Inspection on 27/02/06 for Gables Residential Care Home Ltd

This inspection was carried out on 27th February 2006.

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

Gables Residential Care Home Ltd 09/05/07

Gables Residential Care Home Ltd 21/07/05

Gables Residential Care Home Ltd 16/03/05

Gables Residential Care Home Ltd 04/05/04

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

CARE HOMES FOR OLDER PEOPLE Gables Residential Care Home Ltd 1a Sydenham Way Hanham Green South Glos BS15 3TG Lead Inspector Grace Agu Announced Inspection 27th February 2006 09:30 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 Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Gables Residential Care Home Ltd Address 1a Sydenham Way Hanham Green South Glos BS15 3TG 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) 0117 914 0799 0117 914 0799 Mrs Linda Marie Cooke Ms Ann Kathrine Aubrey Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 20 persons aged 65 years and over requiring personal care only 21st July 2005 Date of last inspection Brief Description of the Service: The Gables Care Home provides personal care for up to 20 residents aged 65 years and over. The home is owned by Mr David Cooke and Mrs Linda Cooke. Mrs Cooke and Mrs Ann Aubrey share the responsibilities of the registered Manager’s role. The home is situated in a suburb on the eastern outskirts of South Gloucestershire. There are shops, a post office and public house nearby. The home is close to Avon ring road and the motorway network. The home has a purpose built extension providing bedrooms and utility areas. There are attractive communal areas. The well-maintained garden extends to the front and back of the building and includes a courtyard space and sitting areas. The residents have individual rooms with en suite facilities and these exceed the spatial National Minimum Standards. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which was undertaken over nine hours to review the requirements made at the last inspection and also to review the care practice to ensure that it is in line with the legislation and that best practice is followed at the home. At the last inspection one requirement was made in relation to preparing care plans for meeting the needs of all residents. It is pleasing to note that this requirement had been met. At this inspection three immediate requirements were made in relation to medication and recruitment practices. A tour of the building was undertaken and a number of records were viewed. Five residents, two relatives and three staff members were spoken with on the day. What the service does well: Generally the home was found clean, warm, well lit and free from unpleasant odours. The atmosphere of the home was noted to be relaxed. Residents looked well cared for in their homely environment. Staff were noted to be interacting with residents in an informal, respectful, personalised and dignified manner. At a discussion, one of the registered managers stated that residents the residents are ‘treated the way we would like to be treated ourselves’ and that ‘we make the residents feel that they are living at home not in a home’. The home does its utmost to ensure that residents feel comfortable, secure and well cared for. The home also ensures that resident’s rights and choices are respected, that their voices are heard and their confidence in the home remains high. The manager stated, “We think that food, warmth and security are vital parts of today’s life, and this is what we offer our residents”. Gables is a ‘hotel’ 365 days a year and this is our “motto”. Evidence from comments card received from relatives and residents showed that the home is providing good services and that people are satisfied with the home. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 6 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. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2,3, 4, 5. The home provides information to prospective residents and their representatives and ensures that the admissions process provides safeguards to meet the assessed needs of the residents. EVIDENCE: The home has a Statement of Purpose and Service Users Guide, which contain information required by the regulations. The Service Users Guide is given to prospective residents and/or their relatives when they visit the home or make enquiries to enable them to make an informed choice about moving into the home. At a discussion with a recently admitted resident, the individual stated that their relative came to look round and was satisfied with the home. The individual is aware of their one-month trial period. Terms and conditions of their stay at Gables were noted in the files viewed. Records showed that residents were assessed before admission to the home. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. The home offers care and support to residents throughout their lives and towards the end. It also protects residents by reviewing their health needs and good care planning however drug administration practice needs to be improved. EVIDENCE: Four care files were reviewed. There was evidence of pre-assessment of the residents before admission to the home to ensure that their needs can be adequately met. There were personalised care plans to match the needs identified, these care plans described how the needs were met through the entries noted in the daily report. One resident whose needs changed stated “things got better since the last inspection. I had to move rooms due to my difficulty in walking. The home meets my needs.” Residents spoken with stated that “Staff look after us. I go to bed and wake up when I like. They respect me. It is a lovely atmosphere”. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 10 One comment card from a relative stated, “Excellent facilities, Mum is very happy and settled. Staff and Management always available, courteous and efficient.” Another comment card stated, “General care is excellent; I feel happy here and I feel it is my home. All of us get on well together and help each other.” Other residents spoken with confirmed that staff knock on their doors and waited for an answer before entering to assist them with personal care. There was evidence of other health professionals visits to include Chiropodists, District Nurses, Opticians and Dentist. Evidence of wishes in the event of death was noted in the care files viewed. Staff spoken with were aware of the importance of ensuring that all information about residents are to be kept confidential. Staff were also aware of the relevant policies and procedures and where to access them if required. Medication was reviewed. It was noted that a local Pharmacy provides medication using a monthly monitored dose system. Staff administering medication had received training on basic knowledge of medicine administration. However, it was noted whilst reviewing medications that hand written medication on Medicines Administration Record Sheet (MARS) had not been signed and dated. Medicines administered were not signed for; one loose tablet was found in the trolley without satisfactory explanations. Medicines not administered but signed as given. All the above unsatisfactory practices were discussed with the manager and two senior staff members and an immediate requirement was made for the home to remedy the above situation within a timescale. Response and action plans to the above requirement had been received following this inspection. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. The home enables the residents to maintain contact with families, friends and local community. It provides meaningful activities and choice in respect of meals and meal times. EVIDENCE: Evidence of discussions with residents and staff and entries in the visitors’ book showed that the home actively supports the residents to maintain contact with families and representatives. One resident spoken with stated that their son visits every Saturday and another son visits every fortnight. Staff stated that the home had no restrictions and families’ visit whenever they like. One relative stated that they visit “regularly to see Mum”. One comment card from a relative stated, “Staff are courteous and welcoming”. Another comment card stated “visitors are always welcome, my daughter and my family when they come to visit me say it is like seeing me in my own home”. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 12 The home continues to provide meaningful activities for the residents. On the day of inspection it was noted whilst touring the building that weekly activities were displayed on the notice board, they include Tuesday 28th February Brian and Barbara, 2.30pm Thursday 2nd March 2006, Sue Howard entertainment 2.30pm Tuesday 7th March Malcolm Music, 2.30 09/03/06 Big Film “Buffets over Broadway” 7.30pm. Other activities include skittles, Roy Key board musical and movement, Bingo, Salford Serenade and Denver Gold Singers. Activities suggested for 2006 include trips to Bath, Weston, Ashton Court and Severn Bridge. It was also noted that all residents were given a printed copy of the activities for the day to enable them to make a choice whether to participate. On resident spoken with stated that “I prefer to stay in my room and staff respect my choice”. Another resident stated, “I go down for Bingo when I can. Staff come and talk to me if I am in my room”. One resident also stated “there is plenty of entertainment here”. Another resident stated, “I find it difficult to socialise, I like my music and I stay in my room most of the time. Staff come and chat to me. I like it here.” On the day of inspection there were two choices of meal for lunch and they included Cod Mornay served with cream potatoes, broccoli and French green bean or cheese salad followed by assorted deserts. Two residents spoken with stated that staff come round with the menu the day before to enable them to make a choice of meal to have. Another resident stated that the ‘food is delicious. If you don’t like the menu, you can always have an alternative.’ A group of residents spoken with whilst having their lunch stated that the food is good and that they enjoyed their meal. Staff were also noted observing hygiene practice whilst entering the kitchen and in the dining area. The kitchen was found clean; there was a cleaning schedule and a risk assessment of various areas of the kitchen and kitchen equipment in place. There was a regular record of the fridge and freezer temperatures. The food in the fridge was noted to be labelled. A diary was noted for recording changes to the menu by the cook. Food hygiene certificates were displayed in the kitchen. Also noted displayed was the South Gloucestershire microbiological examination of Ham Sandwich result on 13/01/06. The result was satisfactory. The Manager stated that a new kitchen had been installed to provide better food hygiene, space for storage and a better environment for preparing nutritious food for the residents. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Residents are enabled to complain, however, some practices do not adequately protect the residents. EVIDENCE: The home’s complaint procedure remains appropriate for management of complaints at the home. The complaint procedure was noted displayed at the entrance of the building and in different locations at the home. The manager stated that the home had no complaint book and had not received any complaints from the residents or their relatives. It was agreed that the home must have a complaints book and this must be reviewed at the next inspection. The manager stated that there is a good relationship between the home and residents and relatives. People are encouraged to talk to the manager or any staff member in relation to any concerns they may have. Residents spoken with stated they have no complaints and that they are aware of complaints procedure if they were to have any complaints. One resident stated that they would complain to the manager if they had any concerns. One staff member interviewed stated that staff support the resident to complain about any area of the service. Another staff member stated, “Staff work together as a big team to support the residents to complain”. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 14 Information for residents and relatives about the home has details of the Commission for Social Care Inspection to enable them to contact the organisation if they were concerned or not satisfied with any area of the service. This information is also used by the home to audit the quality of its services. Residents spoken with stated that they are aware of their legal rights. One resident stated, “I am not interested in politics. If I want to vote I know the home will support me to use the postal votes.” Issues in relation to obtaining a Criminal Record Bureau disclosure for a new staff member to ensure that residents are adequately protected is fully discussed in Standard 28, the manager stated training is being organised for staff that have not attended POVA training. The home has a whistle blowing policy to enable the staff to report any bad practices without reprisal. Staff interviewed confirmed awareness of the policy. One resident spoken with who had a safe in their room stated that they manage their own money and that the safe was installed by their family following an incidence of theft in the individuals’ room by a staff member. The incident was satisfactory investigated by the home and the Adult Protection team and the staff member was dismissed. One resident’s comment card received stated, “The home is a very friendly place where managers and staff listen to any comments one feels like making and tries to satisfy them”. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 26. Residents enjoy a pleasant, safe and homely environment with a good standard of hygiene. EVIDENCE: The residents were found sitting in the communal areas, looking well looked after in their homely environment. Residents found sitting in their rooms were also found relaxed and were complimentary about the home and the services it provided. At a discussion with a resident found relaxing in the room with a relative, the resident stated, “I don’t think you will find a better place. I am glad I found this place to spend the rest of my days. It is a lovely atmosphere here”. One resident’s comment card stated, “I feel happy here and I feel it is my own home”. The home was found clean, warm, well lit and free from unpleasant odours. The clinical waste is correctly disposed of to prevent spread of infections. The home has an infection control policy. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 16 The home’s maintenance book was viewed and was found up to date. The maintenance man was noted dealing with issues entered in the maintenance book on that day and previously. The laundry area was not inspected due to maintenance work on the day; however, this area was found clean and tidy at the previous inspection. The housekeeper stated that domestic staff have attended Control of Substances Hazardous to Health (COSHH) training and also infection control. The staff member is aware of residents’ choice, and privacy and ensures that domestic staff report any incidents, which occurred in residents’ rooms. The staff member stated, “You need to have a good rapport with residents to be a good carer or domestic”. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. The residents enjoy a good warm relationship with competent staff. There are adequate numbers of staff to meet the needs of the residents. However, the home’s recruitment procedure needs to improve to provide adequate protection to the residents. EVIDENCE: Evidence from staff training records and discussion with the manager showed that Gables is committed to training its staff to ensure that the standards of care in the home remain high. It was noted that staff have attended training on Medicines administration, fire safety, food hygiene, Protection of Vulnerable Adults from Abuse, Fist Aid, Food Hygiene, manual handling. The manager stated that she would be undertaking Manual Handling Training for Trainers at the end of March 2006 to enable her to train new staff members and update existing staff members. Staff members spoken with stated that they are happy with the training provided at the home. One staff member stated, “The provider has supported us though training to provide good care to the residents.” Residents feel that this is their home and feel that the carers are their helpers/friends. They can ask for anything. One resident stated staff are kind. They answer the bell when I ring”. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 18 In addition to the above training six care staff have obtained National Vocational Qualification (NVQ) at Level 2 and two care staff have obtained NVQ at Level 3. The home has a total of eleven care staff. This demonstrated that the home has achieved a minimum ratio of over 85 trained members of care staff (NVQ Level 2) by 2005. This is commendable. Staff records viewed and evidence from discussions with manager and staff showed that staff received regular supervision. There is evidence of plans to supervise newly employed staff members. One staff member spoken with stated, “All staff work as a team, this has contributed to the good atmosphere in the home. Very nice place to work. Residents are well cared for.” The home has a recruitment procedure to ensure that appropriate, competent and experienced staff are recruited. Staff records viewed showed that generally statutory requirements in relation to recruitment were obtained. However, two staff records viewed showed that one staff member recruited 20/09/05 had a Criminal Record Bureau Disclosure form the previous organisation dated April 2004. The home had not obtained a current CRB before this individual was recruited. It was also noted that the CRB for a staff member recruited 02/01/05 was still being awaited. There was no evidence to show that this individual was working under supervision at the home. The above practices put the residents at risk and an immediate requirement was made to remedy this situation. The home had adequate numbers of care and ancillary staff to meet the needs of the residents on the day of inspection. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35, 36, 37, 38. The managers are supported by the registered provider and staff to provide clear leadership at the home with all staff demonstrating understanding and awareness of their roles and responsibilities. EVIDENCE: There are two competent managers who have been at the home for many years managing Gables Residential Home. Whilst one of the managers Mrs Linda Cooke was not available on the day of the inspection, Mrs Ann Aubrey and two senior staff members met were very professional and co-operative throughout the inspection process Mrs Aubrey stated that she had completed the Registered Managers Award and had undertaken training on Medications Update, food hygiene, Health and Safety, COSHH, infection control and fire warden course. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 20 There is evidence that Ann had worked hard to update the care plans to meet the requirements made at the last inspection. The resident care file was noted with pictures of residents when they were young; the manager stated that this is to bring back memories for staff and residents. On the day of inspection there was a good, friendly interactive atmosphere at the home. Residents looked well care for and were talking to staff in an informal way. Staff and residents spoken with were complimentary about the manager’s ability to manage the home. One resident stated, “Ann is very good, she comes to see me. Staff are very kind,” Two staff members spoken with stated “ Ann is approachable you can have a discussion with her on matters of concern.” Another member of staff stated, “Ann is very nice, kind to residents. She tells you what to do but in a nice way”. The fire logbook was found to be up to date and well maintained. There was evidence of fire risk assessment in January 2006. It was noted that there was a recommendation for the home to fit a door guard on the laundry door which is left open all the time for operational reasons. This device will automatically close the laundry door in the event of fire emergency. The management is aware of the recommendation and this will be reviewed at the next inspection. The home has developed a new fire policy to cover fire emergency. The manager stated that the Fire Bridge is due to visit to conduct a fire lecture and a fire drill. There will also be a discussion in relation to new fire policy to ensure that it satisfies the statutory requirement. There was evidence that staff have attended regular fire drills. In relation to other health and safety measures, there was an Environmental Health Officer’s visit on 10/10/05. Central heating checks on 10/10/05. Portable appliance checks were in date. The liability insurance is current. The home had a generic risk assessment in relation to various areas of the home to include Stair lift, radiators, kitchen, laundry, handrails and wheelchairs. The home’s Quality Assurance systems were reviewed. The manager stated that the home assesses the quality of its services through questionnaires to residents, relatives, visitors and health professionals visiting the home. The home addresses all the concerns identified in the questionnaires. The manager stated that she visits the resident’s daily and talks to them regarding their care. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 21 The manager also talks to families regarding care of their relatives and discusses general day-to-day running of the home. Residents’ families are encouraged to communicate any areas of concern to managers or deputies to ensure that complaints are dealt with at the onset, “before it becomes a big issue.” The home also audits its services through staff meetings, staff handovers and informal discussion. The manager stated that the home currently has awaiting list and this is due to recommendations from the Doctor’s surgery and other satisfied customers. The resident care reviews from Social Services enables the home to receive feedback on the care provided to the residents. The home also has a newsletter to inform residents and relatives of things happening at the home. The home has policies and procedures to include recruitment of staff, complaints, monies and valuables and activities. Residents’ monies were reviewed and it was noted that the amount recorded in the book corresponded with the amount found in the individual pockets in the safe. All residents’ information was securely locked away. Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 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 3 18 3 3 3 X X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 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 2 3 4 5 Standard OP9 OP28 OP9 OP9 OP9 Regulation 13 Schedule (2)(7) 13 13 13 Requirement Ensure that no loose tablets are left in the trolley. Obtain current CRB disclosure for identified staff member. All medication not administered must not be signed for. All hand written medications on MARS must be signed and dated. Ensure that all medication administered are signed. Timescale for action 27/02/06 06/03/06 27/02/06 27/02/06 27/02/06 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 Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG National Enquiry Line: 0845 015 0120 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 Gables Residential Care Home Ltd DS0000003397.V276176.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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