Inspection on 10/01/07 for Five Gables Care Home

This inspection was carried out on 10th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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 12/03/10

Five Gables Care Home 05/09/07

Similar services:

Hunters Care Centre

Manor Lodge

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Five Gables Care Home 268 Station Road West Moors Ferndown Dorset BH22 0JF Lead Inspector Sally Wernick Key Unannounced Inspection 10th January 2007 10:30 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 DS0000066590.V327539.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. DS0000066590.V327539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Five Gables Care Home Address 268 Station Road West Moors Ferndown Dorset BH22 0JF 01202 875130 01202 861174 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) Mrs Julie Hawkins Mr Brian Hawkins Mrs Julie Hawkins Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places DS0000066590.V327539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New Registration Brief Description of the Service: Five Gables is a small family run care home registered with the Commission for social care Inspection to accommodate a maximum of 13 older people for whom personal care may be provided. Mrs and Mrs Hawkins own and manage the home and live in the adjoining premises. The building is a converted family house on a corner plot. It is situated close to shops and other amenities including library and churches in the village of West Moors. A local bus service operates from outside the home into the centres of Poole, Bournemouth and Ferndown. A ramp provides easy access to the front door. The accommodation is provided on the ground and first floor, which are linked by a stair lift on the main staircase. There are seven single bedrooms on the ground floor along with the communal lounge/dining room, lounge and separate quiet room. The remaining 5 bedrooms including one double are on the first floor. Each floor has a conventional bathroom most bedrooms are en-suite. To the front of the property is a small well maintained garden with a pleasant patio to the rear. Fees range from between £400-£600 per week See the following website for further guidance on fees and contracts. http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_people_ choos.aspx DS0000066590.V327539.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and began at 10.30am on Wednesday 10 January 2007. This was a ‘key inspection’ where the homes performance against the key National Minimum Standards was assessed. This inspection was the first since the homes registration in August of last year. The registered manager/providers assisted the inspector, as did other members of care staff. Methodology used included a tour of the premises, review of records discussions with six residents and the three staff members on duty. The inspector also reviewed the contact sheet for Five Gables. A Pre-inspection questionnaire was also sent to the manager in order that information could be provided prior to the inspectors site visit. That information where relevant will be included in the main body of this report. What the service does well: Five Gables provides a service for older people with low and medium dependency needs in a well-decorated and comfortably furnished house. The home has a relaxed atmosphere and residents are clearly at ease. The home is well organised and the care and contentment of residents is at the heart of the way it is run. Residents are cared for in a homely setting by caring people who are qualified and who receive relevant training. The registered manager and her staff have developed good relationships with the residents and this results in a supportive environment in which the residents are well cared for, respected and safe. Thorough assessments and care plans are in place for all residents and these are regularly updated. Daily notes provide evidence of the way that care is delivered and of the community health professionals who support those living at the home. The commission for social care has a number of survey cards, which are distributed by the home to residents, their families as well as health care and other professionals. One resident returned their form, which indicated that they were happy with the overall standards at the home there were no additional written comments. One care manager responded and wrote “under the new ownership very impressive start with the aim of including all residents in home decisions-choices”. DS0000066590.V327539.R01.S.doc Version 5.2 Page 6 Two G.P’s indicated they were happy with the standards of care and levels of communication with the home there were no written comments. Four relatives/friends responded positively additional comments included: “happier than they have been for many years” “We are very happy with the care provided”. What has improved since the last inspection? 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. DS0000066590.V327539.R01.S.doc Version 5.2 Page 7 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 DS0000066590.V327539.R01.S.doc Version 5.2 Page 8 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): 3&6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A good admissions procedure enables prospective residents and their supporters to make informed decisions about the home and ensure that only service users whose needs can be met by the home are offered places there. However the outcome of pre-admission assessments is not yet confirmed in writing, so prospective residents are not yet fully assured that their care needs will be met. The home does not provide intermediate care this standard therefore was not inspected. DS0000066590.V327539.R01.S.doc Version 5.2 Page 9 EVIDENCE: Two files of residents who had come to live at the home since the previous inspection were examined. Both showed that prior to arriving at Five Gables, care needs had been thoroughly assessed by the home’s manager. However, at present the outcome of such assessments is not confirmed in writing, so prospective residents cannot be fully assured that their care needs will be met. Pre-admission assessments were detailed with strategies for managing personal and healthcare needs and where relevant, files held copies of local authority assessment and care plans. All residents moving into the home received a copy of the terms and conditions and an up-to–date service user guide. DS0000066590.V327539.R01.S.doc Version 5.2 Page 10 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. There is a good care planning system in place to ensure that staff has the information that they need to meet the needs of residents. The health needs of the residents are well met with evidence of good support from a range of community health professionals. The medication at the home is well managed promoting the good health and well being of residents. Residents are treated with respect and their privacy and dignity are promoted at all times. EVIDENCE: Three care plans were examined all were of a good standard. They followed on from the assessments made by the home, were easy to read and were informative about the needs of the resident and of how the home was to meet DS0000066590.V327539.R01.S.doc Version 5.2 Page 11 them. Information in the care plans was up to date with plans being reviewed monthly. Information about social care needs is recorded for example how the resident prefers to spend their day, likes and dislikes and preferred times of rising and going to bed. Daily care notes support and evidence the delivery of care to residents and give a picture of the care provided as well as visits by community health professionals. Records demonstrate that residents have access to GP’s, district nurses, dentists, opticians and attend for hospital appointments as necessary. Risk assessments are carried out for each resident and appropriate steps taken to minimise any risks identified. A good system for the ordering, administering and recording of medication is in place at the home and only staff members that have completed a course in “medication handling” are able to carry out this task. Medicines were safely stored and countersigned where necessary. Staff was observed throughout the inspection to be treating residents with courtesy, patience, kindness and respect and it was apparent that real care is taken to maintain privacy and dignity. Residents spoken to confirmed that this was the case and commented generally “staff here are excellent”. DS0000066590.V327539.R01.S.doc Version 5.2 Page 12 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. A range of individual activities provides variation and interest for residents and meets their needs. Residents are encouraged to maintain contact with family and friends and the wider community. Residents are helped and encouraged to exercise choice in their daily lives at the home. The meals are good, nutritionally varied and served in a pleasant environment. EVIDENCE: Five Gables is very much a home of the residents and is run in a manner that supports them to live their lives making the choices they can. Information is collected where possible about residents’ interests, life histories and previous occupations. Activities are generally informal, some are structured such as exercise to music all are planned around likes and dislikes of residents and what individuals choose to do on any given day. Where possible the registered providers take residents to the local village and shops DS0000066590.V327539.R01.S.doc Version 5.2 Page 13 and to activities within the local community such as a recent church bazaar and school concert. There is a visiting library and on the day of the inspection residents were enjoying a “Miss Marple” morning on T.V The visitor’s book confirmed the number and range of visitors to the home who are able to visit at times, which are suited to each individual resident. Residents are able to see their visitors in the lounge/dining room or their own rooms as they wish. Some residents are visited by family members and go out with them as and when they choose. A tour of the premises evidenced that residents are able to bring personal possessions with them into the home. Residents confirmed that there was a wide choice of food at the home that was of a good standard. Three of the residents spoken to state the food was “excellent” and a tour of the kitchen and dry goods store revealed a range of fresh produce. Staff regularly seeks food preferences and records demonstrate that during a recent residents meeting specific food requests were made by residents which, were subsequently acted upon. Menu’s provided by the home further indicate the choice available. DS0000066590.V327539.R01.S.doc Version 5.2 Page 14 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 home has a formal complaints procedure allowing residents and visitors to express their concerns. Adult protection procedures are in place to deal with allegations of abuse for the protection of the residents. EVIDENCE: The home has a complaints policy and procedure, which is included in the information given to residents and their supporters during the pre-admission assessment. No complaints have been received about the home during this inspection period. The home as an up to date adult protection policy and all three of the staff spoken to confirmed that they would know the necessary action to take in the event of an incident or if they had any concerns about the treatment or care of a resident. Not all staff has received up-to-date adult protection training however some care staff has completed this as part of there NVQ training. DS0000066590.V327539.R01.S.doc Version 5.2 Page 15 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Five Gables provides a well-maintained, comfortable, safe and homely environment for residents with access to indoor and outdoor communal facilities. The home is kept clean and there are no unpleasant smells, making daily life for all in the home more pleasant. EVIDENCE: Five Gables is very well maintained both indoors and out. All bedrooms and communal rooms are newly decorated to a good standard and there is a homely comfortable atmosphere. Since taking over the home in August the new owners have worked hard to establish a positive, safe environment for all those who live and work there and this is evident throughout. Outside areas are attractive and the home is bright and airy. DS0000066590.V327539.R01.S.doc Version 5.2 Page 16 The home is complying with requirements from the environmental health department and has contacted the local fire service for advice on fire training to staff. Hand washing facilities are readily available and the new owners have agreed to provide hand towels in additional areas. The laundry is sited appropriately and the premises were clean and free of offensive odours. All of the residents spoken to were happy with the levels of cleanliness within the home. DS0000066590.V327539.R01.S.doc Version 5.2 Page 17 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. The numbers and skill mix of staff are sufficient to ensure that the assessed needs of residents are met. Robust recruitment procedures are in place to ensure the protection of residents living at the home. There is a programme of formal training designed to improve and develop staff knowledge and skills for the benefit of people living at the home although this needs to be expanded further. EVIDENCE: Throughout the inspection it was clear that there were sufficient numbers of staff on duty and staff rotas confirm this. One resident said that the staff were “always there to help if needed”. The staff team are small and stable and some have worked at Five Gables for a number of years. More than 50 of the staff team hold National Vocational Qualifications. Robust recruitment procedures are in place and good staff files evidenced that. DS0000066590.V327539.R01.S.doc Version 5.2 Page 18 Records are kept of training that staff undertakes and since taking over the home in August the registered manager had identified a further range of staff development courses. During the transition period it is apparent that not all staff has kept up to date with their mandatory health and safety training such as moving and handling and infection control which the registered providers are currently addressing. There have been no new members of staff that has undertaken induction since the change of registration. The registered manager was however advised to look at the following website which offers advice and information about induction and training programmes. www.skillsforcare.org.uk DS0000066590.V327539.R01.S.doc Version 5.2 Page 19 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 & 38 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The manager has the experience and qualifications to run the care home in the best interests of the residents. The views of residents and other interested parties has been sought in order to identify and prioritise improvement although there has been insufficient time for the new owners to implement a full quality assurance system. Residents are assured of sound management of their financial interests. The health, safety and welfare of service users will be improved by the introduction of up-to-date training and procedures. DS0000066590.V327539.R01.S.doc Version 5.2 Page 20 EVIDENCE: The Registered manager has managed a large care home for many years prior to purchasing Five Gables and is qualified at NVQ level 4 in care as well as holding the Registered Managers award. Mrs Hawkins is very well informed and despite delivering hands on care within the home there are clear lines of accountability and evidence of staff receiving regular supervision. Staff reported that they are well supported in their role by the manager and it was evident that she is well respected by staff and residents alike. The registered providers have begun to seek the views of residents through regular meetings within the home, which was evidenced through a record of minutes taken. It is the provider’s intention to establish a formal quality assurance system that gathers the views of all residents, friends and supporters at twice-yearly intervals the results of which will then inform the home’s annual development plan. The home does not manage the finances for any of the residents who are all assisted by family, friends or legal representatives. Since moving into the home in August the new owners Mr and Mrs Hawkins have worked extremely hard to establish a safe, happy care home for the residents who live there and it is evident from the positive atmosphere, stable staff team and from the comments of the residents themselves that this has been achieved. However they have not yet implemented health and safety training which means that staff do not have their mandatory updates. For example in moving and handling and infection control. In addition there is not yet a record of fire training for staff. Similarly not all equipment including the boilers had been inspected although this was addressed the week after the inspection which was confirmed to the inspector by the providers in a subsequent telephone call. DS0000066590.V327539.R01.S.doc Version 5.2 Page 21 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 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 1 DS0000066590.V327539.R01.S.doc Version 5.2 Page 22 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 OP3 Regulation 14. Requirement The registered person must confirm in writing to the service user that, having regard to the pre-admission assessment, the home is able to meet individual needs in respect of health and welfare. The registered person must ensure that staff receives appropriate training in moving and handling, infection control and all mandatory health and safety practices. This is to ensure safe practice for service users. In order to safeguard residents the registered persons must ensure that all staff receive suitable training in fire prevention and that fire drills and practices are undertaken at suitable intervals. Clear and detailed records must be kept in order to fully demonstrate compliance. Timescale for action 10/02/07 2. OP19 OP38 13. 28/02/07 3. OP38 23. 28/02/07 DS0000066590.V327539.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP18 Good Practice Recommendations To ensure a proper response to any suspicion or allegation of abuse all staff should undertake up-to-date adult protection training. DS0000066590.V327539.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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. 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