Inspection on 18/08/05 for Geraint House

This inspection was carried out on 18th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Geraint House 02/10/07

Geraint House 05/09/06

Geraint House 07/12/05

Geraint House 17/01/05

Geraint House 03/06/04

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

CARE HOME ADULTS 18-65 Geraint House 28 Uppingham Road Leicester Leicestershire LE5 0QD Lead Inspector Helen Abel Unannounced 18 August 2005, 9:00am 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 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. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Geraint House Address 28 Uppingham Road Leicester Leicestershire LE5 0QD 0116 2765971 0116 2765971 None Mr & Mrs Davies 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) Mrs Davies Care Home 10 Category(ies) of Mental disorder (10) registration, with number of places Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration apply. Date of last inspection 17th January 2005 Brief Description of the Service: Geraint House offers provision for 10 adults with mental health difficulties. The home is situated on Uppingham Road close to many amenities a variety of shops, places of worship, and frequent and reliable public transport. Leicester City is a ten-minute drive away. There are local parks within short walking distances and a sports centre and swimming pool. The Registered Manager/Provider manages the home on a daily basis.The home is a large detached building, three storeys high with parking space available. There is a large rear garden with patio area. There are ten single bedrooms. The home has two cats Kitty and Scamp. There are three lounges one of which is a nonsmoking lounge. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection during a weekday morning over a 4-hour period. A full tour of the building took place with care records, policies and procedures inspected. There was the opportunity to talk with four residents. The Registered Manager/Provider was not present on the inspection day. A senior staff member assisted with the inspection process. 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. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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 Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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) 2,3,4 Residents benefit from an admission process, which works well and ensures that the placement is right for the individual. EVIDENCE: The Registered Manager/Provider undertakes robust detailed assessments with all prospective residents; their case manager and other health and social care professionals. A new resident case tracked visited the home twice a week for over 4- 5 weeks until he felt ready to live at the home. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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 Residents health, personal and social care needs are met. EVIDENCE: Care plans are very comprehensive with a review of the care plan ongoing. Daily written entries and risk assessments are also well-documented and kept under review. Residents are involved in the decision making in the home with residents meetings held once a month. Residents had requested different theme days a month. This included eating meals from a chosen country for the day. This was popular with residents and they had recently celebrated American, Greek and Italian days. Residents confirmed with the Inspector they were interested in a cheese and wine evening. A senior staff member confirmed she would be look into arranging this. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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) 12,13,15,17 There is good emphasise on providing social and leisure pursuits, maintaining contact with family and friends and the local community. Mealtimes meet the lifestyle of individuals. EVIDENCE: Residents care plans confirmed their social and leisure interests. Some residents were sitting doing newspaper crosswords in the garden. Other residents were in the lounges, in their rooms or had gone out. Residents had recently visited Snibston Discovery Park, followed by a pub meal. The Registered Manager/Provider has booked a barge for whole day at the end of August. Some residents said how much they were looking forward to this trip. One resident joked, “I am looking forward to staying behind and have a quiet day”. Residents talked happily about a barbecue in the garden the previous evening, and cooking burgers, chicken drumsticks, sausage and salad. Residents were observed confirming their meal choice for lunch with staff. This resulted in staff preparing a number of meal variations to meet individual preferences. A resident said, “The food is perfect here”. Menus are frequently reviewed at monthly residents meetings. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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, 20 Staff and residents work well together ensuring that physical and emotional needs are met. There is safe medication management. EVIDENCE: Residents are mobile and independent. Resident’s health care needs are met with support from their GP, and Psychiatric Nurse. Written records confirmed this. Staff spoke of escorting residents to health appointments and residents choosing which staff members to escort them. The administration of medicines was in order and the storage of medication was sound and secure. All staff administer medication and are trained in medication management. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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 systems in the home ensure that resident’s views are listened to and acted upon. EVIDENCE: A complaints procedure is displayed in the home and in the Residents Guide. Residents felt their views are listened to and acted on. Residents confirmed they were able to speak to the Registered Manager /Provider and some of the staff about any concerns. Some residents said “One particular staff member was very good fun, and we like to talk to her”. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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) 24,25,30 Geraint House is homely, comfortable, safe, clean and hygienic. EVIDENCE: Resident’s rooms are all single with a hand basin in and a bathroom near to their rooms. A sample of bedrooms was inspected and were personalised homely and comfortable. One resident showed his new musical electrical equipment and expressed how happy he was with his bedroom and new wardrobe. The laundry area was clean and organised. Hand washing facilities are prominently sited and accessible to staff. All parts of the home were found to be clean and hygienic. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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 The staff group are effective and able to meet the individual needs of residents. EVIDENCE: Around 50 of staff have obtained or are currently working towards National Vocational Qualifications. The staff group are commended. The home has a comprehensive six-week induction package and covers a range of essential training around fire safety, medicines, and residents rights. Training is planned around the home’s business plan; service aims, resident’s needs and individual care plans. This is to be commended. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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) 41, 42 Excellent policies and procedures are in place; these promote and safeguard the well being of residents and staff. EVIDENCE: There is a high standard of policies and procedures; codes of practice are clear and easy to read. Residents have access to them too. Staff confirmed policies and procedures are constantly revisited with staff. They are used for staff inductions, individual supervision and with staff training and development. This aspect is commended. All health and safety maintenance checks are confirmed in order by the Registered Manager /Provider in the pre-inspection questionnaire. Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 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 4 3 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Geraint House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x 4 3 x C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 Page 16 N/A 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. Standard Regulation None 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. 1. Refer to Standard None Good Practice Recommendations Geraint House C51 C01 S6421 Geraint House V241522 180805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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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