Inspection on 06/05/05 for Gables (The)

This inspection was carried out on 6th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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) 05/10/05

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Gables Pembroke Road Woking Surrey GU22 7DY Lead Inspector Joe Croft Unannounced 6 May 2005 10:30 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 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 and Care Homes for Adults 18 – 65*. 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. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Gables Address Pembroke Road Woking Surrey GU22 7DY 01483 828792 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Deoranee Boodia Deoranee Boodia Care Home 16 Category(ies) of LD Learning Disability - 1 registration, with number LD(E) Learning Disability over 65 - 11 of places MD Mental Disorder - 1 MD(E) Mental Disorder over 65 - 3 The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The age range of persons accommodated will be: 2 aged 45-64 years and 14 aged over 65 years - date implemented 16 May 2002 All future admissions will be over 45 years and only in the categories LD Learning Disability or LD(E) Learning Disability (Old Age) - date implemented 16 May 2002 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 also have a past history of Alcohol Dependency (A) - all implemented on 16 May 2002 Date of last inspection 28 September 2004 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. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven hours with two inspectors. A tour of the premises was undertaken; staff and care records were sampled. Eight of the ten residents were spoken to during the course of the inspection. Staff were spoken to whilst they were carrying out their duties and in depth discussions took place with the Registered Manager. The residents spoken to stated that the meals at the home were good, and a choice of food is offered. Each resident was consulted in the writing of their individual care plan, and had signed them as evidence of being part of the process. Residents’ are able to make choices about their daily lives that include their clothes, leisure activities and meals. What the service does well: What has improved since the last inspection? What they could do better: It was noted that staff training must be implemented and to include Protection of Vulnerable Adults. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 6 Recruitment practices and procedures require attention. The home must adhere to food hygiene protocol at all times. Items of COSHH must be kept secure in locked cupboards. Radiators in the home must be covered, and the manager must forward an action plan of how this is to be managed. The recently built extension on the second floor, which is currently not in use, must be kept locked. Hazards were identified in the laundry room that must be addressed The home’s policies and procedures must be reviewed and updated. Accurate records of residents’ finances must be maintained at all times. 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 Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 3 The home had written contracts in place with the local funding authority. All residents individual needs were assessed prior to admission. EVIDENCE: Three residents’ files were sampled and were found to contain pre – admission assessments that were carried out prior to the resident moving into the home. These identified the needs of each resident, and from this the registered manager stated that the home was able to meet the residents’ needs. The registered manager provided evidence of the contracts that are signed by the placing authorities for each of the residents. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11 Care plans were in place but had not been reviewed. The health needs of the residents are met, medication administration records were maintained, but other medication issues were identified for action. No progress had been made in obtaining the residents wishes in relation to death and dying. EVIDENCE: The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 10 Three care plans were sampled and contained information about the individual personal, health and social care needs of the residents concerned. Care plans are signed by the residents showing that they are part of the planning process. However, care plans were not reviewed and updated on a monthly basis. Some risk assessments had been put into place. The home maintains records of when residents have been seen by the GP, Optician, Chiropodist, Dentist and any other visiting medical professionals. There were no issues noted regarding privacy and dignity of the residents, and residents spoken with stated that the staff treated them well. The records of medication administration were satisfactory and no gaps were noted. The home uses the weekly Nomad system, which are checked appropriately each week. Medication bottles were found to be sticky due to spilt liquid medication, and therefore were not stored appropriately. The medication administration cups were unclean and looked old and well used. These should be replaced as soon as possible. One resident has a separate Nomad box that is supplied to the home, which is sent to the day centre on a weekly basis for afternoon medication. It is recommended that the manager obtain copies of the MAR sheets from the day centre for the home’s records. One resident carries and is able to self - administer her own medication, however, no risk assessment was in place. The manager stated that she had spoken to some of the residents or their representatives in relation to their wishes in the event of serious illness or death. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 and 15 Residents were able to make choices and exercise some control over aspects of daily living. Meal times were well managed and provided a choice and variety of meals. EVIDENCE: Residents stated that they were able to make choices and decisions over their daily lives, for example, two residents chose to be in their bedrooms after lunch, and this was evidenced during the inspection. Residents stated that they are able to make a choice about their clothing, activities and meals. Residents stated that they were able to go out on activities to day centres, pubs and the local shops. Evidence of these activities were recorded in the activity books and on the daily Kardex cards that are maintained by the home. The residents stated that the meals provided by the home were good, and the meal that was observed during the inspection evidenced that it was a balanced and appetising meal. There were large amounts of fresh fruit and vegetables available in the home. During the inspection it was noted that there was The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 12 uncovered food in the fridge and freezer, and out of date food in the fridge. It was also noted that food was removed from its original packaging and had not been dated. Records of the fridge, freezer and cooking temperatures were maintained and evidenced. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Complaints were logged in the complaints book, but the Complaints Policy must be reviewed and updated. The home’s Protection of Vulnerable Adults Procedure is not in line with the local multi – agency procedure, and training in the Protection of Vulnerable Adults must be updated. EVIDENCE: The home has a complaints book where any complaints received in the home can be logged. This book evidenced that there had been no complaints made during the previous twelve months. Residents spoken to stated that they had no complaints about the home. The home’s Complaints Policy and Procedure must be reviewed and updated to include the Commission For Social Care Inspection address and telephone number, and the timescales in which complaints will be resolved. Staff at the home had not received training in the Protection of Vulnerable Adults during the past twelve months. The home’s Protection of Vulnerable Adults Policy and Procedure needs to be re- written to bring it in line with the local multi – agency procedures, and staff need to be made aware of the changes to the procedure. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The home was clean, pleasant and generally well maintained throughout. Bedrooms were personalised and there were sufficient facilities and equipment to meet the residents’ current needs. EVIDENCE: Communal areas of the home were accessible to residents, well maintained and comfortable. Some areas of the old building require redecoration work such as painting and the repairing of water damaged walls. A few cracks in the wall must be filled and a cracked kitchen window must be replaced. Residents had access to a secure rear garden, which was being used by the residents during the inspection. The home has sufficient lavatories and washing facilities with one assisted bathroom. The manager was asked to provide a plan of how the home intends to meet ageing needs of the current The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 15 resident group. This is to include mobility and access to assisted bathroom and toilet facilities. Residents’ bedrooms were suitably furnished and personalised. Residents stated that they liked their bedrooms and were able to have their own possessions. It was noted that none of the radiators were guaranteed low surface temperature, or had covers in place. The manager was asked to submit an action plan on how the home proposes to meet this standard. There were no restrictors in place on the first floor bedroom windows. One bedside lamp still had the plastic cover over the shade. This posed a fire risk, and was made immediate requirement. The doors in the extension part of the building were found to be unlocked and accessible to the residents, which posed health and safety issues. The hot water tap in the hand-washing basin in the kitchen must be repaired as a matter of urgency. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 and 30 The Staff files did not contain all the detail required, mandatory training was not up to date for all staff. EVIDENCE: All seven staff files were sampled during the inspection. Some staff files were found not to include all the information as required such as two written references, proof of ID and valid visas or work permits. An immediate requirement was made in relation to the out of date visas/work permits. Some staff training files evidenced that a minimal amount of training had taken place since 2001, and therefore staff mandatory training needs to be updated. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35, 36, 37 and 38 The home is not being managed to the standard required. Management must review a number of areas within these standards that require urgent action. EVIDENCE: There was evidence that staff meetings had taken place last year, but these had not continued. The manager stated that resident meetings do take place, but records of these were not available. The manager had received responses to some of the questionnaires that were sent out to relatives and care managers, however the results of the findings had not been published or forwarded to the CSCI Surrey Local Office. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 18 One residents’ financial records sampled were not accurately recorded. There were records for residents’ personal expenses, but no records were maintained of the fees paid by the placing authority to the resident. It was recommended that the manager include these transactions and receipts in her records. There was no evidence that regular staff formal supervision takes place, although the manager stated that she has daily informal supervision with the staff. Policies and Procedures of the home need to be reviewed and updated as some of these had not been reviewed during the past four years. COSHH substances found in the laundry were not kept secure in a locked cupboard. An immediate requirement was made in regard to this. A loose wire was noted to be protruding from a wall, and an earth wire was dangling from the ceiling. Requirements were made for these to be made secure. Hot water pipes in the laundry were exposed, very hot to touch and posed a danger to residents and staff. The cupboard under the aquarium that contained electrical equipment and a saw was unlocked. Additional health and safety issues were identified under standards 15, 18 and 19. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 19 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 x 2 3 3 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 2 3 3 3 3 3 2 3 Score Standard No 7 8 9 10 11 Score 2 3 2 3 2 Standard No 27 28 29 30 x 3 2 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 2 x 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 3 33 2 34 x 35 2 36 2 37 2 38 2 The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 20 YES Are there any outstanding requirements from the last inspection? 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. Standard 7 9 11 Regulation 15 (2) (b) 13 (2) (4) (b) (c) 12 (2) (3) Timescale for action Care plans must be updated on a 6/5/05 monthly basis. Immediate A risk assessment must be put in 6/5/05 place for any resident who self Immediate medicates The manager must discuss and 6/6/05 record residents wishes in relation to their funeral arrangements. This is carried over from the previous inspection, timescale 30/11/04. Uncovered and out of date food 6/5/05 must be removed from the Immediate fridges and freezers. The Complaints Procedure must 6/5/05 include the CSCI contact Immediate information and the timescale for responding to complaints. The Protection of Vulnerable 6/5/05 Adults Policy must be amended Immediate to bring it in line with the local multi - agency procedures. All staff including the manager 6/6/05 must receive up to date Protection Of Vulnerable Adults training. The manager must submit an 6/6/05 action plan of how the redecoration of the old part of Version 1.30 Page 21 Requirement 4. 5. 15 16 13 (3) (4) 22 (4) (7) (a) 13 (6) 6. 18 7. 18 13 (6) 8. 19 23 (2) (b) (d) The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc the building will be undertaken. 9. 21 22 23 (2) (n) The manager must submit an action plan detailing how the home plans to meet the ageing needs of the current residents. The manager must submit an action plan with timescales, of how they plan to fit radiator covers throughout the home The hot water temperatures in the bedrooms must be thermostatically controlled Staff files must include all the information as stated in Schedule 2 of The Care Homes Regulations 2001. All staff must receive updated mandatory training, the manager must forward an action plan. The results of the quality assurance questionnaire must be shared with the CSCI Surrey Local Office. Accurate records of all residents financial transactions must be maintained. All staff must receive the minimum of six formal supervision sessions per year. Policies and Procedures of the home must be regularly reviewed and updated. Electrical wires in the laundry room must be made safe and secure. The exposed hot water pipes in the laundry must be made safe. The plastic cover on a bedside lampshade must be removed. All doors in the extension must be kept locked whilst not in use. The hand basin hot water tap in the kitchen must be repaired. The cupboard under the aquarium must be kept locked at all times. 6/6/05 10. 25 23 (2) (p) 13 (4) (a) 13 (4) (a) (b) (c) 19 (4) (b) (i) 18 (c) 24 (1) (2) 6/6/05 11. 12. 25 29 6/7/05 6/5/05 Immediate 6/5/05 Immediate 6/6/05 13. 14. 30 33 15. 35 16. 17. 18. 19. 20. 21. 22. 23. 36 37 38 38 38 38 38 38 17 (2) Schedule 4.8 and 4.9 18 (2) 17 (3) (a) 13 (4) (a) (c) 13 (4) (a) (c) 13 (4) (a) (c) 13 (4) (a) (c) 13 (3) 13 (4) (a) (c) 6/5/05 Immediate 6/6/05 6/6/05 6/5/05 Immediate 6/5/05 Immediate 6/5/05 Immediate 6/5/05 Immediate 6/5/05 Immediate 6/5/05 mmediate Page 22 The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 24. 25. 26. 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. 2. 3. 4. Refer to Standard 9 9 25 22 Good Practice Recommendations The manager should obtain a copy of the MAR sheet form the day centre. The home should purchase new medicine administration cups. The hot water temperatures in the residents bedrooms should be recorded on a weekly basis The manager should consider replacing the non-slip bath mats. The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 23 Commission for Social Care Inspection The Wharf Abbey Mill 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 The Gables H58 H09 S13649 The Gables V224692 060505 Stage 4 amended.doc Version 1.30 Page 24 - 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. 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