Inspection on 23/05/06 for Genesis Residential Home

This inspection was carried out on 23rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Residential Home 07/11/05

Genesis Residential Home 14/03/05

Genesis Residential Home 13/10/04

Genesis Residential Home 02/02/04

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

CARE HOME ADULTS 18-65 Genesis Residential Home 2 Station Street Donington Spalding Lincolnshire PE11 4UQ Lead Inspector Roger Harrison Key Unannounced Inspection 23rd May 2006 09:30 Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 1 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 Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 2 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 Adults 18-65. 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 Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Genesis Residential Home Address 2 Station Street Donington Spalding Lincolnshire PE11 4UQ 01775 820431 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Biswanand Oozageer Mrs Rajkumari Oozageer Mr Christopher Rampley Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration One place registered for MD(E) is only valid for the period that the named service user lives in the home. This registration will then revert back to MD. 7th November 2005 Date of last inspection Brief Description of the Service: Genesis is situated on the main street in the village of Donington, Spalding, close to shops, churches, the library and other amenities. The home is owned by Mr and Mrs Oozageer. The home owners have a brochure available, which is used to promote the home. The brochure highlights that the home provides accommodation and personal care for eight residents who have a mental health condition. Two of the eight beds are for residents who are over 65 years of age, although one of these is only for the length of stay of that individual. The home is three floors high and was originally a family home. All of the bedrooms are occupied singly and have either en suite or wash hand basins in place. One spacious bedroom on the ground floor has ensuite facilities. Car parking for visitors is located at the back of the home; this area also provides a garden for residents use. A small garden at the front of the home gives direct access to the High Street. Charges at the home on 23/05/06 range from: £308.00 - £485.00. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key inspection was undertaken using a review of all the information regarding Inspection records and information provided by the Manager available to the Inspector about Genesis, and through undertaking a visit to the home, with the inspector using a method of inspection called “case tracking”. This involved identifying three residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived at Genesis. The inspection site visit was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. 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 Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments are undertaken and outcomes acted upon by the care team to ensure that each residents needs and wishes are supported in the way they want them to be. EVIDENCE: There are currently six residents living at Genesis. During the visit to the home the Inspector met with a group of four residents who told the Inspector that they felt well supported with comments ranging from “I love it here” and “I want to stay here, the Manager has supported me to do this” to “The staff are easy to talk to” and “I always feel I can talk to someone if I am down”. During this meeting residents also told the Inspector that since moving to Genesis they have been consulted about their needs and wishes informally on a day to day basis, through regular reviews, and that they felt they are given the support that each person needs to continue to live actively and to be as physically and mentally independent as possible. Assessment information, care plans and review information was looked at with the Manager as part of this Inspection visit, which confirmed that the physical needs of residents are met and that personal wishes are supported using a key worker and structured review system to ensure residents have the opportunity to fulfil their aspirations wherever possible. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments are used actively by the Manager and care team to support each resident to make safe decisions about the way each wishes to live. EVIDENCE: During the inspection visit to the home two residents told the Inspector that they are aware that they have a care plan and that they are involved in reviews, which the Manager organises. Residents have a risk assessment linked to their individual care plan. Care plan reviews are undertaken monthly and risk assessments reviewed as needed. Since the last Inspection visit the Manager confirmed he has taken action to put review and care plan information together in one place to make it easier to use at future reviews. Where there are changes in need, the home undertakes further, more detailed risk assessments, which involve residents, and where appropriate other professionals and family carers. Any action taken is recorded separately and transferred to residents care records as appropriate. This system enables good communication between staff, and with residents so that Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 9 they are fully involved in any decision-making and are able to be properly supported to take risks in the way they wish to. The manager showed the Inspector three detailed care plans. Information available showed how physical needs are met but there as more limited information about how wider personal goals and interests that residents told the Inspector about are being supported. This was discussed with the Manager who confirmed he will be taking action to ensure care plans fully reflect personal goals and wishes, and how these are being addressed individually. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have access to activities to suit their needs. Residents are supported by the staff team to ensure they are part of the local community, which ensures that relationships are maintained and further developed. The home provides a nutritious diet for all residents. EVIDENCE: During the visit to the home four residents told the Inspector that they are supported to undertake activities within the home and local community. One resident said “I really enjoy Donnington, I go to the library and shops when I want”. Another resident said, “I enjoy gardening and do some bits and pieces here”. The Manager confirmed that a key worker system is in place and that key workers arrange regular care plan reviews to discuss and plan activities and to encourage residents to build community links, maintain contact with family carers and other professionals, and that residents meetings are used to contribute to the running of the home. Through discussion with the manager, checking of care records and a discussion with a group of residents, it was evident that activities are organised for all residents. Four residents told the Inspector about holidays that were organised by the Manager last year and that they are looking forward to going away again this year. One resident said Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 11 “I love it here, the holidays are good, I love music and my room is full of it, there is a singer coming here soon”. Menus provided by the Manager before the Inspector carried out a home visit confirmed a variety of meals are planned over a four-week period. Residents dietary needs are established through the assessment and care plan process and any change in needs or wishes is incorporated in the menu plan. Five residents told the Inspector that meals at the home are good and that apart form the regular menu residents said that they have the option to choose and make alternatives with support from staff. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by staff to ensure health and medication needs are met, and to understand wider needs in order to encourage choice and control for each individual. EVIDENCE: Care plans looked at provided details regarding the personal support needs of each resident and how needs are met. Residents are encouraged to selfmedicate wherever possible. However, on the day of inspection all residents required support with medication. Care plans provided information about all residents medication needs and that these are reviewed regularly. There was information on resident’s files, which confirmed good relationships between the staff team and other, community based professionals, who provide support and advice as needed as part of the review process. The care home has a detailed procedure that covers all aspects of medication administration, storage and safekeeping. The Manager and one carer was observed following procedures to ensure safe administration of medicines and one resident told the Inspector that “I get my medication when I need it so I know I’m safe”. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to be open about their feelings and concerns. The manager and staff take action to address ideas put forward for developing practice and issues of concern. The Manager uses induction, training and team meetings to ensure that the policy in place for protecting residents is taken seriously and acted upon when required. EVIDENCE: The home has a complaints policy and procedure in place. The Manger has updated the procedure document since the last Inspection to enable residents to understand and use it when raising any concern formally. During the visit made to the home residents told the Inspector that the manager holds regular residents meetings, which are used to provide opportunities for individuals, and the resident group to “have their say”. Three residents told the inspector that they were happy to raise any concern they may have with the manager and any member of the staff team. Information provided by the Manager to the Commission since the last Inspection confirms that there have been two complaints made during the last year, which have been responded to and resolved. During the Inspection visit the Manager continued to demonstrate a full understanding of the procedure to follow in order to protect residents from abuse. The manager uses staff team meetings and supervision to discuss the need to protect residents, and has a training plan in place to support staff in the understanding of abuse and reporting procedures. The manager has not needed to invoke the Adult Protection Procedure since the last inspection. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Manager has a comprehensive maintenance programme in place at the home, which is reviewed on an annual basis in order to provide a safe clean environment, which residents said, meets their needs. EVIDENCE: During the Inspection visit the Inspector observed that the home has a relaxed informal atmosphere, which is created by the Manager and staff team. A group of four residents told the Inspector that they felt safe both inside and in the garden area of the home and when residents showed the Inspector their rooms it was clear that they had been personalised in the way each wished with individual possessions and pictures. One resident told the Inspector that; “I love my room”. All Residents have their own single rooms, which have been adapted were appropriate to support the needs of those with higher levels of need. Since the last Inspection three rooms have been redecorated and two rooms improved to include en suite facilities. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 15 En suite and communal bathrooms were seen to be clean and safe with space provided for using equipment needed to maintain individual residents safety. The Manager confirmed that the homeowners are planning to build five further rooms onto the existing building and this work forms part of the owners annual development programme/business plan. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has safe recruitment procedures in place and provides appropriate levels of support to the care team, who are able to use training to meet the needs of residents within the home and wider community. EVIDENCE: The manager provided information before the inspection visit to confirm that a recruitment policy and procedure is in place to ensure that the team is balanced to provide physical and social support for all residents in the way each wishes. The Inspection visit was used to look at staff records which confirmed good recruitment practice, and that the manager provides supervision formally for all staff, with records maintained and stored securely. This system helps to ensure that staff training needs are identified by the Manager using a full induction in order to identify a range of training activities to address training needs as they arise. Team meetings are also used by the Manager to give the care team wider opportunities to contribute to development of practice within the home. The staff team were observed working well together and two team members told the inspector that they enjoyed working at the home and felt supported by the manager to do their job. Care staff told the inspector they are clear about their roles and that they felt training opportunities are available for further development. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a competent and committed manager who understands the needs of each individual resident. Resident’s benefit from the support given to staff by the manager in maintaining residents at the centre of the care giving, review and development process. EVIDENCE: The manager’s office provides a base for maintaining all records. These are kept and used in a structured way by the Manager to make sure that the health welfare and safety needs of residents are met. During the Inspection visit the Manager Confirmed that he is committed to developing care plans further to reflect the wider aims and ambitions of each resident, and that he would be offering residents the opportunity to develop personal profiles and life histories to identify immediate and future needs in order to meet them. A supervision plan is in place and residents told the Inspector that they feel well supported by the Manager. Practice observed between Manager /staff and residents demonstrated a sensitive person centred approach is adopted by the Care team. Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 19 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. Standard Regulation Requirement Timescale for action Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 20 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Genesis Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Residential Home DS0000002656.V286838.R01.S.doc Version 5.1 Page 22 - 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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