CQC report explained · a residential care home
What the CQC found at Genesis Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, personal protective equipment, testing, visiting arrangements and the management of infection outbreaks. They were only somewhat assured that the infection prevention and control policy was up to date, and the home intended to review how visitor information was recorded and retained.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control, with the infection policy and visitor records needing review.
This was an announced, targeted inspection on 17 January 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-related staffing pressures affected care.
Inspectors were assured that the home was clean, used personal protective equipment safely, followed infection guidance and supported visits. They also found that staffing pressures had not affected service delivery.
The home was rated 'Inspected but not rated'. This means the visit did not give an overall quality rating or a separate rated judgement for the care being provided.
Infection prevention
Inspectors found that people were protected from infection and that the home was clean. Staff had personal protective equipment and were following the latest guidance.
“We were assured that this service met good infection prevention.” from the report
Visiting arrangements
The home used a ground-floor room near the entrance for visits. This helped relatives see residents while reducing contact with staff and other residents.
“The provider had utilised a single room near to the front door of the premises (on the ground floor) for visiting” from the report
Support during isolation
The provider supported residents and relatives to understand isolation arrangements and offered dedicated time with an assigned staff member to reduce loneliness.
“The provider supported residents and their relatives to understand the isolation processes and how the service could help to alleviate them feeling lonely” from the report
Staffing pressures
The provider told inspectors that COVID-related staffing problems had not affected the delivery of care.
“staffing issues had not affected service delivery.” from the report
Infection control policy
needs fixingInspectors were only somewhat assured that the infection prevention and control policy was up to date. They discussed reviewing it so that it was more specific to the home.
“We were somewhat assured that the provider's infection prevention and control policy was up to date.” from the report
Visitor records
minorThe home intended to review how visitor information was recorded and kept. Ask whether this review has been completed and what changed.
“We discussed the recording and retention of visitor information with the home manager who intended to review their approach to this.” from the report
- 01Has the infection prevention and control policy been reviewed and made specific to this home?
- 02How are visitor details recorded and retained now, following the review discussed with inspectors?
- 03What measures are in place if COVID-related staffing pressures increase, and how would you monitor their effect on care?
- 04How will the home support residents who feel lonely during isolation or visiting restrictions?
- 05How are visits arranged if infection risks or outbreaks affect the home?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 11 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, July 2018
Genesis Care Home was rated Good overall; inspectors found safe, kind and well-organised care, with some previous medicines problems addressed.
This was an unannounced comprehensive inspection over two days. Inspectors spoke with people living at the home, relatives, staff and a health professional. They also checked care plans, recruitment and training records, medicines records, complaints and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, suitable training, well-managed medicines, personalised care plans and respectful relationships between staff and people.
People spoke positively about the food, activities, staff and management. The home supported people's health, choices, independence, privacy and dignity. There had been two complaints in 2017, both investigated and answered, and none in 2018 at the time of inspection.
The home remained Good, the same as at the previous inspection. Inspectors said it met all the requirements of the fundamental standards.
Safe staffing and recruitment
Inspectors found enough staff to meet people's needs. Recruitment files contained employment information, references and up-to-date background checks.
“The recruitment procedures put in place by the registered provider continued to be robust and records confirmed this.” from the report
Kind and respectful care
Staff understood people's histories, likes and dislikes. They were seen supporting people patiently and respectfully, without rushing them.
“Staff were observed demonstrating reassurance, direction, kindness, patience and empathy throughout our visit.” from the report
Personalised support
People's care plans included their medical history, preferences, activities and support needs. People and relatives were involved in assessments and reviews.
“The information gained during the assessment was used to develop people's individual care plans.” from the report
Food and health support
People spoke positively about the food and were offered support suited to their needs. The home worked with healthcare professionals when people had nutrition or swallowing concerns.
“People were supported to eat and drink in accordance with their assessed needs.” from the report
Open management
The management team was described as approachable and supportive. Audits covered care, medicines, accidents, safety and other important areas, with actions recorded.
“There was evidence of analysis and actions identified to highlight and address any areas for development and improvement.” from the report
Previous medicines supply problems
needs fixingMedicines audits had identified ongoing problems involving the organisation providing medicines. The manager changed to a different organisation that was considered better suited to the home's needs.
“The medicines audits had highlighted ongoing issues that related to the organisation providing medicines at the home.” from the report
- 01What changes have been made to medicines supply since the inspection, and how do you check that medicines are available and given on time?
- 02How will you assess and review my relative's care plan, and how will you involve them and their family?
- 03What activities and day trips are currently available, and how do you support people who choose not to take part?
- 04How many staff are usually available on each floor and shift, and how do you respond when someone needs extra support?
- 05How can we raise a complaint, and how will we be kept informed about the response?
This was an unannounced comprehensive inspection covering all five key questions, with the previous overall rating also recorded as Good. This explanation was written from the published report of 3 July 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Genesis Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 31 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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