22 November 2022
During an inspection looking at part of 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
The provider had improved auditing systems since our last inspection where we identified issues with governance and quality assurance systems. At this inspection we found further improvement with audits was still needed. People were supported in a person-centred way and people and relatives felt the providers values represented their faith and religious beliefs. Relatives felt they were kept informed by the provider when things went wrong. People felt in control of their care and support and praised staffs support of them.
People and relatives felt care and support was provided safely. The provider and staff had a good understanding of safeguarding and how to escalate any concerns. Staff were recruited safely with appropriate checks in place. Safety checks had been completed within appropriate timescales. However, some actions identified as part of checks had not been completed in a timely manner. We discussed this with the provider who shared a plan with realistic timeframes to address this issue. Accident and incidents were recorded and the provider promoted good IPC practice throughout the home. Medicines were managed safely and staff received training, we found some gaps in record keeping related to medicines but felt this was related to auditing systems. We have made a recommendation record keeping relating to medication is improved.
Staff received a robust induction programme and compliance with training was good. Some staff felt training would be better delivered face to face than online which was mainly utilised. We fed this back to the provider who provided a training schedule which included face to face training. We found some inconsistencies within people’s care plans; however, the system the provider used was robust and the issues noted were minor. We have made a recommendation care plans and related records are reviewed to improve accurate record keeping.
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.
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 11 August 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found some improvements had been made. However, we found the provider remained in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has not changed based on the findings of this inspection. You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jah-Jireh Charity Homes Wigan on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.