Inspection on 17/05/05 for Genesis Care Home

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Genesis Care Home 28/06/07

Genesis Care Home 26/10/06

Genesis Care Home 10/10/05

Genesis Care Home 17/11/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Genesis Care Home 197 Peter Street Macclesfield Cheshire SK11 8ES Lead Inspector Judith Morton Unannounced 17 May 2005 09:00 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Genesis Care Home Address 197 Peter Street Macclesfield Cheshire SK11 8ES 01625 421623 01625 421623 paulhulbert@ntlworld.com Winnie Care (Macclesfield) Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Beverley Powell Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (5) of places Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 42 service users to include: * * 2 Up to 42 service users in the category of OP (old age not falling within any other category). Up to 5 service users in the category of PD (physical disability) over the age of 55 years. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 17/11/04 Brief Description of the Service: Genesis Care Home is a purpose built home in Macclesfield that opened in February 2004. Care is provided for older service users and the home can provide respite care. The home is a three -storey building and service users are accommodated on all floors. Each floor has individual lounge and dining areas. Access between floors is via a shaft passenger lift or one of the staircases. There are 39 bedrooms that are all en-suite and have been furnished to a high standard. All bedrooms have a television and telephone point.The home has an adequate number of toilets and bathrooms suitable for service users. There is easy access for wheelchair users via the front entrance and throughout the home. Aids to help service users move about as independently as possible are fitted throughout the home and include bath hoists, grab rails and an emergency call bell system. The home has staff on duty twenty-four hours a day.There are garden and patio areas for service users to utilise during the warmer months. The car parking facilities are adequate. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours. The manager was on duty at the time of inspection. There were seven residents, three staff members and two visitors spoken with during the inspection. Five residents’ care files and two staff files were reviewed along with other paperwork. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,4 and 5 The staff would be able to deliver appropriate care to new and existing residents as their needs were identified in an initial assessment. There were also opportunities to view the home and sufficient information available for people to make a decision about whether to move in or not. EVIDENCE: There was an assessment of the residents’ needs on each of the five files viewed. There is a Statement of Purpose and Service Users Guide available. These give prospective residents and their relatives adequate information about the home to enable them to make an informed choice before deciding to move into the home. Any additional charges, eg: for hairdressing service, chiropody and newspapers that residents have to pay are described in these documents. One resident said that the home he had been in previously had had to close down so he came to look at Genesis before deciding to move in. He had been able to spend some time there to get to know the staff and other residents. He was glad he made the decision to live there. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 8 There were thank you cards displayed on the notice board and one relative called into the office to personally thank the manager for the care the staff were giving to her mother. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,and10 Residents receive all the care and treatment they need, and their needs are reviewed monthly so that they receive appropriate care at all times. However, minor improvements to recording are needed so that there is accurate information about the amount of care staff were providing for residents. EVIDENCE: There was an individual care plan on each of the files viewed and the manager was reviewing these monthly. The care needs had been highlighted with a red pen, making it very clear to new or existing staff exactly what the person’s requirements were. There was also a personal care plan form for easy and quick completion by the care staff. It was in box format, only requiring the initials of the member of staff who had completed the individual care task on each day. Many of these had not been completed giving the impression that many of the needs were not being met. For example, nothing was recorded on teeth care, hairdressing and chiropody, some since July 04 and, on one of the files, no bath since 01/05/05. The staff should record the exact care given each day to show that each resident’s needs had been met. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 10 Although staff had made a recording each day about how the residents had experienced their day and care given, it was their own view and not that of the resident. The manager should consider encouraging the staff to actively seek the views of the resident daily, and record these. The health care needs of the residents were being met, with relevant health professionals being brought in when required. This included GPs, chiropodist, district nurses, diabetic nurse and epilepsy nurse. Visits by other health care professionals or to health care establishments were recorded on the residents’ files. The residents told the inspector that they were treated with respect and the inspector observed conversations between staff and residents, which confirmed this. The staff were helpful and patient with the residents. See recommendations 1 & 2 Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and 14 Residents were very pleased with the number and variety of activities that were provided to keep them active and stimulated. They also said they thought the food was good, so they had sufficient food that they enjoyed. EVIDENCE: There was a varied programme of activities for the residents to take part in if they wished. Although a note was made on each resident’s file to say whether or not they had taken part, it did not say what the activity was. The manager agreed to take steps to resolve this, as this information would be useful in planning activities. The residents spoken with during the inspection said that they were able to spend time in their room or in the lounge or dining areas. One resident was going out with a friend and another went out to the local pub on his own during the afternoon. Other residents occasionally went out with relatives and others were observed to receive visitors in their room. One of the residents enjoyed helping with small jobs, such as sweeping the leaves and light gardening. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The residents are protected from harm and abuse because of the procedures and policies adopted by the home. However, it is essential that all staff are aware of what would be classed as abuse so that they know what they should report. EVIDENCE: There is a policy on protecting residents from abuse and the manager knows the procedure to follow should any allegation or incident of abuse be reported to her. There are also clear guidelines for staff identifying that they must report poor practice or abuse if they know or suspect it is happening. However, the staff need information and/or training on protecting vulnerable adults so that residents are safe at all times. Thorough checks are done on all new staff before they start work at the home so that residents are protected from potential abuse. The staff take steps to make sure that residents do not suffer any distress that might be caused by the behaviour of another resident. See requirement 1 Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 22, 23, 24,25 and 26 The home was warm, well lit and welcoming, providing a comfortable, safe environment for residents. All areas of the home were clean and well maintained to retain its newness. Residents are encouraged to bring items with them when they move into the home to personalise their own rooms. EVIDENCE: The home is purpose built and is just over 1 year old. The environment is well maintained, the furnishings are comfortable and all soft furnishings are coordinated. Many of the residents have personalised their room with photographs and ornaments from home. All the rooms have en-suite toilets and bathing facilities. There are additional bathrooms on each of the corridors and toilets also close to shared rooms such as the lounges and dining rooms. One resident commented on how comfortable her room was and how handy it was to have a toilet so close by. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 14 Bathrooms and toilets have equipment installed to help residents move safely and as independently as possible. There is a passenger lift and the corridors are wide and bright. The home was very clean and bright with no offensive odours. There are a number of lounges for residents to use, some with tea and coffee making facilities. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and30 The staff have the knowledge and skills to meet the needs of the residents and thorough checks are carried out on new staff in order to protect residents from possible harm. EVIDENCE: The manager had achieved NVQ level 2 in care of older people, people with mental health difficulties and people with learning difficulties. She was undertaking NVQ level 4 and the Registered Manager’s Award. There are a number of staff who had achieved their NVQ level 2 and more staff have been identified to commence their training for NVQ level 2 in September. The induction programme for new staff included health and safety, fire safety, awareness of how to deal with hazardous substances, and Genesis’ care policies and procedures. Additional training is also provided to staff, including care of medicines and care planning workshops. The training manager supervises the progress of staff and identifies with them their future training needs. There are also regular staff meetings being held which ensure the staff are kept up to date with practices within the home. The minutes are recorded and kept in the office so that staff can have easy access to them. The two staff files checked during the inspection showed that the recruitment procedure for the home is being followed properly. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32, 33 and 37 The home is well managed and residents have a say in how it is run. Residents and the staff were comfortable with the manager’s attitude and approach to running the home. The residents spoken with all said they were happy and found all of the staff to be approachable and friendly. EVIDENCE: Residents’ meetings were held and the notes from the meetings were kept in the staff meeting minutes folder. The manager said that a copy of the residents’ meeting notes would be made available within the home so that all residents could see them. The inspector and manager discussed ways in which the residents might become more involved in the way the meetings were run. The most recent fire drill took place in January 05, and the manager said she intended to do another within the near future. Fire safety training and fire prevention equipment testing were taking place regularly. Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 3 3 3 x x x 3 x Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. Standard 18 Regulation 13 Requirement Staff must receive training on protecting people from harm and abuse. Timescale for action 01/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard 7 7 12 14 Good Practice Recommendations Staff should complete the daily personal care planning form accurately. A system of checking residents views about their daily care and recording them should be considered. The record of whether the residents had attended an activity or not should also include what the activity was that had been offered Consideration should be given to ways of involving residents more fully in running the residents meetings Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Genesis Care Home F51 F01 S62417 Genesis V227389 170505 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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