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CQC report explained · a residential care home

What the CQC found at Jack Gardner House

Goodpublished 2 May 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People and relatives said people felt safe, and inspectors found enough staff, suitable recruitment checks and good medicines management. However, inspectors found a number of ligature points near beds and in bathrooms, including areas used by people with a history of suicide.
Effective?
Good
Staff were trained, supported and knowledgeable about people's care needs. The home provided suitable food, worked with health professionals and followed the Mental Capacity Act.
Caring?
Good
Inspectors observed kind, compassionate and attentive care. Staff respected privacy, dignity, independence and people's Jewish cultural and spiritual needs.
Responsive?
Good
Care plans were personalised and included people's preferences, communication needs, mental health indicators and activities. People were supported to take part in activities, volunteering, education and community life.
Well-led?
Good
People, relatives and staff spoke very positively about the management. The provider used audits, surveys, meetings and unannounced visits to monitor quality and act on shortfalls.
The latest report, explained

What inspectors found, May 2019

Jack Gardner House was rated Good overall; inspectors found safe, kind and personalised care, but identified ligature risks that needed prompt action.

This was an unannounced inspection on 2 April 2019. The inspection team observed care, spoke with five people, two relatives and staff, and checked care records, staff files and other management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable recruitment checks, well-managed medicines, personalised care plans, kind staff and strong management oversight.

Inspectors did identify ligature points around the home, including near beds and in bathrooms. The registered manager said these would be removed immediately, and sent CQC a risk assessment after the inspection. The home was rated Good at the previous inspection, published in October 2016, and remained Good.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff provide compassionate support and respond quickly when someone became anxious. People said staff respected their privacy and cared about them.

    “We observed kind, compassionate and attentive care throughout our inspection.” from the report
  • Personalised support

    Care plans recorded individual needs, preferences, communication needs and mental health relapse indicators. People were involved in planning and reviewing their care.

    “Each of the people living at Jack Gardner House had a written care plan which was personalised to make sure it met their individual needs.” from the report
  • Safe medicines practice

    Staff were trained to administer medicines, records were complete and medicines were stored securely. Most people were encouraged and able to manage their own medicines.

    “We checked a random sample Medicine Administration Records (MAR) and found no gaps which meant medicines had been administered as prescribed.” from the report
  • Activities and independence

    People had access to activities such as music therapy, cookery, board games and meals out. Some people also took part in volunteering and college courses.

    “There were scheduled activities organised, such as music therapy, cookery, playing board games and meals out.” from the report
  • Strong management oversight

    The provider carried out audits and regular unannounced visits. People, relatives and staff said the management was supportive and listened to their views.

    “The provider had a quality assurance system in place.” from the report
What inspectors were concerned about
  • Ligature points

    serious

    Inspectors found several potential ligature points around the home, particularly on the nurse call system. Some were over beds and in bathrooms used by vulnerable people, including people with a history of suicide.

    “We found a number of ligature points around the home particularly on the nurse call system.” from the report
Questions to ask them, based on this report
  1. 01Have all the ligature points identified by inspectors been removed or made safe, and what checks are now carried out?
  2. 02How does the home support people who want to manage some or all of their own medicines?
  3. 03How are each person's mental health relapse indicators and preferred responses kept up to date?
  4. 04What activities, volunteering or education opportunities would be available for my relative?
  5. 05How would the home support my relative's religious, cultural and spiritual needs?

This was an unannounced inspection covering all five CQC questions and the overall quality and safety of the care home. This explanation was written from the published report of 2 May 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, October 2016

Rated Good overall; inspectors found safe, kind and responsive care, with Outstanding leadership.

This was an unannounced inspection on 16 August 2016. Inspectors spoke with people living in the home, relatives and staff. They observed care, medicines, meals and activities. They also checked care plans, risk assessments, staff records, medicines records, complaints and quality checks.

Inspectors found that people felt safe and that staff understood safeguarding and individual risks. Staffing levels were sufficient. Medicines were well managed, records were accurate, and the home was clean. Staff were trained, supported and understood people's rights to make choices.

People were treated with kindness, dignity and respect. Care plans were personalised and activities supported people's interests, independence and community involvement. The home involved people and relatives in care planning and acted on complaints and feedback.

The overall rating was Good. Safe, Effective, Caring and Responsive were rated Good. Well-led was rated Outstanding because inspectors found strong leadership, an open culture, effective monitoring and a clear focus on improving people's lives.

What inspectors praised
  • Strong leadership

    Inspectors found the home exceptionally well managed. The registered manager involved people, relatives and staff in improving the service.

    “The service was extremely well-led.” from the report
  • Safe staffing and risk management

    There were enough staff to meet people's needs. Risk assessments were detailed, personal and regularly reviewed.

    “The service had sufficient numbers of staff on duty to meet people's needs.” from the report
  • Kind and respectful care

    People and relatives described staff as caring and friendly. Inspectors saw patient and considerate interactions and found that privacy and dignity were respected.

    “During the inspection, we observed positive interactions between staff and people.” from the report
  • Good quality monitoring

    The home kept regular audit and monitoring records. These identified improvements and recorded the action taken.

    “The service had robust quality assurance systems that ensured efficient and continual monitoring of the quality and safety of the service.” from the report
What inspectors were concerned about
  • Records when people are away

    minor

    Daily care records did not always show when people were away from the home. The deputy manager recognised this as an area for improvement.

    “when people were away that was not recorded in the daily care records.” from the report
  • Medicine storage temperature

    needs fixing

    The medicines cupboard became very hot in hot weather. Staff used open windows and a fan, but ask how this is now controlled and recorded.

    “when the temperature outside got really hot, the cupboard temperature shot up, too.” from the report
Questions to ask them, based on this report
  1. 01How do you now record when a person is away from the home?
  2. 02How do you monitor and control the medicines cupboard temperature during hot weather?
  3. 03How far has the review of care plans progressed, and how do you record people's outcomes?
  4. 04How are people supported to take part in activities, volunteering and community life?
  5. 05How are feedback and complaints from residents and relatives reviewed and acted on now?

This was an unannounced inspection of the overall service, covering all five CQC questions and the care home’s quality and safety systems. This explanation was written from the published report of 11 October 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Jack Gardner House

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. May 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Jack Gardner House →

  2. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Jack Gardner House →

  3. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 12 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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