Background to this inspection
Updated
13 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Genesis Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because the service is small and we wanted to be sure there would be people at home to speak with us.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since our last inspection and sought feedback from the local authority.
We used this information to plan our inspection.
During the inspection-
We spoke with the five people using the service. We spoke with three members of staff including the registered manager and two care workers. We reviewed a range of records. This included two people’s care records and all the medication records. We looked at a staff file in relation to recruitment and staff supervision. A variety of records relating to the management of the service were also reviewed.
Updated
13 November 2019
About the service
Genesis is a residential care home that was providing accommodation and personal care to five people with mental health needs at the time of the inspection. The service can support up to eight people. Care was provided in one adapted building over two floors. At the time of the inspection, a new wing was in the process of being built, to provide additional updated accommodation for people using the service.
People’s experience of using this service and what we found
People using the service were very positive about the care and support staff provided and told us they were happy living at the service. For example, one person said, “It is homely; I am happy here, nothing could be better.”
People felt safe at the service. They were cared for by staff who knew how to keep them safe and protect them from avoidable harm. Sufficient staff were available to meet people’s needs and people told us when they needed assistance, staff responded promptly. People received their medicines regularly and systems were in place for the safe management and supply of medicines. Incidents and accidents were investigated and actions taken to prevent recurrence. The premises were clean and staff followed infection control and prevention procedures.
The service continued to be effective. People’s needs were assessed and care was planned and delivered to meet legislation and good practice guidance. Care was delivered by staff who were well trained and knowledgeable about people’s care and support needs. People were provided with a nutritious and varied diet and they were complimentary about the food provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were cared for by staff who were kind and showed empathy and understanding towards them. The atmosphere within the service was friendly and welcoming and staff were warm and considerate towards the people they cared for. Staff reviewed and agreed the care provided with each person on a regular basis. People’s privacy was respected and their dignity maintained.
Staff were responsive to people’s individual needs and wishes and had an in-depth knowledge about each person. Staff engaged with people very well and offered them choices on an ongoing basis. People had access to a range of activities and entertainment and told us they could decide what they wished to do and staff facilitated this. People’s views and concerns were listened to and action was taken to improve the service as a result.
The service continued to be well led and benefitted from clear and consistent leadership. The registered manager was open and committed to continuous improvement of the service. People using the service and staff had confidence in the registered manager and said they were fair and treated equally. Processes were in place to monitor some aspects of the service and the registered manager discussed with us additional audits they were planning to put into place to strengthen the monitoring of the quality of care provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 21 June 2017).
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Genesis Residential Home on our website at www.cqc.org.uk.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.