Inspection on 08/09/06 for Gensing

This inspection was carried out on 8th September 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

Gensing 09/02/06

Gensing 06/07/05

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 Key Unannounced Inspection 8th September 2006 9:00 Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 antonyandrews@btinternet.com 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) Gensing Rest Home Limited Mr Anthony Andrews Care Home 19 Category(ies) of Past or present alcohol dependence (19), Mental registration, with number disorder, excluding learning disability or of places dementia (19), Physical disability (19) Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users must be aged thirty (30) years or over on admission The maximum number of service users to be accommodated is nineteen (19) 9th February 2006 Date of last inspection Brief Description of the Service: Gensing is in a residential area of St Leonard’s 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 service 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. Currently the scale of charges for the service per week are between £350.00 and £400.00. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 9am and lasted for three hours, further time was spent on preparing for the inspection and gaining the views of people who use the service. The following documents were examined on the inspection: Care Plans, risk assessments, the complaints book, menus, and staff recruitment records. Records in relation to health and safety and training were sourced from the Pre Inspection Questionnaire. No new staff had been recruited since the last inspection. The inspector spoke with one resident who had been recently admitted to the home. The inspector spoke with the Care Manager and the Registered Manager. Residents were seen in the home and appeared happy. Feedback was received from residents in the form of questioners, the comments of which are included in the report. Further time was taken in the preparation and writing of the report. What the service does well: What has improved since the last inspection? The home has good procedures in place for the monitoring and recording of all medicines entering and leaving the home and medicines being administered. Improvement have been made to ensure that handwritten entries onto the sheets which record the administration of medicines are dated, and signed with an explanation of the reason for the handwritten entry made. Currently no residents are in charge of administering their own medication. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 6 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 DS0000021109.V309406.R01.S.doc Version 5.2 Page 7 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 Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 8 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 site visit to this service. The service ensures it has gained the relevant background information for a resident prior to offering them a place in the service, and has assessed their individual needs. EVIDENCE: The home has had three new residents admitted since the last inspection; two of these were emergency admissions with very short notice. The staff within the home and especially the Care Manager have done an excellent job of settling the residents in and gaining relevant background information on these people who arrived at the home with very little recorded history. The third resident had planned introductory visits, as would be the normal admission procedure in the home. All residents were admitted with the relevant Care Programme Approach/social worker documentation. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 9 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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The service creates plans of care for residents, and carries out comprehensive assessments. Within this framework residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The house rules at Gensing are unrestrictive as possible and allow residents to maintain their independence and freedom. Care plans are detailed and comprehensive and include the services own assessment. They list basic details which include preferred forms of address, next of kin and Social Work details, GP details, assessment of physical and mental abilities and needs, preferred food, drink and dietary needs. The inspector also evidenced copies of care plan review documents, day worker sheets, and was able to identify the resident’s programme of attendance at daycentres if applicable. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Residents take part in appropriate leisure activities, and access the local community. Appropriate relationships are encouraged, and residents enjoy their meals. EVIDENCE: Residents are free to participate in activities, held by the home or within the local community, or not as they wish. Where it is appropriate residents are encouraged to maintain relationships, unless it is detrimental to their well being. Residents choose whom they see and when. Residents can entertain their guests in any of the homes communal areas or privately in their own bedrooms. All residents have television in their rooms. Residents are encouraged to maintain their own daily routine. Smoking is permitted in the lounge areas only, there is no smoking permitted in any other area of the home. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 11 Residents may have guests to stay for a meal at any time. Medical or therapeutic diets are provided as required. The Care Manager will engage residents in activities as and when in the home although most of the residents will carry out there own activities and interests. One resident attends college and a further resident attends a centre during the day. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Residents physical and mental health needs are monitored within the service. Residents are supported to remain well both physically and emotionally. Residents are protected by the homes policies on administration of medication. EVIDENCE: All residents in the service are registered with their local GP, clients who are supported by the community mental health team have an allocated named community psychiatric nurse. Residents have access to and receive regular checks from the dentist and optician as required. The home has good procedures in place for the monitoring and recording of all medicines entering and leaving the home and medicines being administered. Improvement have been made to ensure that handwritten entries onto the sheets which record the administration of medicines are dated, and signed with an explanation of the reason for a handwritten entry included. Currently no residents are in charge of administering their own medication. Staff deal with and monitor individuals complex health needs. Staff respect residents wishes with regard to personal care whether that is having a bath three times each day or wishing to dress in older damaged clothes. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The service has an accessible complaints procedure in place. Residents are listened to and complaints are taken seriously. The service has an up to date Adult Protection Policy. EVIDENCE: The service has a complaints book in place and complaints are taken seriously and dealt with appropriately. Potential new staff members are checked against the Protection of Vulnerable Adults (POVA) register and Criminal Records Bureau (CRB) register. The Registered Provider confirmed that training in Protection of Vulnerable Adult is carried out on a regular basis and in accordance with the East Sussex County Council Multi-Agency Procedures – Protection of Vulnerable Adults. Recruitment files were seen in the home and were in order. Staff do not work unless a POVA first is obtained and two written references are received back. Criminal Record Bureau checks are taken out on new staff, and they would work under supervision until this check is returned and satisfactory. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Residents have bedrooms decorated to their choice and live in a safe environment. EVIDENCE: Resident’s bedrooms are furnished comfortably and residents are encouraged to have their personal possessions around them. The home is hygienic and comfortable and maintained to a safe standard. Smoking is permitted in the lounge areas only, there is no smoking permitted in any other area of the home. The building has two day rooms. Eleven single bedrooms and four double bedrooms. Since the last inspection five bedrooms, the sitting rooms and the office have been redecorated. There is a regular maintenance and redecoration programme in place, and the home is in good order. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 15 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Staff are appropriately trained and receive statutory training. Residents are protected by the homes recruitment procedures and staff supervision polices. EVIDENCE: Staff recruitment files were viewed on the day of the inspection and found to be in good order. Staff receive appropriate training and are well supported by the Care Manager and Registered Manager and the supervision procedures in place. On the day of the inspection the following staff were on duty, two Care Manager from 9am – 5pm, two care assistants from 7.00am to 1.30pm, two care assistants from 1.30pm – 8.30pm, the Registered Manager from 9.00am – 5.30pm, the cook from 9am – 2.00pm, a housekeeper from 9am – 2.30pm, and an administrator from 9.00am – 4.30pm. Currently the service employees nine care staff, and seven ancillary staff, six of these staff have achieved NVQ level 2, this equates to 66 . Two staff hold a current first aid certificate. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 16 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Resident’s views are taken into consideration within the home. EVIDENCE: The Care manager is very competent and deals with the assessment care plans and supervision of staff, the Registered Manager deal with the overall running of the service. The service ensures that fire drills, fire alarm testing and water checks are carried out on a regular basis. Fire alarm tests are carried out monthly. The last fire drill was carried out on 4th September 2006. A safe electrical wiring certificate was issued on the 31st August 2004. Quality Assurance systems are in place, the Registered Manager carries out a internal audit of the service and supplies a copy to the Commission for Social Care Inspection. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 17 The surveys received from residents in the home confirmed that they received sufficient information about the home prior to moving in, that they make decisions about what they do each day, they know who talk to if they are unhappy and how to make a complaint, the home is always clean and fresh, and staff treat residents well and listen and act on what they tell them. Comments received from residents were ‘excellent service’. The service has in place policies on Risk assessment and management, Sexuality and relationships, Smoking and use of alcohol and substances by users, visitors and staff, Staff supervision, values of privacy, dignity, choice, fulfilment, rights and independence and Whistle blowing. Gensing DS0000021109.V309406.R01.S.doc Version 5.2 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 Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 19 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. Standard Regulation Requirement Timescale for action 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 Gensing DS0000021109.V309406.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection East Sussex Area Office 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. 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