Genesis International Solutions

Updated 28 September 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 2 inspectors.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service a short notice period of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We contacted commissioners seek feedback on information they held about this service. We used all this information to plan our inspection.

During the inspection

We completed a site visit on 26 July 2023. We sought feedback from 7 relatives about their experience of the care provided to their loved ones. We spoke with the registered manager, and 4 staff. We reviewed a range of records related to the service people received. This included 3 people's medicines administration records and care plans, 3 staff's recruitment records, staff training records and various audits in place to oversee and monitor the service.

Updated 28 September 2023

About the service

Genesis international solutions is a home care service providing personal care to people in their own home. The service provides support to people with a range of needs including older adults who may be living with dementia. At the time of our inspection there were 6 people receiving a live in care service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

The provider did not always ensure they met their legal duty to safeguard people when information of concern was raised in an effective or timely way. The provider did not ensure they completed all required pre-employment checks when recruiting new staff. People were supported with their health and social care needs, including medicines, by staff who knew them and their needs well. There were multiple examples where people's care and medicines records were not always complete, up to date or accurate to reflect the care they received.

Records relating to people’s fluid intake could be improved. People’s nutritional needs were met. Staff supported people to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The provider did not demonstrate they considered the principles of the Mental Capacity Act 2005 to consistently support this practice. We received positive feedback from staff that they felt supported in their role.

We received consistent positive feedback from relatives that their loved ones were provided with kind, caring and compassionate support. People were treated with dignity and respect and staff promoted people’s independence where possible.

Most people’s care records were person centred and included information on their personal history, the things that were important to them and their preferences. The provider had a complaints procedure in place and valued people’s feedback. People were supported with their end-of-life care needs, however records about people's wishes were not in place.

The service was not always well-led. Governance systems were not effective or robust to ensure the provider consistently met their requirements.

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 04 March 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Enforcement

We have identified breaches in relation to safe recruitment practices, taking appropriate action to consistently safeguard adults at risk including upholding principles of the Mental Capacity Act 2005 and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will continue to monitor information we receive about the service, which will help inform when we next inspect.