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CQC report explained · a residential care home

What the CQC found at Jalna Residential Care Home

Goodpublished 7 January 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks, visiting, testing, protective equipment and staffing pressures were being managed.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, January 2022

Inspected but not rated; inspectors found good infection control, safe visiting arrangements and plans for staffing pressures.

This was an announced, targeted inspection on 20 January 2022. The inspection focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.

Inspectors found enough personal protective equipment, hand sanitiser and infection control training. They saw staff and management using protective equipment correctly. The home was clean, visitors were tested and their vaccination status was checked.

The home had regular testing, updated infection control policies and plans for managing outbreaks and staff shortages. The service was inspected but not rated, so this report does not give a Good, Requires improvement or Inadequate rating.

What inspectors praised
  • Protective equipment

    There were enough stocks of protective equipment, with stations and hand sanitiser available throughout the home. Staff had been trained and were seen using it correctly.

    “There were enough stocks of personal protective equipment (PPE). PPE stations and hand sanitiser were available throughout the home” from the report
  • Infection control

    The home had processes for testing staff and residents, managing outbreaks and reviewing infection control policies.

    “There were effective processes to minimise the risk to people, staff and visitors from catching and spreading infection.” from the report
  • Visiting arrangements

    Inspectors found that visiting processes were safe and that visitor vaccination status was checked in line with the guidance at the time.

    “Safe visiting processes were followed, and the vaccination status of all visitors was checked in accordance with the current COVID-19 guidance.” from the report
  • Cleanliness

    The areas inspectors saw were clean, and the home carried out monthly infection control audits.

    “There was a good standard of cleanliness in all areas seen.” from the report
  • Staffing plans

    The home had plans to maintain support during staff shortages and had measures to reduce the effects of COVID-19-related staffing pressures.

    “There were sufficient staff to provide continuity of support should there be a staff shortage.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would staffing pressures affect the support my relative receives, and what is your current staffing position?
  2. 02How do you test staff, residents and visitors for infection now?
  3. 03How do you check visitors' vaccination status or exemptions?
  4. 04What is your current process for preventing and managing an infection outbreak?
  5. 05What were the home's ratings for Effective, Caring, Responsive and Well-led at the previous full inspection?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not give ratings for the other four questions. This explanation was written from the published report of 27 January 2022 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, January 2021

Jalna Residential Care Home was rated Good; inspectors found safe, effective and well-led care, with clear improvements since the previous inspection.

This was an announced focused inspection on 16 December 2020. Inspectors observed care, spoke with people, relatives, staff and a healthcare professional, and checked care records, recruitment files, staffing rotas, maintenance records and quality checks.

The home was rated Good for Safe, Effective and Well-led. Inspectors found enough staff, safe medicines systems, suitable risk checks, good infection control and respectful care. People had care assessments, support with food and healthcare, and staff worked with other professionals.

The previous inspection rated the home Requires Improvement and found a breach involving care records and governance. At this inspection, inspectors found enough improvement for the breach to end. Some smaller improvements were still needed, including recruitment records, staff training and recording some safety checks.

What inspectors praised
  • Infection control

    Inspectors found the home clean and free from odours. Staff used protective equipment safely and systems were in place to reduce infection risks during the pandemic.

    “The home was clean and odour free and staff followed safe infection control practices.” from the report
  • Safe medicines

    Medicines management had improved since the previous inspection. Staff were trained, checks had been completed and people said they received medicines when needed.

    “The registered manager and staff followed safe processes to ensure people's medicines were managed safely.” from the report
  • Support with meals

    People were offered choices and were supported patiently and with dignity. Inspectors saw a calm lunchtime where people were not rushed.

    “People who needed support and encouragement with their meals, were assisted with patience and dignity.” from the report
  • Improved oversight

    The home had strengthened its quality monitoring and record keeping. Inspectors found clear evidence that action had been taken when shortfalls were identified.

    “There was clear evidence improvement had taken place.” from the report
What inspectors were concerned about
  • Recruitment checks

    needs fixing

    There had been delays in obtaining some police checks and references. Inspectors discussed the need to assess risks and record extra supervision when checks were delayed.

    “we noted there had been delays obtaining police check and reference information” from the report
  • Further staff training

    needs fixing

    Some staff said they needed more training about recognising abuse and neglect. Other staff also wanted further training in dementia, the Mental Capacity Act and Deprivation of Liberty Safeguards.

    “Staff spoken with felt they needed additional training with regards to recognising and responding to abuse and neglect.” from the report
  • Safety records

    minor

    Inspectors discussed improving the way fire drills and emergency lighting tests were recorded. The registered manager addressed this immediately.

    “We discussed improvements to the way fire drills and emergency lighting tests were recorded.” from the report
  • Delayed building works

    minor

    Some improvements, including a secure garden, better corridor lighting, a visiting pod and a wet room, had been delayed during the pandemic and were progressing slowly.

    “Some improvements had been delayed during the pandemic and were progressing slowly” from the report
Questions to ask them, based on this report
  1. 01What is the current position on the delayed secure garden, corridor lighting, visiting pod and wet room improvements?
  2. 02How do you manage risks and provide extra supervision when police checks or references are delayed?
  3. 03What further training have staff completed in recognising abuse and neglect, dementia, the Mental Capacity Act and Deprivation of Liberty Safeguards?
  4. 04How are fire drills and emergency lighting tests now recorded and checked?
  5. 05What were the previous ratings for Caring and Responsive, which were not assessed during this inspection?

This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not assessed and their previous ratings were carried forward. This explanation was written from the published report of 7 January 2021 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 Jalna Residential Care Home

7 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Jalna Residential Care Home →

  2. January 2021Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Jalna Residential Care Home →

  3. February 2020Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. October 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2019Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. June 2018Goodstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. April 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  8. July 2015Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  9. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. January 2011

    Registered with the Care Quality Commission on 17 January 2011.

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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