangements, activities and study groups on offer and felt that these enhanced their lives EVIDENCE: Residents said they got up and went to bed as they pleased. Some people like to spend most of their time in their rooms but almost everyone comes together for activities and study groups. There are weekly groups where residents and staff study together and have discussions. They also attend meetings at the Kingdom Hall or join in by watching the meeting on closed circuit TV if they are too frail to go over to the meeting. These groups are only one part of the cultural and religious activities on offer. A number of people also go out to deliver the ministry in the community. A lot of people from the congregation visit the home and take people out. Residents still play important roles and the beliefs of Jehovah’s Witnesses are such that people are not judged on things like age or debility. Many of the residents have leading roles in the community and it was nice to note that the frailest members of the home are still considered to be people of worth and value.
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 14 Family and friends were visiting during the day and they too were very comfortable in the home. Residents said that they can direct the way things are managed in the home and that they get opportunities to do this in a group and individually. One person felt that they had a role as ‘spokesperson’ and could broach any areas where residents wanted change. Residents have very independent lifestyles. Several people had been out to the hairdresser, one person went to pay her paper bill, one person was visiting his family and others were planning outings with friends. Small things show that residents needs come first. For example dinner is served early evening in this home so that residents can follow their chosen pursuits during the day. Residents were complimentary about the food and the inspector sampled some of the excellent food on offer. Every day residents are offered highly nutritious foods. At lunchtime they ate homemade soup, sandwiches, home baking, fresh fruit and could choose from tea or real coffee. The evening meal was being prepared at the end of the visit and again this was home made using fresh ingredients. Residents said that the food helped them stay well. The inspector saw people who looked very well and saw in the notes that things like fresh fruit and vegetable and whole grains kept people free from some of the ailments that poor nutrition brings. The frailest person in the home was still eating well as the staff were making small nutritious meals especially to tempt this person. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of this home is good at listening to residents and protecting them from harm. EVIDENCE: There had been no formal complaints received by the home or by the inspector. Residents said that anything they wanted to complain about was done at the time and dealt with properly. Residents were aware of how to complain and said they would talk to the management or would find someone in the congregation to help them deal with something complex. One or two residents said they would contact the inspector if a complaint wasn’t being dealt with. No one had any complaints on the day. Residents said that no one in the home was being abused and they felt that it was such an open and honest place that anything of the sort would be noticed very quickly. They said they would take any problem to the wider church community or to the inspector but everyone thought that abuse was very unlikely in their community. The staff – even the newest member of the team- understood what was abusive and knew how to report anything of the sort. They were looking forward to more training on the subject in the new year. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This home provides a comfortable and relaxed environment for residents with high standards of décor and furnishings. EVIDENCE: The home consists of two older houses and a modern extension. It is situated near to the local shops and other amenities of Ellenborough. There is a local bus service. The home is right next to the Kingdom Hall. Externally the home looked to be in a good state of repair and there is a pleasant garden for residents to sit out in during good weather. There is plenty of car parking for visitors. The home has a large lounge where residents enjoy watching their new TV together and where meetings and study groups are held. This is also where
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 17 residents can join in the meetings from the Kingdom Hall via closed circuit TV. This room was warm, well decorated and comfortably furnished. There is also a small sun lounge where residents can sit quietly or have visitors in private. There is a large dining room where people sit at small tables. Residents said that meal times are sociable affairs and people were happy to take their time over lunch, exchanging news, talking about current affairs and talking to the inspector. The chairs here were comfortable and tables nicely set. Most of the bedrooms are single occupancy but two people enjoy sharing a double room. Every room was different and reflected people’s interests and tastes. The bedrooms in the new extension are of a very high standard being spacious and well laid out. One person enjoys caring for her own furniture and likes a neat room. Other people have lots of possessions in their rooms and enjoy studying among their collections of ‘Watchtower’. Some people have computers, TV’s and videos in their rooms and one or two people enjoy listening to music. The home was clean and tidy in all areas and there were no unpleasant odours anywhere. The inspector didn’t look at the laundry room but noted that residents’ clothes were clean and well pressed and the towels and bed linens were also clean and ironed. The inspector noted that the home had some new bed linens that would help people with fragile skin. Staff were aware of how to prevent infection spreading and there was evidence of special cleaning agents and equipment being available to help with this. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. There are enough staff in this home to give residents good levels of care and services. EVIDENCE: The inspector saw the rosters for the four weeks before the visit. She judged that there was always enough staff on duty to give residents good levels of care and service. The rosters do not always show what staff and residents told the inspector. They said that Joanna was in the home almost every day and that her parents were also around most of the time. Staff said that if they were very busy one of the Hindmoor family would be in the home giving them a helping hand to make sure the residents were properly cared for. The inspector noted that there was always a senior carer on duty and that younger inexperienced staff were never left on their own. The inspector checked on the files for the last new staff and also looked at the records for longer serving members of staff. She discovered that new staff are only taken on after having proper checks completed. This means that no one with a criminal record or a history of being dismissed for misconduct is taken on. This home only employs people who are Jehovah’s Witnesses and most of the staff are known before they come to the home. Younger members of staff
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 19 do not give personal care until they reach an age and stage in their development where residents will accept their help. Once a new member of staff is used to the home the manager and her deputy give them training in the things people need to know to give good care. They are then registered to do their National Vocational Qualifications in care. Several staff files showed that members of the team have these at level 2 and 3. Staff have also attended short courses and had their practice checked by more senior members of the team. The inspector spoke to a new member of staff, to the deputy and to a member of staff who had been around for a few years. She was impressed with the way they did all the tasks during the day without fuss and with due regard to residents feelings. She was also impressed with their attitude and knowledge. They were very open and keen to talk about their development and their training needs. They felt that the home was well run and they worked well as a team with different skills to bring to the work. They spoke about the opportunities they were given for training and development and were satisfied that the management cared for them as well as for the residents. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,37,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This is an orderly and well-managed home where residents feel confident that things are running smoothly EVIDENCE: The manager, Joanna Hindmoor is experienced and suitably trained to care for frail older people. She is very much trusted and respected by the residents. Everyone had positive things to say about her. When the inspector observed her with residents she saw genuine care and respect –on both sides. Younger and less experienced staff saw her as a role model. They felt she was easy to talk to and they appreciated the way she was very much a ‘hands on’ manager.
Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 21 Her parents help her in this management task and again staff and residents felt that they were easy to talk to and trusted to make sure things were running well in the home. Joanna also has a deputy who shares the management of the care tasks. Several residents mentioned how caring and efficient she was. The home has a special system in place so that they can make sure that that high quality care and services are delivered to residents. The inspector read the last report of these findings and saw the preparations for the next audit due in the New Year. The home has someone trained in this who works in one of the other Jah Jireh homes who comes up to Cumbria to do this and who is independent and objective. The manager said she did not look after any money for residents. They said that they dealt with their own finances or had help from solicitors or from their families. The staff team said they were supervised daily as they worked. One person said that despite the fact that the management team were all very nice they did not hesitate to tell someone they were not doing their work properly. Staff also said that they had formal meetings with the manager or the deputy. The inspector saw these ‘supervision’ notes and judged that they were of a good standard. One person especially wanted to say how much support had been received by the manager and that he felt that this had really helped in his personal development. The recording systems in the home were very good and the inspector could see a lot of improvement in these. She asked the manager to always make sure that any telephone contact with the inspector is followed up with a written notification. The inspector saw the systems in place that make sure that the home is safe, well maintained and hygienic. These were of a good standard. She discussed a minor issue with the manager about recording fire drills and the manager agreed to do this. She also saw a report from environmental health that showed that the kitchen hygiene was of a very high standard. All around the home there was evidence of good, practical applications of high standards of health and safety. Staff were aware of their responsibilities and said that they worked to these every day. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 22 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 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 3 2 3 Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 23 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 OP37 Good Practice Recommendations It is recommended that any matters that the manager thinks the inspector needs to know about are recorded and sent to her. Jah Jireh DS0000022593.V315956.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000022593.V315956.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
