Jenner House, a domiciliary care service for 26 older adults, was rated Good across all five key questions at its first inspection since re-registration in November 2017. The service demonstrated strong person-centred care, robust governance and a learning culture, with minor shortfalls identified around the absence of hot water during the inspection visit and the need to develop end-of-life care awareness and preferences documentation.
Concerns (2)
moderate
Infection control
: “we found there was no working hot water at the time of our inspection. People told us they were concerns about the fault and there were no alternative hot water arrangements from the provider.”
minorEnd-of-life care: “Improvements were required to ensure people were offered the opportunity to discuss their end of life preferences. staff needed to be trained to have awareness of end of life care.”
Strengths
· People felt safe and received reliable, person-centred care from a consistently caring and well-supported staff team.
· Robust risk assessment processes including falls, malnutrition, choking, and environmental checks with timely reviews and updates.
· Medicines administered safely by trained staff with competency checks; MAR records completed accurately and in full.
· Strong learning culture with analysis of accidents, incidents and medicines errors shared across the wider organisation.
· Care plans (personal outcome plans) were personalised, regularly reviewed, and reflected people's choices, wishes and protected characteristics.
Quality-Statement breakdown (19)
safe: Assessing risk, safety monitoring and managementGood
safe: Supporting people to stay safe from harm and abuseGood
safe: Staffing levelsGood
safe: Using medicines safelyGood
safe: Learning lessons when things go wrongGood
safe: Preventing and controlling infectionGood
effective: Ensuring people are well treated and supportedGood
effective: Supporting people to express their views and be involved in making decisions about their careGood
effective: Respecting and promoting people's privacy, dignity and independenceGood
caring: Ensuring people are well treated and supportedGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Personalised careGood
responsive: End of life care and supportGood
responsive: Improving care quality in response to complaints or concernsGood
well-led: Leadership and managementGood
well-led: Continuous learning and improving careGood
well-led: Engaging and involving people using the service, the public and staffGood