Inspection on 05/10/05 for Gables (The)

This inspection was carried out on 5th October 2005.

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 (The) 06/12/08

Gables (The) 06/12/07

Gables (The) 16/08/07

Gables (The) 30/01/07

Gables (The) 06/05/05

Gables (The) 28/09/04

Gables (The) 22/06/04

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

CARE HOMES FOR OLDER PEOPLE Gables (The) The Gables Pembroke Road Woking Surrey GU22 7DY Lead Inspector Joseph Croft Unannounced Inspection 5th October 2005 10:00 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 Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 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 (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gables (The) Address The Gables Pembroke Road Woking Surrey GU22 7DY 01483 828792 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 Deoranee Boodia Mr Jugmohan Boodia Mrs Deoranee Boodia Care Home 16 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (11), Mental disorder, excluding of places learning disability or dementia (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (3) Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age range of persons accommodated will be: 2 aged 45-64 years and 14 aged over 65 years. All future admissions will be aged over 45 years and only in the categories `LD` Learning Disability or `LD`(E) Learning Disability (Old Age). Up to one person with a past or present mental health disorder; Up to three persons who are over 65 with a mental health disorder; Up to 11 persons who are over 65 with a learning disability; Up to 2 of the 3 persons who have a past/present mental health disorder may laso have a past history of Alcohol Dependency (A) 6th May 2005 Date of last inspection Brief Description of the Service: The Gables is a family owned and managed residential care home providing personal care for up to 16 Older People with Learning Difficulties. The home is a large detached house in a residential part of Woking, and is accessible to the main motorways and public transport. The facilities include large communal rooms, single bedrooms and a games room with a pool/snooker table. Car parking is provided to the front of the house. Residents have access to the garden at the rear of the home. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of the year 2005 – 2006. It will be necessary to view both inspection reports for 2005 –2006 to obtain a full understanding of the extent to which the home meets The National Minimum Standards for Older People. This unannounced inspection took place over four hours with two inspectors. In-depth discussions took place with the manager, and five residents were spoken to during the course of the inspection. A tour of the premises was undertaken. Records examined included the staff rota, menus, staff training files, policies and procedures, general risk assessments for the home, annual records and reports on health and safety issues were evidenced. Residents spoken to state that they are happy living in the home, the staff look after them well and they are able to make choices about their daily lives. Three immediate requirements, nine requirements and one good practice recommendation were made during this inspection. What the service does well: What has improved since the last inspection? Many requirements were made at the previous inspection, which have all been met by the manager. Some of the requirements which have been met are; care plans are updated and reviewed on a monthly basis, residents’ wishes in the event of their death are recorded on care plans, food is appropriately stored in the fridge and freezer, the Complaints Policy has been updated and includes the Commission For Social Care Inspection Surrey Local Office contact Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 6 details and the time scale for responding to complaints, and training. Other issues relating to health and safety have been addressed. 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 (The) DS0000013649.V255294.R01.S.doc Version 5.0 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 (The) DS0000013649.V255294.R01.S.doc Version 5.0 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): 6 The home does not offer intermediate care. EVIDENCE: The manager stated that the home does not provide intermediate care for residents. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 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): EVIDENCE: These key Standards were assessed at the previous inspection. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 10 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 The home has regard to ensuring that activities offered in the home meet the needs of residents. EVIDENCE: The home offers daily activities for residents to choose from. During discussions with residents they stated that they are able to attend day centres if they wish to, and make choices about the activities they take part in. Residents stated they enjoy activities offered by the home which include playing pool, snooker, quiz competitions and listening to music. One resident spoken to stated they enjoy attending the day centre. The home has the Surrey County Council mobile library visit on a regular basis from which residents borrow books and story tape cassettes. One resident was observed reading a library book she had borrowed, and was appreciative of the mobile library. Residents stated they are able to go shopping, go for walks and have meals out. Discussions took place about the food. All residents stated that the food was good, and alternative meals are offered if you did not like a particular meal on the menu. The menu was viewed and found to offer a variety of balanced meals. However, it was noted that the menu was not displayed where Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 11 residents could read it; a good practice recommendation has been made in regard to this. A list of weekly activities was evidenced during the inspection. The manager stated that residents are able to choose what activities, if any, they wish to join in with. The home maintains records of activities residents partake in. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: These key Standards were assessed at the previous inspection. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 13 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, 21, 22, 23, 24, 25 and 26 The home is generally well maintained, and bedrooms are personalised. However, health and safety issues were identified. EVIDENCE: The inspectors undertook a tour of the premises. The home was found to be clean, tidy and free from offensive odours. It was noted that bedroom doors were being kept open by the use of wedges. An immediate requirement was made in regard to this, and the manager removed all door wedges during the inspection. If bedroom doors need to be kept open, the manager must consider using the appropriate door restraints that meet with the fire safety regulations. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 14 Whilst bedrooms were observed to be clean, appropriately decorated and personalised, some bedrooms in the new extension of the home were found to have cracks appearing in the walls. A requirement has been made for these to be repaired. It was observed that not all bedrooms had lockable cupboards or tables. A requirement has been made that the manager refers to The National Minimum Standard 24.2 to ensure the home fully meets with this Standard. It was observed in the ground floor bathroom that the air vent required cleaning, and a can of air freshener and a number of hair combs had been stored on a shelf. Immediate requirements were made in regard to these; the manager did remove the air freshener and combs immediately. The door locks on bathrooms were difficult to open from the outside. A requirement has been made for these to be attended to. The entrance hall has been re-carpeted which enhances the welcome you receive at the home. The requirements made at the previous inspection in regard to the kitchen have been complied with, however, it was noted that some floor tiles by the freezer were missing. A requirement has been made for these to be replaced. The home has a large garden to the rear of the property where residents choose to sit during the warmer months, and one resident sits to smoke her cigarettes. It was observed that one of the garden fence panels had begun to topple over, which could cause injury if a resident was to lean or fall against it. The manager stated that the fence belonged to the next-door neighbour, and that she has had conversations with him in regard to the fence. A requirement has been made that the manager writes a risk assessment for the use of the garden whilst awaiting the repair of the fence. Discussions took place with the manager in regard to covers for the radiators. All radiators in bedrooms, dining room, and the old part of the building must have covers or be replaced with low heat surface radiators. The manager stated these will be addressed, and a time scale was agreed with the inspector. Residents spoken to state that they liked their bedrooms, they are comfortable and they have their own belongings around them. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 15 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 The home has regard to ensure that the residents’ needs are met with appropriate staff. EVIDENCE: The duty rota was viewed and evidence was observed that there are three staff on duty during the morning shift until 17.00 hours, and two staff on duty from 17.00 to 20.00 hours. The home has one waking night staff plus a senior care staff on call. The staff team at the home includes male and female. The home meets with the compliance of a minimum ratio of 50 members of staff hold the NVQ level two and above qualifications. The manager has regard for ensuring staff attend mandatory training on a regular basis. Since the previous inspection the manager has ensured that staff have received training in Nomad medication, Fire Safety, Health and Safety and the Protection of Vulnerable Adults. The home employs one full time domestic staff. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 16 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): 38 Residents’ health, safety and welfare are promoted in the home. EVIDENCE: The manager has addressed the previous requirements in relation to mandatory training. Please read Standard 27 in this report for more details. The manager has sent copies of the results of the quality assurance questionnaires to the Commission For Social Care Inspection as required from the previous inspection. The Surrey Fire and Rescue Team inspected the home in February 2005. The report was viewed and observed that no requirements had been made. The following records were evidenced; portable appliance electrical testing was undertaken in November 2004 and the Environmental Health Officer Inspection took place on the 21st June 2005. Fire extinguishers were inspected in Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 17 September 2005. Records of testing for the fire alarms and smoke detectors took place on the 6th July 2005 with no action required. The last recorded fire drill was February 2005. It was noted that the boiler was last serviced on the 30th August 2002. A requirement has been made that the boiler must be serviced on an annual basis. General risk assessments for the home were evidenced, which included risk assessments on the kitchen, fire, laundry and bathrooms. The home displayed a Health and Safety poster, and includes a statement on ‘you, your health and safety at work’. The Employers Liability Insurance is displayed. It was noted that this is due to expire on the 11th November 2005. The manager has risk assessments in regard to COSHH substances used in the home. The accident book was viewed, and evidenced that the last recorded accident to happen in the home was on the 21st March 2004. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 18 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 19 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 6 7 8 9 Standard OP19 OP19 OP19 OP19 OP19 OP20 OP21 OP19 OP24 Regulation 13 (4)(c) 13 (4) (a) 13 (4) (c) 13 (4) (c) 23 (2) (b) 23 (2) 12 (1) 23 (4) (c) (i) 16 (2) (c) Requirement Door wedges must not be used to keep bedroom doors open. Air freshener and hair combs must be removed from the bathroom identified. The air vent in the bathroom identified must be cleaned. Cracks in the walls and doorframes identified must be repaired. The missing floor tiles in the kitchen must be replaced. A risk assessment for the use of the garden must be written. The locks on the bathroom doors must be repaired or replaced The manager must ensure that bedroom doors identified are not restricted from closing. The manager must ensure that bedroom furnishings meet with The National Minimum Standards. Radiators identified during the inspection must be covered or replaced with low temperature surfaces. The manager must ensure the boiler is serviced on an annual DS0000013649.V255294.R01.S.doc Timescale for action 05/10/05 05/10/05 05/10/05 05/12/05 05/11/05 05/11/05 05/11/05 05/11/05 05/10/05 10 OP25 23 (2) (p) 12/12/05 11 OP38 13(4)(c) 13(2)(c) 05/11/05 Gables (The) Version 5.0 Page 20 12 OP38 13 (4) (c) basis. The manager must have a Legionella test undertaken on the water. 05/12/05 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 OP12 Good Practice Recommendations The menu should be displayed where residents can read it. Gables (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 (The) DS0000013649.V255294.R01.S.doc Version 5.0 Page 22 - 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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