This was an unannounced inspection that took place on 27 November 2018. The service was last inspected in April 2016 where there were no breaches in regulation seen and the home was rated as Good. We found at this inspection that the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Jah Jireh is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The care home can accommodate up to twenty people. There were nineteen people in residence when we visited. People living in the service are mainly older adults. The home does not provide nursing care.
The home had a suitably qualified and experienced registered manager who had a background in social care and in management. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The staff team understood how to protect vulnerable adults from harm and abuse. Staff had received suitable training and spoke to us about how they would identify any issues and report them appropriately. Risk assessments and risk management plans supported people well. Good arrangements were in place to ensure that new members of staff had been suitably vetted and that they were the right kind of people to work with vulnerable adults. Accident and incident management was of a good standard.
The registered manager kept staffing rosters under review as people's needs changed. We judged that the service employed enough staff by day and night to meet people's needs and to deliver services like cleaning and cooking.
Staff were appropriately inducted, trained and developed to give the best support possible. We met team members who understood people's needs very well and who had suitable training and experience in their roles.
Medicines were suitably managed in the service with people having reviews of their medicines on a regular basis.
People in the home saw their GP and health specialists whenever necessary. The staff team had good working relationships with local GP surgeries and with community nursing services.
Good assessments of need were in place, and the staff team reviewed the delivery of care for effectiveness. They worked with health and social care professionals to ensure that assessment and review of support needed was suitable and up to date.
People told us they were very happy with the food provided and people enjoyed a well prepared light lunch during our inspection. Good nutritional planning was in place and special diets catered for appropriately.
Jah Jireh is situated in the village of Ellenborough. The provider had updated and added to the original building to a good standard. It had suitable adaptations and equipment in place. The house was warm, clean and comfortable on the day we visited.
This home mainly, but not exclusively, cares for adults who are members of the religious group known as Jehovah's Witnesses. People attended the Kingdom Hall as the home was next door to this meeting place of the congregation. People continued to lead meetings and participate in community activities that are fundamental to Jehovah's Witness's beliefs and practices. There was no compulsion to follow the religious beliefs of Jehovah's Witnesses and eople were supported to continue to be involved with the religion of their choice if they were not Jehovah's Witnesses.
The staff team were aware of their responsibilities under the Mental Capacity Act 2005. We checked whether the service was working within the principles of the MCA, whether any restrictions on people’s liberty had been authorised and whether any conditions on such authorisations were being met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. No one was currently under an authorisation of the MCA.
People who lived in the home told us that the staff were caring. We also observed kind and patient support being provided. Staff supported people in a respectful way. They made sure that confidentiality, privacy and dignity were maintained.
Risk assessments and care plans provided detailed guidance for staff in the home. People in the service were aware of their care plans and had influenced the content. The management team had ensured the plans reflected the person centred care that was being delivered. We noted that good attention was paid to spiritual needs as well as personal and psychological care and practical support.
Staff had supported a person who used British Sign language and could access training and support for other forms of specialised communication.
We saw evidence of regular activities and entertainments in the home. People led bible study groups and other forms of learning. The Kingdom Hall is next to the home and people attended or joined in through CCTV.
The service had a quality monitoring system in place that the registered manager and her deputy had developed. People were asked their views in a number of different ways. Quality assurance was used to support future planning.
We had evidence to show that the registered manager and the deputy manager were able to deal with concerns or complaints appropriately .
Records were well organised, easy to access and stored securely.