26 November 2020
During an inspection looking at part of the service
Gensing rest home is a residential care home providing personal care for up to 17 people. People using the service were younger and older adults with either physical or mental health needs and people living with alcohol and substance misuse issues. 12 people were living at the home at the time of the inspection.
People’s experience of using this service and what we found
People told us they felt safe and were protected from harm. Safeguarding, accidents and incidents had been reported and any learning shared with all staff. Staff training was up to date and staff told us they knew how to deal with and report any issues. Care plans were in the process of being updated which included reference to up to date risk assessments.
We found some minor issues with medicines for example, staff signing for self-administered medicines, no protocol for dealing with refused medicines and the medicine fridge was set to the wrong temperature. The manager rectified all of these issues. Medicines were obtained correctly and there were enough staff trained in administering medicines. We saw a separate protocol for ‘as required’ medicines. We have made a recommendation about the management of medicines.
Infection prevention and control (IPC) was managed well with guidelines being followed. PPE, staff and resident testing protocols were all in place and an updated IPC policy was in place.
At the time of the inspection the management of the service was in the process of changing. The care manager was acting as registered manager and had taken overall responsibility for the service and was in the process of updating auditing processes and care plans. The care manager was confident in reporting processes and knew who to get support from if needed. Staff and people spoke highly of the care manager.
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 February 2018)
Why we inspected
We undertook this targeted inspection to check on a specific concern we had about safeguarding, medicine management and management oversight. The overall rating for the service has not changed following this targeted inspection and remains good.
CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
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.