Inspection on 10/12/08 for Five Gables Care Home

This inspection was carried out on 10th December 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.

Other inspections for this house

Five Gables Care Home 27/12/06

Five Gables Care Home 26/01/06

Five Gables Care Home 26/09/05

Five Gables Care Home 10/03/05

Five Gables Care Home 22/02/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Five Gables Care Home 113 Victoria Road Kirkby In Ashfield Mansfield Nottinghamshire NG17 8AQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mary OLoughlin     Date: 1 0 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Five Gables Care Home 113 Victoria Road Kirkby In Ashfield Mansfield Nottinghamshire NG17 8AQ 01623752512 01623751838 fivegablescare@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Alan Peter Pearce,Mrs Lesley Pearce Type of registration: Number of places registered: care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: No more than 16 persons can be accommodated within Five Gables Residential Care Home No one falling within category OP may be admitted into Five Gables Residential Care Home where there are 16 persons of category OP already accommodated within this home To be able to admit the named person of category DE(E) named in variation application number V34288 dated 09.08.06 Date of last inspection Brief description of the care home Five Gables provides residential care for up to sixteen older people and is discreetly positioned close to the town centre of Kirkby-in-Ashfield. There is ample on road parking and some spaces available to park in the homes own car park. The gardens Care Homes for Older People Page 4 of 26 Over 65 16 0 Brief description of the care home are private, well kept and have a pleasant water-fall feature, with many areas to choose from to sit out when the weather permits. Accommodation is provided over the ground and first floor, with the choice of a passenger lift and period style staircase. The range of fees charged; are from £355.00 to £411.00 The last inspection report is made available in the home. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice, and focuses on aspects of service provision that need further development. A review of all the information we have received about the home was considered in planning this visit including the Annual Quality Assurance Assessment (AQAA), and this helped decide what areas were looked at. The main method of inspection used was called case tracking which involved selecting Care Homes for Older People Page 6 of 26 the care plans of 3 people and looking at the quality of the care they receive by speaking to them, observation and reading their records. Members of staff, people who use the service and their relatives were surveyed by us for their opinion of the service provided, this information was used to decide what areas needed further scrutiny during the inspection. A partial tour was undertaken by the regulation inspector, which included looking at peoples bedrooms and communal areas of the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager makes sure that people receive an assessment before they are admitted to the home to make sure that the required facilities and services can safely meet peoples needs. Intermediate care is not provided at the home. Evidence: The home sent us their AQAA document and the information they provided about how they arrange admissions to the home shows that they take time to make personal and organised and people are given plenty of opportunity to experience life in the home before agreeing to stay. We looked at the information available for people wanting to come to the home and found that the manager has developed clear information to help people to understand Care Homes for Older People Page 10 of 26 Evidence: the services it provides. We received five responses to our surveys from people living at the home and they each told us that they had received sufficient information about the home to help them to decide if the services offerred would suit them. We examined the records of a person who had recently been admitted to the home and found that the manager had taken time to undertake a professional assessment of the persons needs before confirming to them in writing that the home was able to provide the services that the person needed. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home have their care planned and delivered in accordance with their wishes and with regard to their safety. Evidence: Since we last inspected the home the manager has worked hard to improve on the way care is planned and recorded. We saw 3 care plans which contained information about each persons needs and risks to their health. These plans provided a good picture of how the staff were to deliver each persons care in accordance with their preferences and needs. People using the service and their relatives continue to tell us that they are very happy with the care that they receive and the amount of support is what they expect and agree to, which tells us that people are regularly consulted and receive the right level of care. There has been no reported adverse incidents to peoples health since our last Care Homes for Older People Page 12 of 26 Evidence: inspection and presently people at the home do not have problems with pressure sores which tells us that the staff are able to work in a person centred way and protect people from harm. We examined the way medicines are managed and found that the manager ensures that medicines are received, administered and stored safely. The staff who administer medicines are all trained to do so, either by accredited sources or through the homes own training and supervision systems which ensures that people receive their medicines safely. People we spoke to during the inspection told us they were always treated with respect and kindness by the staff and only have to press their bell and staff come quickly to help them. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live ordinary and meaningful lives both inside the home and as part of the community. Evidence: From information we received in the AQAA and from talking to people living at the home we see that the services offerred to people help them to live full and satisfying lives. The manager has continued to promote peoples independence and recognises individual choice by good care planning and guiding staff to support peoples abilities. There are clear records of events taking place inside and outside of the home that people living there have chosen through meetings and discussion. The manager uses innovative ideas and recognised good practice when planning events and activities such as charity events that help people to feel valued by donating funds raised to chosen charities. Care Homes for Older People Page 14 of 26 Evidence: People told us that they attend friendship clubs and staff escort them when they need help to go to the shops or hospital appointments. The manager said that people are not charged for trips out or escorts. Relatives tell us that the home supports people to live their lives as they choose, one person said mum has the freedom to come and go as she pleases. People told us they are very satisfied with the meals provided at the home. The AQAA tells us that they use fresh produce and that people are offerred choices at mealtimes. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are listened to and protected from abuse. Evidence: From the information contained in the AQAA it tells us that the manager listens to people and gives them plenty of opportunity to voice their concerns openly. People living at the home tell us that they are involved in a committee that meets regularly in the home to discuss the service and concerns they have. They tell us that suggestions are acted upon and improvements to the service take place as a result of views expressed. People responding to our surveys tell us they are fully informed of the complaints procedure that the home provides them with, they tell us they feel listened to and taken seriously at all times. We looked at staff training records and identified that they had received training in the safeguarding of adults from abuse which makes sure that they are aware of the local procedures for acting on any suspicion or allegation of abuse. People told us they felt safe and cared for. Care Homes for Older People Page 16 of 26 Evidence: There have been no complaints received by the commission since our last inspection. The home has received 4 complaints which they have addressed appropriately. There has been 1 safeguarding investigation since the last inspection which was not upheld following appropriate investigation by social services. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is suitably maintained and people are protected from cross infection by safe hygiene practices. Evidence: The AQAA tells us that the manager continues to refurbish the home to maintain the fabric and decoration. People told us in our surveys that the home is always fresh and clean. We found the home to be clean and well maintained in the areas we looked at such as communal spaces and bedrooms. The manager told us that the bathroom floor had been replaced following the requirement we set at the last inspection. We looked at staff training records and saw that the manager ensures staff receive training on how to control infection. There is also a suitable infection control policy in the home and the Department of Healths Guidance on infection control has been obtained and used by the manager to Care Homes for Older People Page 18 of 26 Evidence: ensure that the homes practices protect people and promote good hygiene practices. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a well trained staff team that ensures they are in safe hands at all times. Evidence: Since the last inspection the manager has ensured that each member of staff has all the appropriate information within their recruitment files as evidence of a robust procedure when employing people. 3 staff files examined showed that the manager makes sure all references and police checks are obtained before people start work to ensure they are safe to work with vulnerable people. People continue to tell us that there is always enough staff on duty to meet their needs and relatives tell us that they feel the staff team have the skills required to look after people properly. The staff training files were also examined and they identified that the manager understands the importance of a well trained staff team, records indicated that apart from suitable induction training all the staff are trained to National Vocational level 2 in care and receive ongoing training to keep them up to date and provide them with any Care Homes for Older People Page 20 of 26 Evidence: specialist skills for the people they are caring for. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run and managed safely. Evidence: The manager is registered with the commission and has the required qualifications and experience to run the home. The manager returned her AQAA document when we asked for it and the information provided gave us a clear picture of the service and improvements made and planned for. The information within the AQAA shows that the manager has a strong focus on improving peoples lives and giving them the opportunity to remain as independent as possible. The way staff are recruited and trained shows that the manager recognises the Care Homes for Older People Page 22 of 26 Evidence: importance of a trained staff team that have all the necessary skills to deliver the care that the home offers to provide. The staff team tell us they feel supported by the manager and have been regularly supervised. The people living at the home are fully involved in how the home is run and take part in quality surveys at the home. The manager offers to hold small cash sums for people within the homes safe and we saw that she keeps appropriate accounts to protect people from any financial abuse. The manager continues to maintain safe systems of working by ensuring staff receive training in moving and handling, first aid and fire detection and evacuation. The AQAA tells us that equipment in use is regularly maintained and safe. There have been no reported accidents or incidents that would affect the wellbeing of people at the home which shows risks are managed well. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 3 3 7 8 Identify within your pre admission assessment document specific history of falls information. Assess the risks of using portable heaters to make sure people are safe from harm. Obtain a recognised pressure sore risk assessment tool and nutritional assessment tool and record each persons risk level each month or as their condition changes to enable quick referral where there are identified risks. factors. Provide clear evidence that staff have completed the medication module within their NVQ training, and where they have not received any accredited external training in medicines, the in house training records should be more comprehensive along with supervision of practice records. 4 9 Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!