Inspection on 06/02/07 for Gable Court Nursing Home

This inspection was carried out on 6th February 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

Gable Court Nursing Home 23/10/07

Gable Court Nursing Home 04/01/06

Gable Court Nursing Home 15/09/04

Gable Court Nursing Home 21/04/04

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

CARE HOMES FOR OLDER PEOPLE Gable Court Nursing Home 111 Roxy Avenue Chadwell Heath Lane Romford Essex RM6 4AZ Lead Inspector Ms Gwen Lording Key Unannounced Inspection 6th February 2007 09:00 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 Gable Court Nursing Home DS0000025953.V329690.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. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gable Court Nursing Home Address 111 Roxy Avenue Chadwell Heath Lane Romford Essex RM6 4AZ 0208 597 6041 0208 599 9257 sooben@bupa.com www.bupa.co.uk BUPA Care Homes (CFC Homes) Limited 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) Nalini Sooben Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability (6) of places Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 6 beds may be used for named residents under 65 years with physical disabilities 4th January 2006 Date of last inspection Brief Description of the Service: Gable Court Nursing Home is operated by a BUPA owned company. The home is registered to provide accommodation with personal care and nursing for up to 52 residents. The majority of the residents are over the age of sixty-five years, but the home is also registered to provide care for up to six people between the ages of 18-65 years who have a physical disability. The home is a purpose built three storey building situated in a busy residential area of Chadwell Heath, with access to community facilities: via public transport links a short walk away. All the rooms are single occupancy and the majority have ensuite facilities. Not all the rooms are large enough to accommodate wheel chair users. The current manager has worked at the home for a number of years and has the qualifications and experience to understand and meet the needs of the residents. On the day of the inspection the range of fees for the home was between £545.00 and £800.00 per week. A copy of the Statement of Purpose and Service Guide to the home is made available to both the resident and the family. There is a copy of the guide in each bedroom, and copies of both these documents are available at the main reception. A copy of the most recent inspection report is also available at reception or on request. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken by the lead inspector, Gwen Lording. It started at 10.30am and took place over six hours. The registered manager was not on duty at the home as she was attending a training day. However, the Head of Care was available throughout the visit to aid the inspection process. This was a key inspection visit in the inspection programme for 2006/ 2007. Discussion took place with the Head of Care, several members of nursing and care staff; the Head Chef; activity co-ordinator; administrative staff and the laundress. Nursing and care staff were asked about the care that residents receive, and were also observed carrying out their duties. The inspector spoke to a number of residents and where possible residents were asked to give their views on the service and their experience of living in the home. A tour of the premises was undertaken and all rooms were clean and tidy with no offensive odours present. A random sample of residents’ files were case tracked, together with examination of other staff and home records, including medication administration, training schedules, activity programmes, maintenance records, menus, complaints, fire safety, accident/ incident record and staff recruitment files. Information was also taken from a pre-inspection questionnaire, which was completed and returned by the manager. At the end of the visit the inspector was able to feed back to the Head of Care. The inspector would like to thank the staff and residents for their input during the inspection. What the service does well: The nutritional needs of residents are well considered so that food and mealtimes are seen as being important for all residents. 75 of care staff are qualified to National Vocational Qualification (NVQ) level 2 or above. This demonstrates a very positive commitment to training from both the organisation and the care staff. There is a relaxed atmosphere in the home and residents appeared unhurried and are given sufficient time and support in their everyday lives. During the inspection staff were seen to be providing good personal care and all residents appeared clean and well groomed. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 6 The home has an experienced manager who works hard with the staff team to further improve the service and provide an increased quality of life for residents in her care. 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. Gable Court Nursing Home DS0000025953.V329690.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 Gable Court Nursing Home DS0000025953.V329690.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): Standards 1, 3, 4 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are being undertaken for all residents prior to them moving into the home. Care plans are drawn up from the information in these assessments, ensuring that the needs of the residents are identified, understood and met. EVIDENCE: Individual records are kept for each resident and a total of eight files were examined. All records inspected have assessment information recorded and the information had been used to continue assessment following admission to the home, and develop written care plans. The records showed that residents, where capable and their relatives are involved in the assessment process. Prospective residents and their relatives/ representatives are provided with information about the home and there is always the opportunity to visit the home prior to making any decision to move in. On the day of the visit the Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 9 relatives of a prospective resident had made an appointment to visit the home and were given information about the service. The Care Homes Regulations 2001 have been amended with effect from the 1st September 2006, for new residents, and for existing residents with effect from the 1st October 2006, so that more comprehensive information is to be included in the service users guide. Details of information to be included are contained within the amended regulations. therefore, the service user guide must be reviewed and amended by the stated timescales. The manager was also provided with a copy of the Commission’s ‘Policy and Guidance on Provision of Fees Information by Care Homes’. Gable Court Nursing Home DS0000025953.V329690.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): Standards 7, 8, 9, 10 & 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal care and social care needs are set out in individual care plans. However, care plans require further development to provide staff with up to date information about residents care, to ensure that care needs are being understood and met on a daily basis. All residents could be assured that at the time of their death, staff would treat them and their family with care, sensitivity and respect. EVIDENCE: Individual care homes within the BUPA organisation use different types of care planning documentation. BUPA have now successfully piloted a new care planning system, which will be rolled out for implementation in all their care homes. Training will take place for all staff in its use and on the day of the inspection the home manger was attending one of these training days. This care planning documentation is intended to be used as a working tool, which staff understand and work to. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 11 Individual care plans were available for each resident and the care of eight residents was case tracked, and their care plans and related documentation inspected. Care plans were found to be generally detailed, with monthly reviews being undertaken, but care plans were not always being updated to reflect changing needs. Risk assessments are being routinely undertaken on admission around nutrition, manual handling, continence, risk of falls and pressure sore prevention; and are being reviewed on a regular basis. Residents are weighed on admission and then on a monthly basis with fluctuations in weight being monitored. Where there are concerns, such as weight loss or not eating, weights are monitored weekly with referral made to appropriate health care professionals. Case tracking was difficult as the information pertaining to nutrition and weights is currently being recorded in a number of different sources in the care plans and would not be easily understood/ accessed by all staff, and to others who may not be familiar with the individual resident. However, staff are able to give a good verbal account of residents needs in this area. The home is planning to introduce a different nutritional screening tool and it is hoped that this will improve the recorded information around meeting nutritional needs. The documentation/ health records relating to wound management; catheter care; insulin dependant diabetes; and the most recently admitted resident were examined. Care plans for wound management were good, and advice and input had been sought from the tissue viability nurse. The care plan for one resident recorded that she had an indwelling catheter. However, through case tracking it was evident that the catheter had been removed. Whilst the daily notes and evaluation recorded this information the initial care plan did not. In such cases the care plans must be re-stated so as to provide up to date information about an individuals care needs. Records indicated that residents are seen by other health professionals such as tissue viability nurse; dietician; optical, dental and chiropody services. Monitoring charts such as fluid intake/ output; turning regimes and blood sugar monitoring, were up to date and being adequately maintained. Food wastage charts are maintained where necessary however, staff must record the amount of food intake as well as the type of food. For example, entries included “porridge, soup, sandwich”. The amount of food taken by the resident must be clearly recorded for example, two tablespoons; large bowl; size and number of sandwiches. The detail of this recording will ensure that an accurate record is being maintained of nutrition. Care plans contained some information on end of life wishes and the importance of developing these further was discussed with staff. However, from discussions with staff, it was apparent that staff dealt with a person’s dying and death in a sensitive and understanding manner, both for the individual and relatives. The manager has expressed an interest in Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 12 implementing the Liverpool Care Pathway (LCP) for the Dying Patient. This transfers the hospice model of care into other settings and has been used effectively in care homes. There are policies and procedures for the handling and recording of medicines. An audit was undertaken of the management of medicines in the home and a random sample of Medication Administration record (MAR) charts were examined. Discussions with staff and the review of medication records show that staff are following policies and procedures, so as to ensure that residents are safeguarded with regard to medication. The Head Of care was given a copy of the Medical Advice Alert (MDA/2006/066) issued by the Medicines and Healthcare Products Regulatory Agency (MHRA) on Lancing Device used in nursing and care homes for blood glucose monitoring. She confirmed that the home had already received a copy of this alert and had taken the appropriate action. Staff talked about and were observed to treat residents in a respectful and sensitive manner. They were seen to be very gentle when undertaking moving and handling tasks and offered explanation and reassurance throughout these activities. Several residents were asked about the care they receive in the home. Comments included: “ There is a nice atmosphere and everyone is very friendly”. Another said: “The staff are kind and look after me very well”. Gable Court Nursing Home DS0000025953.V329690.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): Standards 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 are given the opportunity to take part in a variety of activities both within the home and in the community. The lifestyle in the home matches the preferences of residents with regard to their social and recreational interests and needs. The nutritional needs of the residents are well considered so that food and mealtimes are seen as being important and enjoyable for all residents. EVIDENCE: The home employs a full time activity and she is viewed as a valued member of the staff team. There is a general programme of planned activities for all residents and regular visits by professional entertainers. There are a variety of small and large group activities, as well as planned one to one activities. The activity co-ordinator takes into account the needs, preferences, expectations and capabilities of all residents in the home by arranging activities suited to individual’s interests. During the inspection some of the residents were taking part in a quiz, which they appeared to enjoy. Each resident has a social care plan, which details their interests/ hobbies, and this is reviewed monthly. Relatives and friends are encouraged and welcomed to be involved in special Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 14 events in the home such as the annual summer garden party and Christmas party, so that residents are able to maintain contact with their family and friends. Last year the home celebrated their 20th anniversary and opened a sensory garden with a pond and water feature. One resident spoken to said that she was able to spend a lot of enjoyable time in the garden in the summer with her family. Relatives/ friends are encouraged to visit the home and there are no restrictions on when people can visit. Visiting can be undertaken in one of the lounges, dining room or in the privacy of the resident’s own room. The inspector observed members of staff allowing time for residents to express their wishes and supporting individuals to make choices in their everyday lives, for example choosing a drink, music they wished to listen to, or where they wished to eat their meal. The serving of the lunchtime was observed and provided residents with an appealing, varied and nutritious meal. Staff were seen to offer assistance where necessary and this was done discreetly and individually. Pureed meals were presented in an attractive and appealing manner and residents who required assistance were not hurried. The head chef is an important member of the care team and oversees the serving of the lunchtime meal as this enables her to supervise the provision of food to residents and receive their feedback/ comments. The inspector was able to meet with the head chef who has worked at the home for more than eight years, and discuss some recent developments. This has included the introduction of a ‘Night Bite’ menu; the use of full cream milk in custards, and milk drinks wherever possible; and training she has recently undertaken around meeting the nutritional needs of residents. There is little reliance on tinned, processed or frozen foods; a freshly prepared homemade soup is available each day, as are plated seasonal fruits at breakfast or lunch. Gable Court Nursing Home DS0000025953.V329690.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): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff make very effort to sort out any problems or concerns and make sure that residents and their relatives feel confident that their complaints and concerns will be listened to and acted upon. Staff working in the home have received training in adult protection/ abuse awareness to ensure that there is a proper response to any suspicion or allegation of abuse. EVIDENCE: The home has a written complaints policy/ procedure and the complaints log inspected indicated the number of complaints and issue of concern received and included details of investigation, action taken to resolve them and the outcome for the complainant. All complaints are recorded whether formal written or verbal expressions of concern. Those residents spoken to were aware of how to complain and to whom. There is an in house training programme for all staff in adult protection/ abuse awareness and this is included in the induction programme for all new staff. Those staff spoken to during the inspection were aware of the action to be taken if they had concerns about the safety and welfare of residents. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 16 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): Standards 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. The overall atmosphere in the home is very welcoming and all areas of the home are clean, comfortable and provide residents with a safe and wellmaintained environment. EVIDENCE: A tour of the building was undertaken by the inspector at the start of the visit, and some areas were visited again later during the day. All areas of the home were found to be well lit, clean, pleasant and hygienic with no offensive odours anywhere. The standard of the décor, furnishings and fittings are being maintained to a good standard. There is an ongoing programme of refurbishment and re-decoration. A full time maintenance person is employed and there is an effective system in place for staff to report items requiring attention or repair. The external grounds are being well maintained. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 17 Since the last inspection a new bath has been fitted on the ground floor and all beds have now been replaced by profiling beds. All of the bedrooms seen were personalised and were representative of the occupant’s interests, culture and religion. There is a call alarm system fitted to each bedroom, and is located within easy reach of each residents bed. The laundry area was visited and this was found to be clean, with soiled articles, clothing and foul linen being appropriately stored, pending washing. The laundress was aware of health and safety regulations with regard to handling and storage of chemicals. Personal Protective Equipment (PPE) such as clothing, gloves, masks and goggles were available and in use. Hand washing facilities are prominently sited and staff were observed to be practising an adequate standard of hand hygiene. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 18 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): Standards 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. Staffing levels are satisfactory and residents’ benefit from a committed staff team who have the skills and training to meet their needs. The procedures for the recruitment of staff are robust however; any gaps in employment history must be explored to ensure that people living in the home are fully safeguarded. EVIDENCE: Staff rotas were examined and the staffing levels and skill mix of qualified nurses and care staff were sufficient to meet the assessed nursing and personal care needs of residents. Staff were being effectively deployed to ensure that residents’ choosing, or needing to remain in their bedrooms were being cared for appropriately. Gable Court has a relatively stable workforce and effective team working was observed and evidenced throughout the inspection. Staff interacted well with each other and the residents. From talking to the head of care, staff and inspecting training records it was evident that nurses and care staff have undertaken a wide variety of training. Records showed that staff had undertaken training in essential areas such as Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 19 fire safety, moving and handling, infection control and protection of vulnerable adults. Other training has included dementia care, tissue viability, wound care and nutrition. The registered providers BUPA, have recently developed a learning portfolio for both qualified nurses and support staff. All staff will have a personal copy, which will provide an ongoing record of induction, supervision, learning objectives, training and the organisations ‘Personal Best’ initiative. From reviewing staff records and talking to staff, it was evident that all staff receive regular supervision. Staff meetings are also held regularly. The pre-inspection questionnaire completed by the manager states that 75 of care staff are qualified to NVQ level 2 or above. This demonstrates a very positive commitment to training from both the organisation and the care staff. The registered providers BUPA Care Homes, have a robust recruitment and selection procedure in accordance with the requirements of legislation, equal opportunities and anti-discriminatory practice, which ensures the protection of service users. A random sample of the personnel files of the four most recently recruited staff were examined. All files showed that thorough pre-employment checks had been carried out with the exception of the file of one member of staff were some gaps were noted in the person’s employment history. This is slightly disappointing, as previous inspections of this service have always highlighted that service users are safeguarded by the robust employment practices of the home and the registered providers. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 20 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): Standards 31, 32, 33, 35, 36, 37 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager of the home is a well qualified and experienced person and residents benefit as the home is run in their best interests. Monitoring visits are undertaken regularly by the responsible individual to monitor and report on the quality of service being provided in the home. EVIDENCE: All staff spoken to throughout the visit, both care and departmental staff, spoke positively about how well supported they felt by the manager. Staff receive regular 1:1 supervision, direct observation of care practices, and regular staff meetings. Mrs Sooben is very resident focused and works hard Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 21 with the staff team to improve the service and provide an increased quality of life for residents in her care. The home benefits from the quality assurance procedures adopted by the registered organisation BUPA Care Homes. The responsible individual undertakes Regulation 26 monitoring visits on a monthly basis to monitor and report on the quality of service being provided in the home. A copy of the report is sent to the Commission. Currently the manager does not act as an appointed agent for any resident. The inspector was satisfied that the financial interests of residents are safeguarded by robust financial policies and procedures. Those residents who have a personal account with the organisation receive interest on monies held which is credited to their account on a monthly basis. A wide range of records were looked at including, fire safety, emergency lighting, water temperature checks, accident/ incident records, hoist maintenance and Portable Appliance Testing (PAT). These records were found to be detailed, up to date and accurate. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 22 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 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 3 3 Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 OP7 Regulation 12 & 15 Requirement Timescale for action 31/03/07 2. OP8 12 3. OP29 19 Schedule 2 The registered manager must ensure that care plans provide staff with up to date information about residents care, to ensure that care needs are being met on a daily basis, and include ‘End of Life’ choices. The registered manager must 06/02/07 ensure that where food intake charts are being maintained, staff must record the amount as well as the type of food. For example, two tablespoons, size and number of sandwiches. This detail of recording will ensure that an accurate record is being maintained of nutrition. The registered manager must 06/02/07 ensure that a full employment history, together with a satisfactory written explanation, is obtained for all staff. Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Gable Court Nursing Home DS0000025953.V329690.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Gable Court Nursing Home DS0000025953.V329690.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. 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!