Inspection on 12/01/06 for The Gables

This inspection was carried out on 12th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Gables 02/09/08

The Gables 13/09/07

The Gables 19/07/06

The Gables 11/10/05

The Gables 07/02/05

The Gables 28/07/04

The Gables 29/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Gables, The 161 Morley Road Oakwood Derby Derbyshire DE2 4QY Lead Inspector Gail Meads Unannounced Inspection 12th January 2006 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 DS0000001975.V273917.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 DS0000001975.V273917.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Gables, The Address 161 Morley Road Oakwood Derby Derbyshire DE2 4QY 01332 280106 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) Ms Margaret Valerie Morris Ms Margaret Valerie Morris Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 Day Care places Date of last inspection 11th October 2005 Brief Description of the Service: The Gables is a 28 bedded home for older people situated in the residential area of Oakwood in the suburbs of Derby. The property was originally a farm, which has been converted into a care home. Residents’ bedrooms are located on the ground and first floor and are accessed by a shaft passenger lift. There are 28 single rooms, 16 are ensuite and 12 are non ensuite, 1 of which is a double room used as a single. There is an attractive garden area with garden furniture. A wide range of health services are available including a choice of General Practitioner, district nurse, chiropody, dentist and optician. Staff training takes place to inform and enable staff to care for service users appropriately. A programme of leisure activities and social events is in place. Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a four hour period additional time was spent in preparation for the visit, looking at previous reports and other documents. During the inspection process a number of documents were examined, including residents’ care files, staff files and records, time was spent looking around the building and speaking to a number of residents. The inspector spent a specific amount of the inspection concentrating on the care arrangements in place for two residents, and the areas identified in the last inspection report dated 11/10/05 as in need of development or implementation. The inspection was a little shorter than intended as there were a number of staff and residents attending a funeral and it would not have been appropriate for the inspection to continue after they had left. What the service does well: What has improved since the last inspection? The home had carried out the requirements from the last inspection. The provider and staff strive to improve services as an ongoing process. Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 6 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 DS0000001975.V273917.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 DS0000001975.V273917.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): 4. The Home is able to meet the assessed needs of the residents. EVIDENCE: The premises are suitable for purpose. A range of lifting equipment is provided this includes two hoists, turning and sliding sheets pressure cushions and mattresses. There is a lift shaft provided grab rails throughout the home and a range of toileting and bath aids are in place. Staff have received appropriate Dementia and other relevant training. Gables, The DS0000001975.V273917.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): 9.10. The administration storage and recording of medication is satisfactory Residents are treated with respect and their right to privacy is upheld. EVIDENCE: The medication records were examined and found to be satisfactory. The administration of medication was observed during the lunch period the member of staff recorded as the medication was administered and the member of staff observed the resident take the medication. Medication is stored in a metal locked cabinet as required. Residents spoken to during the inspection spoke of staff respecting them and speaking to them appropriately. Staff as identified on their care plan generally used the residents chosen form of address. Staff were observed knocking on residents doors before entering and responded to residents in a caring and sensitive manner during the inspection. Gables, The DS0000001975.V273917.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): 12.13.14.15. Routines within the home are minimised where possible. Leisure activities and social events are offered to residents. The Home has an ‘open door’ policy for visiting times. The food provided for residents is varied well balanced and well presented. EVIDENCE: The manager acknowledges that the home must have some routines but these are minimised where possible. Residents are normally offered two baths per week when they have them is their choice. Residents can go to bed and get up, as they require. Residents can have their meals in their room if they want. The home has a designated activities worker available for two hours per week. Residents are taken on trips and outings locally external entertainers come to the home on a weekly basis to provide sing-a-long with the residents. Two residents attend a local luncheon club. Regular monthly services take place for both Church of England and Roman Catholic. Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 11 All the residents are given the opportunity to handle their own finances and medication; however there was only one resident handling their own finances and none handled their own medication. Residents are encouraged to maintain their voting rights and a record is maintained of the residents who do vote. The menus were assessed and the food provided is nutritionally well presented and varied. Residents spoken to during the inspection stated that the food is excellent. Positive feedback was given by a number of residents spoken to during the lunch period. The dining area is extremely well presented with flowers and fresh fruit provided on each table. Residents spoke of alternative meals being provided if they wanted them. Gables, The DS0000001975.V273917.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): These Standards were not assessed during this inspection as they were found to be satisfactory at the last inspection dated 11/10/05. EVIDENCE: Gables, The DS0000001975.V273917.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): 19.20.21.22.23.24.25.26. The home is maintained to a high standard both internally and externally. The home provides a good range of adaptations and aids to assist residents. The home is warm light clean and comfortable. EVIDENCE: A number of residents bedrooms were assessed all were found to meet the requirements as identified in Standard 24.The bedrooms assessed were personalised and well decorated. There are sufficient toilet and bathing facilities provided. The lounge area is well furnished and comfortable. The dining area is very well presented. There is good ventilation provided throughout the home. Lighting provided is domestic in design and there is gas central heating provided throughout the home. Residents spoken to for the purpose of case tracking stated that they liked their bedrooms and the home generally no complaints were expressed. One resident said “ you could not find a better home”. Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 14 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): These Standards were not assessed during this inspection as they were found to be satisfactory at the last inspection dated 11/10/05. EVIDENCE: Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 15 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): 31.38. The management team are competent and approachable. The home has a health and safety policy in place that is adhered to. EVIDENCE: The manager/provider has a number of years experience in the field of care and presents as competent and approachable. Staff spoken to on the day of the inspection stated that they had confidence in the management team and found them to be approachable. The service records were examined for the utilities and equipment provided which was found to be satisfactory. The home has a current insurance certificate, which is displayed in the front entrance. There is a COSHH manual in place, which was examined and found to be up to date. Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 16 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 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 3 Gables, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP18 Regulation 13(6) Requirement The Homes adult protection policy must make reference to Derby and Derbyshire Local Authority Social Services procedures and staff must familiarise themselves with these procedures. This was a requirement from the last inspection dated07/02/05 Timescale for action 01/06/06 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, The DS0000001975.V273917.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 DS0000001975.V273917.R01.S.doc Version 5.0 Page 19 - 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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