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Jah-Jireh Charity Homes Wigan Requires improvement

We are carrying out a review of quality at Jah-Jireh Charity Homes Wigan. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 17 January 2020

About the service

Jah-Jireh Charity Homes Wigan provides accommodation, personal and nursing care for people who are baptised members of the Jehovah’s Witness faith. The accommodation is divided over two floors and is located in a residential area of Wigan. The home can accommodate up to 47 people. At the time of inspection 45 people were living at the home.

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

Medicines had not been managed safely on a consistent basis. We identified issues with training and competency checks, the management of topical medicines and with the administration of some people’s medicines.

Staff spoke positively about the training and support provided, however refresher training and supervision sessions had not always been provided in line with company policy.

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 of the DoLS process required strengthening to ensure applications had been submitted timely.

Some quality monitoring systems and processes had been used, however there was not a clear audit schedule in place, to ensure regular checks had been completed and issues identified consistently.

People and their relatives spoke positively about the care provided at Jah-Jireh Charity Homes Wigan. Staff were described as kind, caring and thoughtful. Staff ensured they knew people well and provided support in line with people’s needs and wishes.

People told us they felt safe living at the home and enough staff were deployed to support them safely and effectively. Staff were knowledgeable about how to identify and report any safeguarding concerns, which had been referred to the local authority as per guidance.

We found the home to be clean, odour free with effective cleaning and infection control processes in place. Safety checks of the environment and equipment had been completed in line with guidance.

People and relatives were complimentary about the food and drink available, telling us they received a range of daily options choice and enough was provided. People requiring a modified diet received these in line with guidance.

People’s healthcare needs were met with referrals made timely to professionals when any issues had been noted. Equipment was in place to support people to stay well, such as pressure relieving mattresses and cushions, for people at risk of skin breakdown.

Care files contained personalised information about people, their lives, preferences and how they wished to be supported and cared for. Peoples’ social, recreational and spiritual needs were met through the home’s activities programme.

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

Rating at last inspection

The last rating for this service was good (report published June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Requires improvement

Updated 17 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 17 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 17 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 January 2020

The service was not always well-led.

Details are in our well-Led findings below.