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Archived: Genesis Residential Care Home Limited Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 July 2016

Genesis Residential Care Home Limited is registered to provide care and support for up to seven adults with a learning difficulty. At the time of our visit the service was providing care for three people.

The service registered with the CQC on 02 December 2010. During our inspection the registered manager informed us that they were considering changing their registration to reflect the lower numbers of people that it was providing care for.

The service is required to have a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were not always safe in the home as the registered manager had not assessed all the factors that might pose a risk to people. However, staff had a good understanding of safeguarding and knew what constituted abuse. Most risk assessments were clear and detailed and reviewed regularly. Staff acted in accordance with the guidance and protocols that were in place to help reduce the risks for people.

Medicines were administered, stored and managed safely and appropriately and people received their medicines on time and in the manner the prescriber intended.

Staffing levels were sufficient to meet people’s needs appropriately and the staff on duty had the skills and knowledge to support people effectively and meet their needs in a timely manner. However, some training was in need of refreshing.

Appropriate and safe recruitment practices were followed, to ensure staff were suitable to work with people in a care environment. Staff received support from the manager which included supervisions and appraisals.

The CQC is required to monitor the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS) and report on what we find. The manager and quality assurance officer ensured the service operated in accordance with the MCA and DoLS procedures. Staff also demonstrated a clear understanding of the MCA, DoLS, capacity and consent. People were able to make their own decisions and choices as much as possible.

People received enough food and drink to meet their individual needs and staff had a good understanding and knowledge of people’s dietary needs. Prompt referrals were made to healthcare professionals as needed and any advice or guidance given was followed appropriately by staff.

People were involved in planning and reviewing their own care and staff appropriately supported people, when necessary, to make informed choices for themselves. The staff were kind, caring and compassionate. People were treated with dignity and respect and their privacy was upheld. People were also supported to do as much for themselves as possible, in order to enhance and maintain their independence.

People pursued hobbies and activities of their choice, which helped enhance their overall wellbeing. Visitors were welcome without restrictions and people were supported to form and maintain personal relationships. People were listened to and any complaints were fully investigated and actions taken to improve the quality of care provided. Staff and people living in the home could be involved in making decisions on how the home was run.

Record keeping and management systems were in good order, with effective auditing and follow up procedures in place. Environmental audits were regularly maintained and up to date.

Inspection areas

Safe

Requires improvement

Updated 16 July 2016

The service was not always safe.

That service had not assessed all factors that may have have put people at risk of harm.

Staff had received training in safeguarding to recognise when people might be at risk of abuse.

Recruitment procedures ensured that staff were suitable to care for vulnerable people and there were sufficient staff deployed to meet people�s needs.

Medicines were stored safely, their administration was recorded appropriately and people received them as intended by the prescriber.

Effective

Requires improvement

Updated 16 July 2016

The service was not always effective.

Staff training was not all up to date

The service was compliant with the Mental Capacity Act.

People had sufficient amounts to eat and drink and were given choices for their meals.

People had access to health care services when they needed.

Caring

Good

Updated 16 July 2016

The service was caring.

People were supported by staff who were kind, caring and patient and who had a good knowledge of the needs of the people using the service.

People were involved in planning their care.

People had their dignity and privacy respected and promoted by the service.

Responsive

Good

Updated 16 July 2016

The service was responsive

The service had gained detailed information about people�s personal histories to provide personalised care.

People were able to enjoy their preferred leisure activities

Complaints were responded to appropriately.

Well-led

Requires improvement

Updated 16 July 2016

The service was not always well led.

The registered manager did not have sufficient overview of staff training needs.

People and staff were able to express their views to the registered manager and felt listened to.

The registered manager had good auditing systems for monitoring the physical environment of the service.