Inspection on 06/07/05 for Gensing

This inspection was carried out on 6th July 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Gensing 08/09/06

Gensing 09/02/06

Gensing 12/01/05

Gensing 26/08/04

Similar services:

Prinsted

Elizabeth House

Kenward House

Boons Park

Winthrop Hall

Life Works Community Ltd

Turning Point

Roberta House

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

CARE HOME ADULTS 18-65 Gensing 76-78 London Road St Leonards-on-sea East Sussex TN37 6AS Lead Inspector Alexis Reilly Unannounced 6 July 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Gensing Address 76-78 London Road St Leonards-on-sea East Sussex TN37 6AS 01424 712982 01424 443457 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) Gensing Rest Home Limited Mr Anthony Andrews Care Home 19 Category(ies) of Mental disorder (MD) 19 registration, with number Alcohol depend past/present (A) 19 of places Physical disability (PD) 19 Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents are all men 2. Residents should be aged 30 years or over on admission 3. Maximum number of residents to be accommodated is nineteen (19) Date of last inspection 12 January 2005 Brief Description of the Service: Gensing is in a residential area of St Leonards on Sea, within walking distance of the train station, sea front and local shops. The service spans two three storey attached houses. The service has two lounges and one dining room. The services has three double bedrooms, one of which is used as a single bedroom, and thirteen single bedrooms. The buildings have a small garden area outside which residents can use if they wish. Accommodation is only offered to men over the age of 30 with past or present alcohol dependency, mental health issues or physical disabilities. The home does not have a lift. There are flights of stairs to the entrance of the building. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection began at 9am and lasted for one hour and 45 minutes. During the inspection the following documents were examined; care plans, pre assessment documents, menus, and nutrition charts. The Registered provider and Care Manager where also present during the inspection. Staff were seen interacting appropriately with the residents placed. 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. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 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 standard(s) 2,4 & 5 All service user have introductory visits to the service and meet the staff prior to making a decision to move in. EVIDENCE: The service has had one new admission since the last inspection. This resident initially visited the service with their allocation social worker, then alone for an introductory visit. The process for introducing residents to the service follows the care manager would contact the social worker prior to arranging an introductory visit for a resident. The Care Manager would then check the resident meets the criteria for the homes admission, the social worker is given the services statement of purpose and then the Care Manager carries out a pre admission documented assessment. The prospective resident then visits the home for a meal and staff observe how they interact with the other residents placed in the home. A risk assessment is formulated and a five-day admission observation assessment is undertaken. During the initial stages of introduction and visit, a psychiatric risk assessment, moving & handling assessment is undertaken by the Care Manager. Service users have a copy of their terms and conditions of residency in their file, this is signed by the service user. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 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 standard(s) 6,7,9 & 10 The service carries out comprehensive assessments on the resident placed. EVIDENCE: The Care Manager has formulated comprehensive assessments for the residents placed. These include assessments of risk. Files have been organised and information is easy to find and relevant to the resident placed. Residents’ questionnaires go out every six months to get feed back on issues within the home. The care manager speaks to residents about any concerns during the monthly review of their care plans. Staff are aware of the policy in place for confidentiality and this is introduced to staff during the induction period of the home. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 9 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 standard(s) 13,14 & 17 Staff promote activities within the home. Residents are involved with menu planning. EVIDENCE: Local resources are available to everyone placed within the home. Currently residents have access to training courses if they wish, one resident is attending the local college for a computer course, others are involved in art college. Some residents attend the local church or drop in centre. Staff will and have helped service users in the past develop literacy skills if this is required. The staff within the home try and involve residents in activities in the home, this can be cards or scrabble. Residents are involved with menu planning. There is a variety of food and the menu is varied. The main cooked meal of the day is served at lunch time. There are always alternatives available for the residents if they do not wish to eat what is on the menu. The staff record on nutrition sheets what each individual resident has eaten that day. These are used to monitor each residents intake of food. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 18 & 19 Personal health care needs are addressed appropriately within the service. Residents are kept safe, by the staff procedures in place in relation to administering personal care if a resident is intoxicated. EVIDENCE: Personal care is provided appropriately and safely within the home. If a resident returns to the service intoxicated by alcohol they are encouraged to go to their room to sleep this off. Staff check residents regularly due to the risk of choking following vomiting. If a resident is unable to walk on return they are put into a chair and closely monitored. If a resident becomes aggressive and intoxicated they are not allowed into the building until their behaviour changes. In the event of aggression or violence staff will call the police. Residents will not be bathed whilst intoxicated and staff will aid them in personal hygiene when they have become sober. The residents have access to the local health care resources such as G.P, dentist and optician. Some residents also have had a referral made to the hydro pool for physiotherapy. The chiropodist will also visit the service. Residents are also involved with the community alcohol team. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 22 The service has a complaints procedure in placed. EVIDENCE: The service has had no complaints since the last inspection. Service users and external agencies are aware of the complaints procedure within the home. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 29 The service has an outstanding requirement to ensure the premises have been assessed by an Occupational therapist or other suitability qualified person. EVIDENCE: The service must ensure the building meets the needs of the residents placed. An Occupational Therapist or other suitably qualified person must assess the building to ensure it meets the needs of the residents placed. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 & 36 The staff team are on target to achieve NVQ level 2. Staff receive regular and recorded supervision. EVIDENCE: Staff are supervised each two months, supervision records are kept in individual files and staff have the opportunity to comment on these. During supervision training needs are also recorded and identified. Staff are on target to have achieved NVQ level 2 training. Further training identified for the following two months are health and safety training, first aid, moving and handling and fire training. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 & 38 The service is well run, and benefits from the addition of the Care Manager who has provided a positive element in the creation of care plans and assessments of the residents placed. EVIDENCE: The service has a Care Manager who has reformulated care plans, and files for the residents placed within the service. The service has a registered manager in place who is also the provider of the service. Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x 2 x Standard No 11 12 13 14 15 16 17 x x 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Gensing Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 16 Are there any outstanding requirements from the last inspection? No 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. Standard YA29 Regulation 23(2)(a) Requirement An Occupational Therapist or other suitabilty qualified person, must assesses the premises and its suitabilty for providing placements for people with physical disability, following this the provision of aids, adaptations and equipment are provided. Timescale for action 1st December 2005 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. Refer to Standard Good Practice Recommendations Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Gensing H59-H10 S21109 Gensing V233113 060705 Stage 4.doc Version 1.30 Page 18 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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