CARE HOMES FOR OLDER PEOPLE
Jah-Jireh Nursing Home Springfield Road Beech Hill Wigan Lancashire WN6 7RH Lead Inspector
Judith Stanley Unannounced Inspection 24th February 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 Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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 Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Jah-Jireh Nursing Home Address Springfield Road Beech Hill Wigan Lancashire WN6 7RH 01942 243533 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) Trustees of Jah-Jireh (Charity) Homes Mrs Kathleen Soar Care Home 45 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (45), of places Physical disability (5), Terminally ill over 65 years of age (4) Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum 45 service users to include:up to 45 service users in the category of OP (Older People) up to 5 service users in the category of PD (Physical Disabilities under 65 years of age) up to 4 service users in the category of TI(E) (Terminal Illness over 65 years of age) up to 5 service users in the category of DE(E) (Dementia over 65 years of age) The service should employ a suitably qualified and experienced Manager who is registered by the CSCI. The Registered Person must ensure that all staff working in the home have dementia awareness and dementia care training, which equips them to meet the needs of the service users accommodated, as defined in the individual plan of care. The service should at all times employ suitably qualified and experienced members of staff, in sufficient numbers, to meet the assessed needs of service users with dementia. 14 July 2005 2. 3. 4. Date of last inspection Brief Description of the Service: Jah Jireh Care Home is a faith home for brothers and sisters who are baptised members of the Jehovah’s Witness faith. The home offers accommodation, nursing and personal care and support for up to 45 individuals with varying needs. Jah Jireh is situated in the Springfield area of Wigan and is close to local amenities and is approximately 10 minutes drive from Wigan and Standish town centres. The home has its own mini bus for trips and outings. The home is a purpose built two-storey building with private accommodation on both floors. The home offers 39 single rooms and 3 shared rooms, all rooms have en suite facilities. The home offers comfortable lounges and a large separated dining room. The enclosed gardens are well presented and were accessible to all residents. Limited car parking is available at the front of the home. The home has some staff accommodation and a hospitality suite for visiting relatives. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out over a three-hour period on one day, and was unannounced. The homes manager was available to assist with the inspection. Part of the time was spent in the office looking at residents’ records (care plans) and other documents that the home needs to keep to run its business, and part of the time was spent speaking with the residents and staff. What the service does well: What has improved since the last inspection? What they could do better:
Some staff had been offered training on the protection of vulnerable adults and in caring for people with dementia; this training should be available to all staff. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 6 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 Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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 Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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): None of the above standards were inspected on this occasion. Standard 6 does not apply at Jah Jireh as the home does not offer an intermediate care service. EVIDENCE: Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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 The care plans showed that the health, personal, and social care needs of residents had been identified, were monitored, and were reviewed in a measured way. EVIDENCE: Individual care plans were made available for inspection. Three care plans indicated that all aspects resident’s health, personal and social care needs had been planned for. Each record contained 12 aspects of daily living, a brief outline of the individual person’s background, work history, family, hobbies and interests. This profile helps staff to understand a little about the person to whom they are providing care for and can provided topics for conversation. The care plans were clear, concise and had been reviewed monthly or more frequently if required. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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): 13 and 14 Residents are able to exercise as much personal freedom and choice as possible with a risk framework and within the confines of the residents expressed interests, capabilities and choice. The routines of daily living are tailored to be as flexible as possible in a communal living setting. EVIDENCE: Residents are encouraged to maintain contain contact with the family, friends and the local community. Visitors to the home are welcome, however, this home is the only Jah Jireh home in the north west that provides nursing care, therefore some residents have moved some distance away from their families and this makes visiting difficult. The new guest room will provide accommodation for visitors to stay over and spend more time with their relatives. It was observed that one resident goes off into town on her own most days and others regularly attend church services and study groups. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 11 It was noted from a tour of the premises that residents had personalised their own bedrooms with items from home, photographs and mementoes and some had selected their own colour schemes and furnishings. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: None of the above standards were inspected on this occasion. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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 the following standard(s): 19 The standards within this home are good providing a clean, comfortable and homely environment for people to live in. EVIDENCE: From a tour of the building, it was seen that the premises were being maintained to a high standard both internally and externally. All the building work is now complete and rooms have been tastefully decorated. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: None of the above standards were assessed on this occasion. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 15 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): 35 A satisfactory accounting system was in place to ensure that resident’s finances are protected. EVIDENCE: The home administers a number of personal allowances of which an income/expenditure sheet with a running total is maintained for each resident. Monies are kept separately and are securely stored. Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x x Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP18 Regulation 13 Timescale for action All staff must receive appropriate 28/04/06 training in the protection of vulnerable adults and in caring for people with dementia. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Jah-Jireh Nursing Home DS0000005684.V268735.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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