This inspection was carried out on 3rd October 2008.
CSCI found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Five Gables Nursing and Residential Home 32 Denford Road Ringstead Kettering Northants NN14 4DF The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Catherine Perrins Date: 0 3 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Five Gables Nursing and Residential Home 32 Denford Road Ringstead Kettering Northants NN14 4DF 01933460414 01933622807 fivegablesnh@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Jade County Care Homes Limited care home 43 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 43 0 Over 65 0 43 Conditions of registration: The registered provider may provide the following category of service: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary needs on admission to the home are within the following categories: Old age, not falling into any other category - Code OP Dementia - Code DE The maximum number of service users who can be admitted to the home is:43. Date of last inspection Brief description of the care home Five Gables Residential Care and Nursing Home can accommodate up to 43 older people, some of who have dementia and/or physical disabilities. The home is situated in the rural village of Ringstead. Residents are accommodated in one of three units depending on their needs. The Villa, at the rear of the property, caters for mainly nursing residents, and has a small dementia unit within it. The Lodge, at the front of Care Homes for Older People
Page 2 of 9 the property, accommodates those needing residential care only. The Villa, dementia unit, and most areas of the Lodge are accessible to people with limited mobility. The grounds include a car park, mature gardens, and patio areas. The fees at the time of the last key inspection ranged from 380 pounds to 400 pounds per week. Further information about the home is available from the Registered Manager. Care Homes for Older People Page 3 of 9 What we found:
The inspection was conducted in the nursing and dementia unit following anonymous concerns raised with the Commission for Social Care Inspection. The inspection focused on the areas of concern raised which were:- i) Staffing levels and use of cover staff. ii) Administration of medication. iii) Activities available for people who live at the home. iv) Infection control. v) Use of hoists and equipment for helping people with mobility problems. There were a number of requirements made of the home at the last key inspection. These were not assessed on this visit but will be followed up at the next key inspection, or before if further information or concerns are received which suggests that the requirements have not been met. The registered manager was on annual leave at the time of the inspection. Staff were observed wearing gloves and aprons when attending to peoples personal and medical care needs and washing their hands after assisting individuals. Staff files contained evidence that staff received training in infection control. Staff confirmed that nurses, and not carers, administer medication in the nursing care unit. Medication administration records for four people were viewed. Several doses of medication had not been signed for although blister packs were observed and all showed the correct numbers of tablets. Four staff spoken to confirmed that there were adequate numbers of hoists to cater for peoples needs. The service records for these hoists were not available on the day of inspection. Staff explained that sometimes they are able to do activities with the people such as listening to music, talking to people or going outside. However this was not always possible. One person on the dementia unit commented I quite like it here. I dont do much during the day At the time of inspection there was a total of one nurse and five carers working at Five Gables. The nurse in charge explained that this was the usual allocation of staff. The nurse in charge explained that staff would work together to assist the people who require the assistance of two people to, for example transfer from a wheelchair to a chair. Staff rotas were observed along with a staff allocation book which showed how many staff were on each shift in each area of the home. The rotas for the previous four weeks showed that staff members had been taking annual leave and there had also been periods of staff sickness absence. There had been occasions where only three carers and one nurse had been working. The nurse in charge explained that there had been occasions when staff had phoned in Care Homes for Older People Page 4 of 9 sick at short notice and the home had been unable to cover their shifts. One staff member said we can be short staffed when people phone in sick but we manage Another commented We have been short staffed, we could do with 2 carers on the dementia unit Staff were seen communicating with people in a caring and sensitive manner. The nurse in charge was attentive to peoples requests for assistance and offered advice and direction to the carer that she was working with to ensure that peoples needs were met. Staff spoken to commented I am happy to work here, it is very calm Other staff comments were this is a good home peoples needs and choices are respected. Written policies on safeguarding adults,whistle blowing and complaints were observed and staff spoken to demonstrated an understanding of how to raise concerns. What the care home does well: 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 7 15(1) Care plans relating to 24/05/2008 challenging behaviour were either not in place, or lacking in detail. These must be reviewed and improved to ensure that residents needs are identified and met. The carpet tiles in communal 24/07/2008 areas in the Lodge must be replaced as they are worn, stained, and potentially a tripping hazard. This will improve the environment and increase resident safety. The garden and other outside 25/04/2008 areas must be risk assessed and action taken where necessary, to improve safety. This will help to reduce the risk of accidents. An efficient laundry service must be put in place so residents linen and clothing are regularly and effectively laundered. 24/07/2008 2 19 16(2)(c) 3 19 13 (4) 4 26 16(1)(e) Care Homes for Older People Page 6 of 9 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 1 9 13 The administration and 30/11/2008 recording of medication must be accurate and in line with residents prescribed doses. To ensure that people are receiving their medication as prescribed. 2 12 16 People must be given the 30/11/2008 opportunity to participate in recreational and leisure activities appropriate to their needs and preferences. To ensure that people have appropriate stimulation and recreation. 3 27 18 There must be appropriate 30/11/2008 numbers of suitably qualified and experienced staff on duty at all times. In order to meet the needs of the people who live in the home and to ensure their health and safety. 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 Care Homes for Older People
Page 7 of 9 improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 9 of 9 - 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!
