Inspection on 02/10/07 for Geraint House

This inspection was carried out on 2nd October 2007.

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

Geraint House 05/09/06

Geraint House 07/12/05

Geraint House 18/08/05

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 Martin Hefferman Key Unannounced Inspection 2nd October 2007 10:15 Geraint House DS0000006421.V347415.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 Geraint House DS0000006421.V347415.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. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Geraint House Address 28 Uppingham Road Leicester Leicestershire LE5 0QD 0116 276 5971 F/P 0116 276 5971 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 Davies Mrs D Davies Mr D H Davies Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 5th September 2006 Brief Description of the Service: Geraint House offers residential care to ten adults with mental health problems. The home is situated on Uppingham Road, close to shops, places of worship and public transport. There are parks within a short walking distance and a sports centre & swimming pool. The premises are large & detached and there is a stair lift for ease of access to the first floor. There is a large garden at the rear of the home with a terrace and table & chairs. At the front of the home is a small car park. All bedrooms are single and there are three lounges downstairs, two of which are non-smoking, and a dining room. At the time of the inspection, fees were £297.00 per week. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 2nd October 2007, lasting approximately five hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who live at the home and tracking the care they receive through review of their records, discussion with them & staff and observation of care practices. Six residents were spoken to during the course of the visit. One of the people who were chosen for the purposes of case tracking declined to speak to the inspector. The inspection also took account of all information received since the date of the last visit, including the owners’ self-assessment. Three survey forms were received from residents and two from their relatives. What the service does well: A brochure about the services provided at Geraint House is available. This document contains clear & comprehensive information and has been illustrated with photographs. Assessment and care planning practices are thorough, ensuring that staff members have access to the information they require to meet individual needs. Records of the home’s assessments are detailed, covering a wide range of health and social care needs. Individual plans set out the desired outcome for each of the areas and staff members have entered regular & detailed entries for all of them. Particular attention is paid to ensuring that residents’ healthcare needs are met. Residents stated that they are involved in regular reviews of their individual plans. Residents enjoy the meals that are provided. Three different meals were prepared on the day of the visit and served at different times to suit the wishes of individual residents. Residents stated that they are happy with the support they receive from staff members, who, they reported, are friendly and helpful. The residents who were at home at the time of the visit enjoyed a good relationship with staff members and the registered person. Residents play an active role in directing the service they receive. Weekly coffee mornings & monthly meetings provide an opportunity for residents to make suggestions and to raise any concerns. A residents’ review of services takes place each year. The home met or exceeded its targets in all of the areas covered during the last review bar one. The registered person stated that action had been taken to address that issue (see below). When asked what the care home does well, relatives stated: Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 6 ‘Helps one to develop to be one’s self; provides comfortable accommodation, varied meals & choice; endeavours to seek out day placements to stop boredom setting in & to give stimulation; treats residents with respect & understanding’. ‘Knows … really well. Try to get the help she requires. Provides a nice place to live. Responsive to needs’. 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. The summary of this inspection report can be made available in other formats on request. Geraint House DS0000006421.V347415.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 Geraint House DS0000006421.V347415.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is excellent. Prospective residents and their representatives have the information they require to choose a home, which will meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A brochure about the services provided at Geraint House was available at the time of the visit. This document contains clear & comprehensive information and has been illustrated with photographs. One of the people who were chosen for the purposes of case tracking stated that he had received information about the home before he decided to move in. Copies of Care Programme Approach assessments and care plans were available for both of the people who were chosen for the purposes of case tracking. The home had also completed its own assessments of their needs. Records of those assessments were detailed, covering a wide range of health and social care needs. A resident stated that he had visited the home on a number of occasions, including overnight & weekend stays, before he decided to move in. Geraint House DS0000006421.V347415.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. Residents are in control of their lives and play an active role in directing the service they receive. Staff members have access to the information they require to meet individual needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. The plans that were inspected were clear & comprehensive, covering areas such as mental health, social activities, physical health, personal hygiene & dressing, medication and financial affairs. They set out the desired outcome for each of the areas covered and staff members had entered regular & detailed entries for all of them. Residents indicated that they are aware of their individual plans and stated that they are involved in regular reviews. Staff members were in the process of completing an exercise with residents to identify what constituted a good or bad day for them and what could be done to improve a bad day. Risk assessment & management forms had been completed for each of the residents whose records were inspected. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 10 Residents stated that they are able to make decisions about their lives, with staff support if required. They reported that they determine their daily routine, deciding, for example, whether to go out and when to go to bed. They stated that they are encouraged to undertake domestic tasks and to prepare their own snacks if they wish. Weekly coffee mornings & monthly meetings provide an opportunity for residents to make suggestions and to raise any concerns. A residents’ review of services takes place each year. The registered person stated that action had been taken to address the one issue (social activities) where the home had not met or exceeded its target in the last review (see ‘Conduct & Management of the Home’). Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. Residents are encouraged to lead full and active lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People who live at Geraint House attend a range of daytime activities including supported work & voluntary placements, drop-in centres and a day hospital. Residents stated that they are also encouraged to undertake activities at the home such as gardening. They reported that they make use of the local facilities on Uppingham Road and in the city centre, which can be easily reached by public transport. One person stated that he enjoys attending a coffee morning at a local church and visiting a café in the city centre. A second person reported that he likes to go for coffee with his keyworker and for meals out at a local pub. The registered person stated that the budget for social activities has been increased since the date of the last inspection as a result of feedback from residents. Several people stated that they had enjoyed trips out to a farm park and Foxton Locks. A weekly coffee morning is held in one of the lounges providing residents and staff with an opportunity to get together and chat. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 12 Residents stated that they are encouraged to maintain contact with their families and friends, wherever possible. The two relatives who completed comment cards indicated that the home helps residents to keep in touch. All of the residents who were spoken to reported that they enjoy the meals that are provided. It was noted that three different meals were prepared on the day of the visit to accommodate residents’ likes & dislikes. They were served at different times to suit the wishes of individual residents. The latter are involved in planning the menu at a monthly meeting. Residents stated that they had enjoyed a number of themed meals involving Australian, Indian & Italian food. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. Residents’ personal and healthcare needs are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that they are happy with the support they receive from staff members. They reported that action would be taken to ensure that any healthcare needs are met. Individual plans detail any personal support that is required by each person. They also set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Records of appointments attended by residents indicate that they have access to relevant healthcare professionals. The registered person stated that the home had started to organise its own annual health audits for residents after the local surgery withdrew a similar service. None of the people who were chosen for the purposes of case tracking manage their medication. Records are kept of the medicines received into the home, administered to residents and returned for disposal. A number of staff members have attended accredited medication training in the past. The registered person stated that the rest of the staff team have received in-house training and have been assessed as competent to administer medication. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. Residents are protected by the home’s arrangements for handing complaints and responding to allegations of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that they would speak to staff if they had any concerns. Weekly coffee mornings and monthly meetings provide an opportunity for residents to raise any concerns. Information provided prior to the visit indicates that thirteen complaints have been received since the date of the last inspection, two of which were upheld. The records that were inspected indicated that appropriate action had been taken in response to people’s concerns and that the outcome had been discussed with the complainant. The home has policies and procedures on the protection of vulnerable adults. Staff members receive training on safeguarding adults as part of their induction. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. Residents live in a comfortable & homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that they are happy with the environment in which they live. They reported that the home is always fresh & clean. The areas that were inspected were decorated and furnished to a satisfactory standard. Since the date of the last inspection, the outside of the building has been refurbished and a new television & a leather suite have been purchased for one of the lounges. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. Residents’ needs are met by friendly & professional staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that staff members are friendly and helpful. There appeared to be a positive relationship between the residents and staff who were present on the day of the visit. The home has a stable staff team and no members of staff have been recruited since the date of the last inspection. The registered person stated that he would ensure that the requirements of Regulation 19 & Schedule 2 of the Care Home Regulations were fully implemented when employing staff in the future. All members of staff have completed in-house induction training. The registered person stated that five members of staff have completed National Vocational Qualification level 2 or 3 and that one person was in the process of completing level 2 at the time of the visit. Records indicate that staff members have received training on issues relevant to their work. Recent in house training has focussed on social inclusion & the Mental Capacity Act. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. Effective quality assurance systems ensure that standards with the home are maintained and improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered person has eighteen years experience in care. He has completed the Registered Managers Award and the NVQ assessors’ award. Residents stated that they feel able to approach him and it was clear that he enjoyed a good relationship with the residents who were at home on the day of the visit. Weekly coffee mornings & monthly meetings provide an opportunity for residents to express their views. In addition, a residents’ review of services takes place each year. Records indicate that the home met or exceeded its targets in all of the areas covered during the last review bar one. The Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 18 registered person stated that action had been taken to address that issue (social activities). The views of visitors to the home have also been sought. Staff members have received training on issues such as first aid and food hygiene. Records indicate that fire drills & tests of the fire alarm system have taken place at the required frequency. The registered person stated that he would speak to a member of staff about a number of tests of the emergency lighting system that appeared to have been missed. It was noted that the fixed electrical installation at the home had not been tested since 2001. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 19 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 3 2 4 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 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 4 X 4 X X 2 X Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/a 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. 1. Refer to Standard YA42 Good Practice Recommendations Fixed electrical installation should be tested every five years. Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Geraint House DS0000006421.V347415.R01.S.doc Version 5.2 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. 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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