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Inspection carried out on 22 May 2017

During a routine inspection

Genesis Residential Home is registered to provide accommodation and personal care for eight people who need help to maintain their mental health. At the time of our inspection visit there were seven people living in the service.

The service was run by a partnership that was the registered provider. There was a manager in post who had applied to be registered by us. 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. While the manager’s application for registration was being dealt with, they were being assisted by the person who was previously the registered manager. In this report when we speak about the partnership we refer to them as being, ‘the registered person’.

At the last inspection on 14 April 2015 the service was rated Good.

At this inspection we found the service remained Good.

This inspection was announced and was carried out on 22 May 2017. We gave the registered person and the manager a short period of notice. This was because the people who lived in the service had complex needs for care and benefited from knowing in advance that we would be calling.

Care staff knew how to keep people safe from the risk of abuse and suitable steps had been taken to reduce the risk of avoidable accidents. Medicines were safely managed and there were enough staff on duty. Although some recruitment checks had been completed more needed to be done to ensure that new staff could fully demonstrate that they were suitable to be employed in the service.

Care staff knew how to support people in the right way. People enjoyed their meals and they had been helped to obtain all of the healthcare assistance they needed.

People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice.

People were treated with compassion and respect. Care staff recognised people’s right to privacy and promoted their dignity. Confidential information was kept private.

Although in practice people had been given all of the care they needed they had not been fully involved in reviewing how well this assistance was meeting their expectations. People had been supported to pursue their hobbies and interests and there was a system for quickly and fairly resolving complaints.

People had been consulted about the development of their home. Although quality checks had been completed, effective action had not always been taken to address problems. These included both the shortfalls noted above and a small number of defects in the accommodation. Care staff were supported to speak out if they had any concerns and good team work was promoted. People had benefited from care staff acting upon good practice guidance.

Further information is in the detailed findings below.

Inspection carried out on 14 April 2015

During a routine inspection

Genesis Residential Home is registered to provide accommodation and personal care for eight people who need help to maintain their mental health. At the time of our inspection visit there were seven people living in the service.

The service was run by a partnership that was the registered provider. There was a manager in post who had applied to be registered by us. 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. While the manager’s application for registration was being dealt with, they were being assisted by the person who was previously the registered manager. In this report when we speak about the partnership we refer to them as being, ‘the registered person’.

At the last inspection on 14 April 2015 the service was rated Good.

At this inspection we found the service remained Good.

This inspection was announced and was carried out on 22 May 2017. We gave the registered person and the manager a short period of notice. This was because the people who lived in the service had complex needs for care and benefited from knowing in advance that we would be calling.

Care staff knew how to keep people safe from the risk of abuse and suitable steps had been taken to reduce the risk of avoidable accidents. Medicines were safely managed and there were enough staff on duty. Although some recruitment checks had been completed more needed to be done to ensure that new staff could fully demonstrate that they were suitable to be employed in the service.

Care staff knew how to support people in the right way. People enjoyed their meals and they had been helped to obtain all of the healthcare assistance they needed.

People were supported to have maximum choice and control of their lives and care staff supported them in the least restrictive way possible. Policies and systems in the service supported this practice.

People were treated with compassion and respect. Care staff recognised people’s right to privacy and promoted their dignity. Confidential information was kept private.

Although in practice people had been given all of the care they needed they had not been fully involved in reviewing how well this assistance was meeting their expectations. People had been supported to pursue their hobbies and interests and there was a system for quickly and fairly resolving complaints.

People had been consulted about the development of their home. Although quality checks had been completed, effective action had not always been taken to address problems. These included both the shortfalls noted above and a small number of defects in the accommodation. Care staff were supported to speak out if they had any concerns and good team work was promoted. People had benefited from care staff acting upon good practice guidance.

Further information is in the detailed findings below.

Inspection carried out on 28 January 2014

During a routine inspection

On the day we visited Genesis Residential Home there were seven people living there. We spoke with four people who lived at the home, the manager and a member of staff. We also spoke with two relatives of people who live at the home.

The home provides care and support for people with mental health needs.

People spoke positively about their experience of living at the home. One person told us, “I like it here. I get on well with others. Nice staff, look after me well.”

We saw that the home planned the services provided to meet individuals’ needs and that staff were available to help people when they needed it. Another person told us, “If I have a problem I go to the manager, he sees everything is sorted out. It’s a great place to live.” A relative of someone who lived at the home said, “I’ve been impressed with the home, my brother is well supported and they keep us up to date.”

We observed that home provided balanced and plentiful food and drink to people living at the home and menus showed a varied and nutritional diet. One person said, “I have a choice of dinner and pudding.”

During a check to make sure that the improvements required had been made

We visited Genesis Residential Home on 24 July 2012. We identified concerns around the completeness of information recorded in people’s care records.

We did not speak to people about this outcome as we did not visit the home to carry out this review. We used the information that the provider had sent us since we last visited the home.

People’s records were a complete and accurate representation of the care they received.

Inspection carried out on 24 July 2012

During a routine inspection

On the day we visited Genesis Residential Home there were eight people living there. We spoke with five people who lived at the home, the manager and a member of staff. The home cares for people with mental health disorders.

People told us they liked living at Genesis Residential home. They said they were involved in making decisions about their care. One person told us, “We go through my care plan now and again.”

We saw people had their needs met and treatment was planned to ensure people’s safety.

People told us the staff were kind. They said they could raise any concerns about their care with the staff. One person said, “If I’m not happy I would talk to the manager or my key worker.”