Inspection on 07/12/05 for Geraint House

This inspection was carried out on 7th December 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 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 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 Helen Abel Unannounced Inspection 7th December 2005 10:20 Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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.V271046.R01.S.doc Version 5.0 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.V271046.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Geraint House Address 28 Uppingham Road Leicester Leicestershire LE5 0QD 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.V271046.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 18th August 2005 Brief Description of the Service: Geraint House offers provision for ten 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 Provider/Manager 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 one cat Scamp. There are three lounges one of which is a non-smoking lounge. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 3-hour period. A part tour of the building took place with care records, policies and procedures inspected. There was the opportunity to talk with seven residents. The Registered Provider /Manager was present on the inspection day and 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 DS0000006421.V271046.R01.S.doc Version 5.0 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 Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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): 1,5 Resident’s benefit from an admission process, which works well and ensures that the placement is right for the individual. EVIDENCE: The Statement of Purpose was held in the office and made available to residents when required. This document is due to be updated in January 2006. Each resident has a contract drawn up with their home and their care manager. Copies of these are held with their care plans. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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): 8,10 Residents are consulted in all aspects of life in the home; and confidentiality is maintained in accordance with policies and procedures. EVIDENCE: A recent residents meeting confirmed various trips out to see the Christmas lights and a MacDonald’s, a carol concert, and a theatre show in January. Residents then choose where they wanted to go. The menus were examined and meals changed to resident’s wishes. Residents are encouraged to attend part of the staff’s team meeting and contribute their views. Confidentiality and security of information is taken seriously, with systems set up to keep records secure. Staff also receive training in confidentiality. At a recent satisfaction consultation all residents identified that privacy and information held about them was handled appropriately and that confidences are kept. The staff are commended for this aspect. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 the following standard(s): 11,14,16 Residents have opportunities for personal development, and access to appropriate leisure pursuits. EVIDENCE: A number of residents had gone out to various places on the inspection day, to the local church for a coffee morning, a trip to Leicester city, and out with family members. The residents reported, “ We went to the Swallow Pub for a Christmas meal. I had four pieces of turkey. We went in taxis. It was great.” The Registered Provider/Manager spoke of ensuring residents have the opportunity to continue their interests and hobbies whilst seeking new pursuits for them to do in consultation with the resident. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 the following standard(s): 19,21 Resident’s personal and health care needs are met. EVIDENCE: Residents spoke about “I am looking forward to Christmas and the presents from David (Registered Provider/Manager) he’s very generous.” Residents have been given a well-being manifesto handout and discussions have taken place around individual’s happiness and wellbeing. Care plans confirm residents personal and health care needs are looked after, and taken seriously. Policies and procedures around death and dying were inspected and were comprehensive and in order. The Registered Provider/Manager spoke of ensuring all residents and staff receive counselling (if required) and would be able to attend a funeral. Residents wishes around death are recorded in their care plans. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 the following standard(s): 23 Residents are protected from abuse, neglect and self- harm. EVIDENCE: Adult Protection is included as part of the Staff Induction when new staff start working in the home. Multi Agency Adult Protection and other policies and procedures are in place and held centrally in the office. The careful deployment of staff to support personal care needs for some residents is followed in line with residents risk assessments. This ensures residents and staff safety at all times. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 the following standard(s): 26,27,28,29 Geraint house is a homely, comfortable and safe environment. EVIDENCE: All areas of the home were inspected were well maintained, clean and comfortable. A large group of residents and staff were seated in the smoking area talking. Residents spoke positively about the home and mentioned one of the cats Kitty had died and how sad this had been. But Scamp the other cat was still living in the home. Bedrooms and bathrooms were inspected and were clean and bright. The dining room was set out for lunch with serviettes and plants in attractive pots as centrepieces in the middle of each table. Residents were observed making their own hot drinks in the kitchen and going to their bedrooms or lounges. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 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): 31, 32, 33, 34, 36 The staff group are effective and are able to meet the individual needs of the resident. EVIDENCE: Staff have regular supervision and training that is linked to the home’s business plan. This aspect is commended. Training is seen as a priority and staff attend a range of training, medication training and National Vocational Qualification Training in care. Staff recruitment files were sampled and contained all the required information. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 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): 37,38,39,40,43 Residents benefit from the ethos, leadership and management approach of the home. EVIDENCE: Residents told the Inspector, “If we have any complaints we would go to David (the Registered Provider/Manager). “ David is a mate, a good boss of the home” “ David was upset when kitty (the cat) died.” Staff interviewed spoke about ensuring residents have choice and that Geraint House is their home. At a recent residents meeting residents had asked for more salads on the menu. Staff confirmed salads had been offered but all residents opted for the chicken and mushroom pie. Residents had asked for a meal celebration for India. In January there will be a day of Indian meals planned throughout the day. Resident’s views are listened to and acted upon. Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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 3 x x x 3 Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x 3 x 4 Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Geraint House Score x 3 x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x x 3 DS0000006421.V271046.R01.S.doc Version 5.0 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. 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 Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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. Extracts may not be used or reproduced without the express permission of CSCI Geraint House DS0000006421.V271046.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!