Care Home: Genesis Care Home

What the care home does well Prior to moving into the home, residents and their families can be assured that it is a suitable place to live where their needs can be met as Genesis ensures that each persons needs are assessed and the home is an appropriate place for those needs to be met, there is good communication with the local authority where funding arrangements are in place. Following assessments, a plan of care is written which informs staff of action needed to meet assessed needs. Residents can be assured that their needs will be met respectfully and that care practices support their dignity. Recreational and leisure activities meet individual requirements and assessment of need in relation to social care is made with consideration for the abilities of the resident in this home where dementia type illness effects people`s concentration and ability to participate in many group activities, social relationships are maintained in the home with families and friends able to visit freely Appropriate procedures are in place to ensure any complaints or concerns are managed appropriately and staff are trained in issues relating to adult protection. Residents in the home have a comfortable, relaxed environment in which to feel at home where cleanliness, maintenance and health and safety are programmed. Residents benefit from appropriate numbers of well trained staff at the home and can be secure in the knowledge that good management practices are in place. What has improved since the last inspection? The last inspection resulted in six requirements being made, this inspection evidenced that all but one of these has been addressed. Requirements concerned some aspects of care planning and monitoring resident`s health and welfare, records examined showed these now to be sufficient in terms of information provided to enable staff to meet the up to date and reviewed needs of residents; a requirement was also made regarding the personal choice of residents, systems are now in place to ensure the key-worker speaks with the resident and documents the outcome regarding their choices in daily living routines whilst at the home. A heated towel rail in a bathroom gave rise to concern as this was not guarded, this has now been removed thereby removing any risk of accidental scalding. One requirement made concerned the training and qualification of the registered manager, whilst this has not been met the inspector recognises that Andrea Mangold, Registered Manager has experienced a number of difficulties over the last year that would effect her completion of this award. The requirement remains and is to be reviewed at the next inspection, this visit has not raised any concerns about the current management arrangements for the home. What the care home could do better: No requirements or recommendations are made as a result of this inspection although one requirement has been repeated (see above). CARE HOMES FOR OLDER PEOPLE Genesis Care Home 76 Wimborne Road Bournemouth Dorset BH3 7AS Lead Inspector Jo Palmer Key Unannounced Inspection 14th January 2008 10:00 X10015.doc Version 1.40 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 Genesis Care Home DS0000003942.V357342.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 Older People. 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. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Genesis Care Home Address 76 Wimborne Road Bournemouth Dorset BH3 7AS 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) 01202 515713 01202 762880 andreamangold@yahoo.com Genesis Care Homes Limited Miss Andrea Louise Mangold Care Home 13 Category(ies) of Dementia - over 65 years of age (13), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (13) Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2006 Brief Description of the Service: Genesis Care Home is a large, detached house, situated in the Winton area of Bournemouth. The home has ramped access and is a level walk away from nearby local shops, cafes and restaurants, churches and public houses etc. Local buses are available nearby to other parts of Bournemouth as well as Poole, Christchurch and beyond. Visitor parking for several vehicles is available at the front of the home and also on nearby streets. The front garden is mostly laid to lawn with flower borders and there is a more secluded garden with seating available to the rear of the property. The home is registered to accommodate up to thirteen older people with a mental disorder and/or dementia, within two double and nine single bedrooms. Accommodation is arranged on the ground and first floors, with a stair lift available to assist access between floors. Three rooms have en-suite facilities and there are sufficient communal bathrooms and WCs available on each floor. A comfortable lounge/dining room and adjoining sun lounge are available to residents. Twenty-four hour personal care is provided. Laundering of clothing etc is carried out on the premises. Activities are arranged on a daily basis and an inter-denominational religious service is held at Genesis every month. All meals are prepared and cooked within the home. Genesis is owned by Mrs Gene Mangold, trading as Genesis Care Homes Ltd and managed by her daughter, Miss Andrea Mangold. The Borough of Poole Social Services retains a block contract and makes the majority of placements at Genesis Care Home. Current fees range between £494 and £600 per week. See the following website for further guidance on fees and contracts. http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection took place on 14th January 2008 between 10.00 and 14.30. Mrs Gene Mangold, owner of Genesis Care Homes Ltd was present along with the senior carer who is currently acting Manager whilst the Registered Manager is on leave. The main purpose of this key inspection was to check that the residents living in the home were safe and properly cared for and to review progress in meeting the requirement and recommendations made at the previous inspection. The inspector spoke with six residents, one staff member, took a tour of the premises and examined relevant records. The inspector sat in the dining area of the home whilst examining records which enabled observation of relationships between staff and residents and activity levels in the home during the day. The Commission for Social Care Inspection sends questionnaires to service users, their relatives, staff and visiting professionals in order to obtain feedback about the services provided, an Annual Quality Assurance Assessment (AQAA) is also sent for completion by the manager/responsible person, the completed AQAA was used to inform parts of this inspection visit although no surveys had been returned. What the service does well: Prior to moving into the home, residents and their families can be assured that it is a suitable place to live where their needs can be met as Genesis ensures that each persons needs are assessed and the home is an appropriate place for those needs to be met, there is good communication with the local authority where funding arrangements are in place. Following assessments, a plan of care is written which informs staff of action needed to meet assessed needs. Residents can be assured that their needs will be met respectfully and that care practices support their dignity. Recreational and leisure activities meet individual requirements and assessment of need in relation to social care is made with consideration for the abilities of the resident in this home where dementia type illness effects Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 6 people’s concentration and ability to participate in many group activities, social relationships are maintained in the home with families and friends able to visit freely Appropriate procedures are in place to ensure any complaints or concerns are managed appropriately and staff are trained in issues relating to adult protection. Residents in the home have a comfortable, relaxed environment in which to feel at home where cleanliness, maintenance and health and safety are programmed. Residents benefit from appropriate numbers of well trained staff at the home and can be secure in the knowledge that good management practices are in place. What has improved since the last inspection? The last inspection resulted in six requirements being made, this inspection evidenced that all but one of these has been addressed. Requirements concerned some aspects of care planning and monitoring resident’s health and welfare, records examined showed these now to be sufficient in terms of information provided to enable staff to meet the up to date and reviewed needs of residents; a requirement was also made regarding the personal choice of residents, systems are now in place to ensure the key-worker speaks with the resident and documents the outcome regarding their choices in daily living routines whilst at the home. A heated towel rail in a bathroom gave rise to concern as this was not guarded, this has now been removed thereby removing any risk of accidental scalding. One requirement made concerned the training and qualification of the registered manager, whilst this has not been met the inspector recognises that Andrea Mangold, Registered Manager has experienced a number of difficulties over the last year that would effect her completion of this award. The requirement remains and is to be reviewed at the next inspection, this visit has not raised any concerns about the current management arrangements for the home. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 7 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. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A pre admission procedure is in place and assessments are routinely undertaken to ensure that only residents whose needs can be met by the home are offered places there. EVIDENCE: Two pre admission assessments were seen; the needs of the resident are assessed prior to them agreeing to move into the home using a set format that has been developed to take into consideration their health and welfare needs. The records indicated that the needs and circumstances of the people had been properly taken into account. The Borough of Poole has a contract for ten places at the home and when a resident is admitted under local authority arrangements, information is provided to supplement the pre-admission information obtained by the home. A requirement of the last inspection has been met in relation to the pre-admission process. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to provide staff with the information they need to meet the health, personal care and social needs of residents. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The information contained in pre-admission assessments, and any assessments supplied by funding authorities, is used to help compile a detailed plan of care. A series of assessments carried out on arrival at the home (risk assessment, personal care, mental and physical health, social care and communication) also feed into the care plan. Care records were well organised into key-worker files, care staff are appointed as key-worker for individual residents and it is their responsibility to keep records, assessments and care plans under review and up to date. Care plans provide concise information about the needs of the resident and how these Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 11 needs are to be met. It was clear that reviews were being undertaken and plans updated with changes. One care plan seen was for a resident in receipt of wound care, it was evident that this was being carried out by well informed staff at the home and under the direction of the district nursing service, the manager is advised to ensure that outcomes of care in respect of this are dated. Similarly, a care plan for a resident with insulin dependent diabetes identifies the need for staff to administer insulin prior to meals; a requirement from the previous inspection has been addressed in respect of blood sugar monitoring although the care plan could be more explicit in its instructions. To ensure there is no misunderstanding, the manager is advised to ensure the information is held together in the care plan. Staff complete daily records which support and evidence the delivery of care to residents and feed into the regular reviews of care plans. Evidence was available on file that GPs, district nurses, opticians and chiropodists are available to residents. Medication records are well kept and evidenced that residents are in receipt of any medication as prescribed by their GP, storage of medicines in the home was safe and in order. A monitored dosage system is in place administered by the dispensing pharmacist, the system provides medication administration records (MAR) for completion by the home. These were seen to be in order, well kept and with clear instruction. A record is kept of the safe return to the pharmacy of any medication that is no longer required. Most medicines are issued from the supplying pharmacist in blister packs (MDS), those that are not suitable for this type of dispensing are issued in their original containers, stocks of medicines held audited with recorded information. Residents spoken with said that they were treated well and that staff were kind and friendly. Staff were seen to treat residents with courtesy, patience, kindness and respect. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The level of activities provided are tailored to individual residents needs and people are encouraged to make choices about their life style and to maintain contact with their family and friends. The meals in this home are wholesome and varied and are served in a pleasant environment EVIDENCE: Mrs Mangold confirmed that all staff have attended a series of lectures on Person Centred Care. This has resulted in each resident being assessed using a set format with regard to their preferences for social and recreational activity and their abilities to engage in such activity. The outcome of assessments identifies each residents needs for planned, sensory, reflex and exploratory activity. During the inspection, staff were seen to engage individual residents in short sessions looking at pictures, colouring, touching/playing with building blocks and puzzles. Three residents with a higher level of cognitive ability were observed engaged in conversation with each other and a staff member. All residents have a memory box which has been made up of items of interest with contributions from their families. Staff record in their key-worker files Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 13 each resident’s level of activity daily and those residents that were able to, signed a declaration that they have discussed their choices and contributed to decisions. In discussion with residents, it was evident that several could not engage in meaningful conversation, those that could confirmed that they had sufficient stimulation in the home and enjoyed the level of activity; one resident confirmed that his memory ‘was not what it used to be’ and therefore could not remember from one day to the next but did confirm that he was very comfortable in the home, that staff were kind and thoughtful and that he was able to enjoy the social aspects of his life at Genesis. Another resident spoken with stated that staff were going to take her to the shops to buy thread in order that she could continue her embroidery. Records seen and the visitors book held in the entrance of the home evidenced that friends and family are welcome and that they are able to contribute to residents care where appropriate. Meals in the home are produced from a central kitchen; records of meals provided demonstrate a varied diet is available. A brief look in the kitchen evidenced that there are plentiful stocks of fresh, frozen and dried foods from which to prepare meals. Care staff take it in turns to cook the main meals, all staff have attended Food Hygiene courses. During the inspection, residents were seen to enjoy their midday meal in comfortable, relaxed surroundings with appropriately set tables and staff assistance where necessary. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training programmes are in place to protect the residents living at the home; residents can be reassured that they can express any concerns they may have and that any incidents will be managed appropriately. EVIDENCE: A complaints procedure is available to residents and visitors to the home. Mrs Mangold confirmed that no complaints have been received. Adult protection procedures are in place detailing the correct action to be taken should any concerns or allegations be made. The home’s policy and procedure manual holds copies of local authority and Department of Health guidance on adult protection matters and a sheet in the front of the manual has been signed by all staff confirming they have read and understood the contents. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Genesis provides residents with a comfortable environment in which to live where they are safe, warm and have suitable facilities to meet their needs. EVIDENCE: Since the last inspection, new floor covering has been laid in some bedrooms and bathrooms and new lighting in the lounge. Residents spoken with confirmed that they are comfortable in their rooms and are able to bring personal effects to make their space more homely; a tour of the premises viewing some rooms evidenced that some residents have taken greater advantage of this than others. Bathrooms, showers and toilets are sited around the home, these provide suitable facilities and are clean and well maintained. A requirement of the last inspection has been addressed regarding the heating in one of the bathrooms. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 16 Radiators and hot surfaces in the home have been guarded and hot water temperatures are regulated to reduce potential risks of accidental scalding. The home was clean and well maintained at the time of inspection; infection control procedures are in place with anti-bacterial soap and paper towels available for hand washing meeting a recommendation of the previous report; suitable laundry facilities are available. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are on duty to meet resident’s needs. Training is provided to staff in order that they have the skills and are competent to do their jobs. Safe staff recruitment practice is used. EVIDENCE: Staff rotas seen demonstrate that there are three care staff on duty daily to meet residents needs and two each night; residents confirmed that staff are available when they need them. Additionally, there is a housekeeper from 9.00 until 12.00 daily. The registered manager is currently away on leave, a senior carer is acting in this role; Mrs Mangold is shown on the rota as being available as on call. Two care staff have attained NVQ level 3 and a further four are in the process of obtaining this award. Several of the staff have nursing qualifications obtained overseas. Staff files seen demonstrated the extent of training courses attended by staff. Those seen included certificates in the following: • Emergency Aid • Food hygiene • Medication management Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 18 • • • • • • • Mental Capacity Act Adult protection Moving and handling Sensory Loss Dementia Infection control Insulin care Staff files seen demonstrated appropriate recruitment. An overseas agency has been used to recruit into vacant posts; applicants provide personal details as required in Schedule 4 (Care Homes Regulations) including work history and qualification and POVA (Adult Protection) and Criminal Records checks are made. The agency ensures that references and immigration checks are made before an applicant is successful and starts employment at the home. Copies of the persons identification papers along with work permits and all other required information was seen to be held on file in accordance with regulations and data protection. All staff are issued with a copy of the homes terms and conditions of employment and contract and any other relevant correspondence is held on file. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are can be confident that the home is well managed and that systems are in place that centre around their care needs. Management practices and records kept, confirm the health and safety of people in the home. EVIDENCE: The last inspection report dated 5th December 2006 resulted in the requirement that the Registered Manager must obtain the NVQ level 4 award in management and care. Whilst this requirement has not been met it is acknowledged that Andrea Mangold, Registered Manager has had significant obstacles in achieving this award. Mrs Mangold confirmed that her daughter will remain on leave from Genesis until April 2008 and will then return in a part Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 20 time capacity. The requirement is repeated and the management arrangements of the home will be considered again at the next inspection; this inspection has not considered the current management arrangements to have an adverse effect on the running of the home or the safety and welfare of the residents. Mrs Mangold has appointed a senior carer to act as manager although is herself available on call and it was evident during this inspection that she takes an active role in the management of the home. The Commission for Social Care Inspection send all care homes an AQAA (Annual Quality Assurance Assessment) to complete prior to inspection. A completed AQAA which provided detail of the home’s intention to continue to monitor and evaluate quality of service provided was submitted which identifies what the home feels they do well and sets out their plans for improvement over the next twelve months. It is strongly advised that the significant points of the AQAA are used to formulate the homes Quality Assurance report that is available for residents. Mrs Mangold confirmed that this report was available to residents and their representatives twice yearly in the form of a newsletter that identifies what has been happening in the home and any changes made as a result of the surveys sent out to visitors to the home. In order to protect residents, it is the policy of the home not to have any involvement with their personal finances. Therefore, any resident unable or not wishing to handle their own affairs has a relative or other representative to deal with their finances etc. Any purchases that a resident may require including hairdressing and chiropody appointments are paid for by the home and then invoiced to the fee payer (Power of Attorney) as appropriate. Any accident in the home is appropriately reported using the correct reporting format, any accidents or events in the home which fall under Regulation 37 particularly in respect of RIDDOR (Reporting Injuries, Diseases and Dangerous Occurrences Regulations) are reported and recorded appropriately. A review of accident reports in the home demonstrates that no major injuries have occurred and there are no patterns or trends in accident occurrence involving either residents, staff members, time of day or particular aspects of the environment. The home has a fire risk assessment that has been approved by Dorset Fire and Rescue Service although an annual review date is needed to demonstrate this remains a viable assessment. Servicing and maintenance records were seen demonstrating that fire equipment, alarms systems, stair lift, electrical installation, portable electrical equipment etc are regularly maintained and serviced. Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 3 Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP31 Regulation 18 Requirement It is required that the manager obtains NVQ level 4 in both management and care. This requirement is repeated for the second time. Andrea Mangold is due to return to manage the home in April 2008 when the NVQ training should be resumed. Timescale for action 31/12/08 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 Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Genesis Care Home DS0000003942.V357342.R01.S.doc Version 5.2 Page 24 - 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. 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