Inspection on 25/03/08 for The Gables Care Home

This is the latest available inspection report for this service, carried out on 25th March 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Gables Care Home The Gables Care Home 25 Southport Road Chorley Lancashire PR7 1LF Lead Inspector Mrs Marie Dickinson Unannounced Inspection 10:00 25th March X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Care Home Address The Gables Care Home 25 Southport Road Chorley Lancashire PR7 1LF 01257 271 299 01257 271 299 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Gail Helen Trayling Dr Robert Neil Curzon Ms Gail Helen Trayling Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. The maximum number of people who can be accommodated is: 21 Date of last inspection New Service Brief Description of the Service: The Gables is a large Victorian building, which is situated on the main Chorley to Southport road and close to the town centre. The town has all the amenities one would expect from a small market town. The home is a semi-detached property with bedroom accommodation being located on three floors. Currently there are 15 single rooms and three shared rooms. The upper floors can be accessed via a passenger lift. There is a large communal lounge/dining room and a conservatory which service users access as they wish. A bathroom and toilets are located off the communal area and also additional facilities on the first and second floor. There is a small garden area with seating to the rear of the home. Information about the service is available from the home for potential residents in a Statement of purpose and Service User Guide. Weekly charges for personal care and accommodation range between £372 and £355. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. A key unannounced inspection was conducted in respect of The Gables and took place on the 25th March 2008. This is the first key inspection carried out at the home following a change in ownership of the home in November 2007. The inspection involved getting information from an Annual Quality Assurance Assessment completed by the owner, staff records, care records and policies and procedures. It also involved talking to residents, staff on duty, the owner, and an inspection of the premises. Written comments from relatives and residents were received giving their view of the service provided. The home was assessed against the National Minimum Standards for Older People. What the service does well: New residents had their needs assessed to establish if the service could provide the right care and support, before a placement in the home was offered. Records showed there was consultation about the level and type of care required. Residents living in the home benefited the support of a named worker referred to as a Key worker who took responsibility for their personal care. Resident’s also benefited additional specialist support where needed such as healthcare need. Relatives visiting the home made comments such as, ‘the residents are well looked after’, and ‘they are always so caring’. Observations of care practice showed residents were treated with respect, which supported their right to live with dignity. There were no unnecessary rules imposed on residents and their routines in the home were flexible and special to them. Residents were generally satisfied with the activities and entertainment provided at the home. Birthdays and The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 6 festive celebrations were catered for. Residents were supported to make choices and decisions regarding their lifestyle, and contact with relatives and friends maintained. Hospitality for visitors was good. Food served to residents met with their needs, and preferences. Visiting times were flexible so friends and relatives could call at different times, and residents could see people in private. Relatives visiting said they were always made to feel welcome at the home. The complaints procedure was clear which helped residents/relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. This meant residents rights, safety, and welfare was promoted. Residents were pleased with their accommodation, and considered the home to be always fresh and clean. Written comments included ‘smells nice’, and praised staff responsible for this, commenting ‘very good cleaner’. Their bedrooms were decorated and furnished, as they wanted. A high percentage of staff were trained in National Vocational Qualifications in care and training was generally being given high priority. Staff had a positive attitude to continuous learning and development. The level of staffing maintained, training provided, and supervision was very good which meant competent qualified staff cared for residents. One relative commented ‘I am happy that the new staff are qualified for the work they do, or are training’. There was a warm and friendly atmosphere in the home. Teamwork amongst staff and management was good with everyone working together for the benefit of the residents. Residents appeared to be very happy. People living and working in the home were ‘listened to’. They had regular meetings to have their say on issues that affected them. The home was run in the best interests of the residents and their health, safety, and welfare was promoted. What has improved since the last inspection? Since the new providers were registered in November 2007, a programme of planned improvements had been made, and included: Care planning had been reviewed to provide staff with clearer information on how residents should be cared for. Resident’s privacy was considered with bedroom door locks fitted and privacy screen in shared bedrooms. A cordless telephone made available to allow residents to receive calls in private. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 7 Activities had improved and residents benefited from a planned programme of activities and entertainment, they said they enjoyed. Improvements in the environment had been made. This included redecoration of a number of bedrooms, new dining room furniture, new floor covering in the upstairs bathroom and the lighting in the home improved. A more appropriate ‘nurse work station’ was fitted. The cellar had been ventilated. Beds had been replaced where needed. Furniture had also been replaced with new dining tables and chairs, and new commodes for bedrooms. Curtains and bedding was replaced as bedrooms were being upgraded. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Good admission procedures followed enabled people to decide if the home could meet their needs and expectations. Contracts issued, protected residents rights by informing them about the terms and conditions of living at the home. EVIDENCE: The service user guide had been updated for the new ownership and made available. It provided helpful information, which was easy to read. Comments from most residents completing surveys; indicated they had received enough information about the home before they moved in. Some residents said their relative had chosen the home for them. One resident said ‘social services The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 10 placed me for a fortnight to see if I liked it or not’. And ‘Gail introduced herself to me. I have been in and out four times and I am making my mind up if to come in or not’. There had been a number of admissions since November. The admission procedure followed involves the owner visiting the person in the community. This is to carry out an assessment of their needs and consider if the home has the right facilities, and staff expertise to meet those needs. Information received at the Commission stated, with the exception of an emergency admission, a full assessment is undertaken prior to people being admitted. The pre-admission assessment record used, enabled the assessor to identify personal, health, and social care needs. This provided information about the person’s circumstances and level of support required to enable them to have the right care. Residents who completed questionnaires for this inspection said they had been given a contract. Copies of these were available to look at. The contracts covered the terms and conditions of residence in respect to the services to be provided. This meant residents had accurate information about the amount of fees required to cover their accommodation and personal care needs. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care planning for residents helped staff to provide the right personal care for them. Healthcare was monitored and care was given in a manner, which promoted privacy and independence. Medication was managed safely. Residents were treated with respect, which supported their right to live with dignity. EVIDENCE: Residents who provided written comments for this inspection said the care they receive to be good. They considered they received the right care and support they required and staff were available when needed. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 12 Staff worked to a key worker system. This meant they had some extra responsibility for named residents to make sure they had a more personalised approach to their care. Whilst care plans were written for all residents, and staff interviewed knew how residents should be cared for, these could be improved upon. Completing these for the benefit of residents and staff, required further development, to make sure personal care was provided in a consistent way. For example statements of ‘requires support or assistance’ should inform the carer what the support would be and level of a persons dependency needs, self-care and preferences. This would also help people retain existing life skills. Written information provided for this inspection by the owner showed new care planning had been introduced that included activities of daily living. Care plans were reviewed monthly to reflect any changes, and care plans were written with residents. Risk assessments had been completed. Relatives also commented they were kept informed and consulted about important issues linked to resident care. Care planning took into account health needs. Healthcare was being monitored, and records kept of visits from residents Doctors, and chiropody services. District nurses attended to clinical procedures in the home such as dressings. Staff also promoted good healthcare, for example continence management and monitoring dietary needs. Pressure care was promoted and pressure-relieving aids were used where need was identified. Staff responsible for handling, recording and administering medication had been trained. There were policies and procedures and practice guidance, available for them to use. The home operated a monitored dosage system. Medication was dispensed into controlled dose packs by a local pharmacist. Medication records were completed. Prescribed creams however, should be signed for when applied. Homely remedies used in the home are with the consent of resident’s doctors. Observations made during inspection, showed care and attention had been given to resident’s appearance and continence management was good. Staff were respectful in their manner and when providing care support. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had some opportunity to take part in activities, and make choices and decisions about their lives. Visiting arrangements were very good. Residents were offered a balanced, varied, and nutritious diet that provided for their tastes and choice. EVIDENCE: Resident’s lifestyle was centred on them, and residents did not have to conform to any institutional practice such as set times for getting up or going to bed. Residents’ preferences in respect of choice in routine of daily living, was recorded. Written comments from residents showed there was overall satisfaction with the provision of activities. Comments included ‘I like my music and staff dance and sing with me,’ and ‘Entertainment very good’. An activities organiser had been employed specifically for this purpose. There was usually something The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 14 residents could do in the afternoons. Residents spoken with said they had dominoes, music, and visiting entertainers. Some residents said they didn’t really want to join in. They celebrated birthdays and had enjoyed the Easter celebrations. The owner said the home had ‘open visiting, entertainers, hairdressing, aromatherapy, and visiting ministers. Posters were used to advertise forthcoming events and residents benefited from visits by local schools, had outings, and were given information for advocates. Residents were supported to continue with their chosen religion’. Residents were able to receive visitors at any time and were able to entertain their guests in private. There was evidence seen in care records that relatives regularly visited the home. Observations of relatives visiting showed how staff were considerate to their needs. One relative visiting during inspection said he was always offered a drink and felt he could chat to staff involved in his relatives care. Observations made during inspection of mealtimes, showed care staff were sensitive to the needs of those residents who find it difficult to eat without assistance. Staff were also observed being courteous and attentive, and meals served were very well presented. The atmosphere in the dining room was relaxed and calm. Menus seen showed a varied diet was provided and records were kept of meals served. There was a choice offered at tea time, and portions served were generous. All residents enjoyed their meal and staff sat down with residents who required individual supervision. Special diets were catered for and preferences taken into account. Written comments from residents included, ‘As I don’t like potatoes, the Chef tries to do something different’. ‘My porridge is good and I love chips with vinegar’. ‘Usually like the meals, been a caterer, that was my job’. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The complaints procedure was available which helped residents/relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. This meant residents rights, safety, and welfare was promoted EVIDENCE: There had been no complaints received at the Commission and no complaints made to the home since the new owners registered with the Commission. The complaints procedure was given to residents when they were admitted. This was also in the service user guide. A complaints recording system was in place. Residents and relatives who were consulted, showed they knew who to talk to if they were not happy, such as ‘one of the management, go and speak to someone or you get a form’. ’I would talk to a carer who would tell the management’. People were confident to use the complaints procedure. Written comments included ‘Yes I would speak out’. ‘I would to management’. And ‘Can get a form or speak to management.’ The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 16 Staff working at the home said they were trained in adult protection and were aware of the abuse policies and procedures, which included whistle blowing. They knew their responsibility in this area and were confident they would ‘report bad practice’ if ever the need arose. There were written policies and procedures covering adult protection and whistle blowing. Staff contracts confirmed an agreement made for none acceptance of gifts, wills and bequests. These issues were covered during induction. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,25,26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents were provided with a warm, comfortable, clean, environment that suited most of their needs. EVIDENCE: The Gables is a large Victorian property, which is situated on the main Chorley to Southport road and close to the town centre. Within the overall accommodation offered, there are three shared and 15 single bedrooms. Shared rooms had privacy screens. Residents said they liked their bedrooms. When people are admitted to the home, they can bring with them items of furniture and personal effects that The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 18 can be reasonably accommodated in their bedroom. Bedrooms seen were personalised and furnished and decorated to a good standard. Shared accommodation included a large lounge with a dining area combined. The conservatory gave an additional option where to sit. Outdoor facilities at the home was limited, although there is some provision for residents to sit out during warm weather. Since November when the new owners were registered, there has been a considerable investment made to improve the environment for residents. A programme of redecoration / refurbishment was in place and residents had been consulted regarding their preferences. These improvements included; completion of requirements of environmental health and those of the Commission made during the last inspection, such as a new floor covering in the upstairs bathroom. Improved lighting, locks fitted on bedroom doors, decoration of bedrooms and bathroom. They had created a more appropriate ‘nurse work station’. They had also improved the heating at resident’s request. The cellar had been ventilated. Beds have been replaced where needed. Furniture had also been replaced with new dining tables and chairs, and new commodes for bedrooms. Curtains and bedding was replaced as bedrooms were being upgraded. Information received at the Commission for this inspection showed contracted engineers checked equipment used in the home. And the building complies fully with the requirements of the fire service and environmental department. Specialist equipment was available to support residents with daily living and aids and adaptations were provided in bedrooms, bathroom and toilets. The standard of hygiene kept throughout the home was very good. Linen bags and trolleys were provided to prevent the spread of infection, and paper towel dispensers fitted in all communal areas. Arrangements were made for the safe disposal of clinical waste. Residents considered the home to be always fresh and clean. Comments included, ‘smells nice’, and praise given to the staff responsible, such as ‘nice cleaner’, ‘very good cleaner’. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Good staffing levels and skill mix of staff helped to make sure resident’s needs are effectively and safely met. Recruitment practices were generally satisfactory in protecting residents. Staff were adequately trained, which meant residents were cared for by qualified and competent staff. EVIDENCE: Most residents relatives who sent written comments to the Commission considered staff were always available when they needed them. Relatives considered staff had the necessary skills to do their job, and one comment read, ‘I am happy that the new staff are qualified for the work they do, or are training’. Rotas completed showed the compliment of staff were sufficient to cover all essential duties in providing care, and maintaining essential standards in the home such as hygiene and catering. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 20 Since November several new staff had been employed. Records showed good recruitment practice was mainly carried out. Satisfactory references and Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) register check had been applied for, prior to an offer of employment. However a full employment history must be recorded and interview notes taken to ensure gaps in employment have been satisfactorily explained, and equal opportunities given. On appointment members of staff were issued with a contract of terms and conditions of employment and a job description. Staff interviewed felt the home was run in the interest of the residents, and they were committed to give residents a high standard of care. All staff working in the home had received training. The percentage of staff having completed a national vocational qualification in care level 2 and above was very good. New staff were currently working through planned induction training, that included basic principles of care, and safe working practice issues, such as moving and handling residents. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was run in the best interests of residents, which meant their health, safety and welfare was promoted. EVIDENCE: Gail Trayling and Doctor Robert Curzon were registered with the Commission in November 2007 as new providers of this service. As part of the registration process, they were able to demonstrate their professional experience, ability, and knowledge in all areas. This included knowledge of good practice issues, The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 22 and an understanding of national minimum standards for older people and current legislation that governs care practices. Gail Trayling manages the home on a day to day basis. She is supported in her role with a management team consisting of deputy manager and senior staff. The home sent us their annual quality assurance assessment (AQAA), that gave us information we asked for. For example, how equality and diversity issues were managed. We were informed, ‘we ensure that no resident, relative or staff member is discriminated against in any way’. They also said staff working in the home receive training and opportunities to receive training to gain knowledge/experience which reflect diversity and equality. The home operated on an open door policy to ensure their equal opportunity policy is respected for residents and staff. Since November Quality Assurance had taken place with relatives, residents and professionals linked to the service. There was a development plan for the home and evidence of improvement. Residents were consulted during the change of ownership and involved in the improvement programme. An open evening for relatives was held and residents who gave written comments for this inspection about the service were pleased with the changes. Comments included ‘very happy here’, and ‘very good service, better than in June’. ‘Happy with better changes’, ‘I am happy’. One relative wrote, ‘I must add she looks very well and is very happy at the Gables’. Staff meetings were held every six weeks and were well attended. Agendas were set. For example the record of the last meeting agenda was care planning, team working, care of residents, training and communication. Staff also had regular supervision. Staff spoken to commented on the overall improvement in how the home was managed and felt valued in their work. The home will hold small amounts of money for residents if requested for safekeeping. Financial procedures were followed with records kept of transactions made on behalf of people, providing a clear audit trail. Secure storage was available for the safekeeping of money and of any valuable items. The health, safety, and welfare of residents and staff had been considered. The home had a good range of policies and procedures and practice aimed at keeping everyone safe. Information received at the Commission showed regular maintenance of the homes fixtures, fitting and equipment. Staff training records showed essential mandatory training had been given to staff. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19. 5 Schedule 2 Requirement The recruitment process must include obtaining full employment history. Timescale for action 30/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP9 OP29 Good Practice Recommendations Care planning should be better detailed to ensure the support residents receive is right for them and considers wants, needs, and abilities. Creams prescribed for residents must be signed for when applied. Interview notes should be taken to demonstrate equal opportunities and support a decision made to employ an applicant. The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Gables Care Home DS0000071127.V357576.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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