Jah Jireh Maryport

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Pre‑admission assessments were completed by the manager and deputy manager to evaluate people’s needs prior to admission.

A family member told us their relative had recently come to live at Jah Jireh, they said they saw, “Such a difference in a few days, I couldn’t believe it, they asked me everything about her care, what she likes and dislikes and everything.”

The provider used an electronic care planning system, which had been in place for approximately 18 months, following a previous paper‑based system. Body maps were in place and had been regularly updated to support the monitoring of people’s skin integrity and health needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

We found evidence that people’s pressure care, nutritional needs and personal care needs were appropriately monitored, recorded and supported. Where there were concerns or changes in people’s needs, timely referrals were made to relevant healthcare professionals.

Kitchen staff had a good understanding of people’s dietary requirements, and we saw that people were supported appropriately with eating and drinking.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff were able to update people’s daily needs and records in real time using handheld devices which were linked to the electronic care records. Not all staff were trained or familiar with the IT system, however the provider told us training will be given to ensure staff could access more detailed information.

We found no evidence of regular staff meetings taking place recently, however this was addressed by the provider during our inspection.

Staff told us they enjoyed working at Jah Jireh. A person we spoke to told us “I like it here; there is always something different to do and spend time with residents and relatives. I feel like I am making a difference.” Another staff member told us, “I like working here because the manager is amazing and very helpful.”

The provider did not always support people to manage their health and wellbeing, so people could not always maximise their independence, choice and control. Staff did not always support people to live healthier lives, or where possible, reduce their future needs for care and support.

People told us they felt they had enough to eat and drink. However, people felt there was a lack of choice at mealtimes.

One person told us, “The foods okay, we do get a choice,” another said, “Foods not bad, not brilliant, I get enough, they do ask you what you want, a choice of 2 things usually.”

Another person told us, “The food is adequate, but we are trying to get it improved, everything is soup and sandwiches at lunch and there is a choice of 2 things later on.”

People’s health and wellbeing was monitored daily and records reflected this. People were able to access a secure outside rear garden, however the doorway to this from the lounge area was sealed off due to the risk of a person leaving the building without staff support.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

We saw evidence of referrals made to other professionals when appropriate.

Care plans were reviewed on a monthly basis. However, we noted that some reviews did not clearly describe what aspects of care had been reviewed or whether people’s needs had changed. The provider told us they were aware of this issue and planned to ensure care plan reviews included more detailed information going forward.

One person told us that they had reviewed their own care plan recently. Some families told us they were involved in their relatives’ care plan reviews.

Records included weight charts and nutritional screening tools were used to monitor and respond to changes in people’s nutritional status.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff were trained in The Mental Capacity Act 2005 (MCA)and a member of staff told us, "I ensure they understand what I am doing, I ask first and explain what is planned.”

Consent from were noted in care plans. There were specific consent issues recorded for people who were Jehovah’s Witnesses for example around the use of blood products.

However, we found care plans needed strengthening in relation to recording information around Best Interest (BI) and MCA decisions