Jah-Jireh Charity Homes Wigan

Updated 27 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors and Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Jah-Jireh Charity Homes Wigan is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Jah-Jireh is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be on site to support the inspection.

Inspection activity started on 22 November 2022 and ended on 2 December 2022. We visited the location’s service on 22 November 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people and 9 relatives to understand peoples experience of care. We spoke with 10 staff; this included the nominated individual, the registered manager, clinical lead, seniors and care assistants. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records including 6 people’s care and support plans. We also looked at records relating to the management of people’s medicines, daily records and records relating to the management of the service. We looked at staff files, recruitment records and training data. We continued to seek clarification from the provider to validate evidence found after our visit to the service.

Updated 27 January 2023

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

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.