Jalna Residential Care Home

Updated 27 January 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of the Care Quality Commission’s (CQC’s) response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 20 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.

Updated 27 January 2022

About the service

Jalna Residential Care Home is a residential care home providing accommodation, care and support for up to 22 people aged 65 and over. The service does not provide nursing care. There were 18 people living at the home at the time of the inspection.

People’s experience of using this service and what we found

Systems and processes safeguarded people from the risk of abuse. People told us they felt safe and staff were confident the management team would act quickly to keep people safe. Everyone spoken with were complimentary about the staff team and the care and support provided. Effective systems were in place to ensure lessons were learnt from any incidents and the management team understood their responsibility to be open and honest when something went wrong.

Environmental risks and risks to people's health, safety and wellbeing were managed well and kept under review. Equipment was safe to use and regularly serviced and maintained. Recruitment processes ensured staff were suitable to work with vulnerable people; some additional improvements, to ensure the process was fully robust, were discussed with the registered manager. There were enough staff to meet people's needs and to ensure their safety.

The home was clean and odour free and staff followed safe infection control practices. Additional systems and guidance were in place to reduce the risk of infection during the pandemic; we suggested changes to the cleaning schedule, and this was complied with. The management of people’s medicines had improved, and they were managed safely. The service had equality and diversity policies and procedures in place. People’s privacy and dignity were respected.

People's care and support needs were assessed prior to them using the service to ensure their needs could be met; care records were reflective of the support they needed and received. They were supported to live healthy lives and had access to professionals, a well-trained staff team and a choice of a nutritious diet. The home worked in partnership with other organisations to provide effective and consistent care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The management team and staff had worked hard to address the shortfalls found at previous inspections and were clear about where further developments were needed. There were effective systems to check the quality of the service and to monitor staff practice with clear evidence improvements had taken place. People's views were sought about the service and acted on. Where possible, people were involved in decisions about their care and support. Care was planned in a person-centred way and regularly reviewed which helped ensure good outcomes for people; the registered manager told us further improvements were planned with this. Records were accurate and organised. The service engaged with external professionals to ensure people received prompt and coordinated care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 25 February 2020). There were breaches of regulation in relation to maintaining accurate records in relation to people’s care. We also made recommendations about medicines management. After the last inspection, the provider completed an action plan to show what they would do and by when, to improve.

At this inspection, we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We carried out an unannounced comprehensive inspection of this service on 9 May 2019, followed by a focused inspection on 28 August 2019 and 29 January 2020. Breaches of legal requirements were found.

We undertook this focused inspection on 16 December 2020, to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-Led.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has improved to good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jalna Residential Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.