Inspection on 12/07/05 for The Gables

This inspection was carried out on 12th July 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

The Gables 06/08/07

The Gables 13/02/07

The Gables 17/05/06

The Gables 08/11/05

The Gables 17/03/05

The Gables 09/09/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Gables 7 West Moors Road Ferndown Dorset BH22 9SA Lead Inspector Stephanie Omosevwerha Unannounced 12 July 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Gables Address 7 West Moors Road Ferndown Dorset BH22 9SA 01202 855909 01202 872885 ferndown@gables7.ssnet.co.uk H & H Partners 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) CRH PC - Care Home Only 7 Category(ies) of LD - Learning Disibility (7) registration, with number of places The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 17th March 2005 Brief Description of the Service: The Gables is a registered care home for 7 adults of both sexes between the ages of 18 and 65 years who have a learning disability. It is owned by H & H Partners (Mr and Mrs Habgood). The proprietors have regular contact with the home and the service users. At present there are three service users living at the Gables and the home has also been offering a temporary respite service in some of the vacant rooms. The Gables is situated in a residential area of Ferndown, Dorset. It is a large detached house in keeping with other properties in the vicinity. You approach the property via electric gates, and there are gardens to the front and rear of the home. The property is split into two. One side is The Gables residential home, with the other part of the property being a private Day Centre named ‘Avatar’ (also owned by H & H partners). Avatar is a separate service however, and if service users choose to attend Avatar, this requires extra funding and assessment. Accomodation in the residential home consists of a large lounge, dining area, kitchen and an additional small lounge on the first floor. All service users have single rooms with en-suite facilites. There is a supermarket close by, and the town centre of Ferndown is within walking distance. The larger towns of Poole and Bournemouth are accessible by public transport also. The home is not staffed, other than by Management hours, during the hours of 10:00am and 3:30pm. Outside of these hours the home is staffed by two/three members of staff. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection of the home and took place over approximately 8 hours. It was carried out as part of the planned inspection programme for care homes undertaken by CSCI and to address the requirements and recommendation made at the previous inspection on the 11th and 17th March 2005. Since the previous inspection, a new proposed manager had been appointed on the 27th June 2005. The proposed manager was present throughout the day and assisted the inspector, although she is fairly new in post and is still completing an induction period within the home. The inspector also had the opportunity to talk to 2 permanent residents and 2 service users accessing the respite care service, further time was spent observing all the service users in the home some of whom had more specialised communication needs. The extent to which service users were able to give their views on life at the Gables was limited; however spending time with service users both in the communal areas and the privacy of their rooms indicated they were satisfied with their care and felt their needs were being met. The inspector had the opportunity to talk to 2 members of staff, although not in private as they were busy supporting service users. They appeared motivated and enthusiastic and felt “there is a lot of potential” in the home. Two relatives visited during the inspection and spent time discussing their views with the inspector. They were satisfied with the overall care but expressed some concern about the reduction in CSCI methodologies of inspecting, i.e. only assessing key standards and how this may impact on ensuring homes continue to provide good quality service. A tour of the premises was carried out observing all communal areas and service users’ bedrooms. Various records and documentation were also sampled including care plans, risk assessments, service user contracts, complaints logs and staffing rotas. Additional information was read prior to the inspection on the service file held by the Commission. What the service does well: The Gables provides service users with an attractive and spacious environment. The home was found to be bright, clean and welcoming. All service users have their own bedrooms with ensuite facilities offering a high degree of personal privacy. The home has good links with other professionals and liaises closely with families to ensure service users personal and health care needs are well met. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 6 Service users preferences and choices are promoted and it was noted that service users were registered at different G.P. practices respecting service users’ individual wishes. A high level of interaction was observed between staff and service users and it was clear positive relationships had been formed. Good communication was observed between staff who were aware of their roles and responsibilities during the evening shift. What has improved since the last inspection? What they could do better: There are outstanding requirements remaining to develop a Quality Assurance System and a development plan for the service. The responsible individual for the home must undertake monthly visits to report on the standard of care being provided and give a copy of this report to the Commission. These 2 requirements are important for the home to establish a sense of reviewing their own care and making improvements based on self assessment. It is also important these take into account the views of service users, staff, relatives and other interested parties. A couple of repairs were needed to the environment, particularly to remove the hazard of sharp edges on wall brackets left exposed by the removal of a radiator. Minor paintwork improvements were needed in some of the unoccupied rooms, however, the proposed manager assured the inspector The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 7 these would be done when a resident moved in taking into account their own tastes and personal preferences. The issue of a ground floor room being used as a bedroom remains unresolved although it was established that most of the conditions were being met. Confirmation is now needed from the care manager so this issue can be finally closed. There appeared some scope to increase the choice of social activities and leisure pursuits offered by the home. Discussion with the proposed manager showed she already had plans for consulting the service users to establish their preferences and put this in place. Care staff hours are not provided during the day, whilst this is clear in service user contracts, it does potentially restrict service user choice and access to their home during the day. This is particularly important if service users are not well enough to attend their day time activities and needs to be monitored closely. 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 D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 5. The home gave due consideration of its ability to meet service user’s needs, based on professionals assessments, prior to agreeing any placement and provided detailed information about service provision. The temporary respite service appeared to be having a positive impact enabling staffing levels to be increased and further social opportunities in the home. Amendments to service users contracts ensured all interest parties were aware of the terms and conditions including a clear breakdown of fees/charges. EVIDENCE: There have been no changes to the permanent residents in the home since the previous inspection. Observation of the service users’ files indicated care management assessments and plans were in place prior to admission. There was also evidence of consultation with other professionals e.g. healthcare professionals. The home had undertaken their own assessments of service users’ needs and had provided detailed information as to how they would meet need e.g. staffing ratios, day services choice, participation in social events, and providing a healthy balanced diet. The home is currently offering a temporary respite service in some of the vacant rooms and a sample of service users’ files accessing this service was The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 10 viewed. There was evidence of liaison with the service users’ care managers and information was provided for each service user including emergency contacts, daily routines and personal preferences. Service users confirmed their needs were being met. For example one service users plan said “I don’t like to have breakfast just a glass of apple juice”, the resident confirmed he was able to help himself to a glass of juice and the proposed manager also told the inspector about the service users preferences on a separate occasion. The proposed manager confirmed that all service users accessing the respite service had the opportunity to visit the home prior to their first stay. There was also written evidence that the relatives and care managers of the permanent residents had been consulted and were agreeable to the Gables offering temporary respite care. Discussion with 2 of the service users living in the home and observation during the inspection showed residents were happy with the introduction of this service and it was having a positive impact, e.g. providing additional company and the home was able to increase their staffing levels and employ additional members of staff. A requirement was made at the last inspection regarding service user contracts, specifically that they must state the charges/fees that are applicable a breakdown of who is responsible for each element of the charge/fee. A sample of contracts was seen and this requirement had been implemented. There was further evidence that the amendments had been discussed at service users reviews where all interested parties had signed them. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. 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 The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9. Comprehensive plans were in place detailing service users support needs, which were regularly reviewed to ensure they were up-to-date reflecting any changes. Risk management strategies were utilised to ensure staff had good information to base decisions on in order to promote service users independence in a safe and responsible way. EVIDENCE: A sample of 2 residents files was viewed and information available for the service users accessing the respite service was also sampled. Service users had a day-to-day file and a history file. Comprehensive care plans were in place with support needs well document as well as tasks service users are independent with e.g. “ can get undressed”, “should be prompted to dry himself and apply deodorant”. Additional information was noted such as communication needs, behaviours and triggers, and managing seizures. Service users daily routines including their personal preferences were also recorded, e.g. “dislikes water over hair to have hair washed”, “I like to go to bed 11ish.” Discussion with the manager and members of staff further evidenced their awareness of service users needs and the support they required. Discussion and observation with service users The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 12 confirmed they felt well supported and their care needs were being met in the home. There was evidence that care plans were regularly reviewed and review notes were recorded on individual files. A number of risk assessments for the home were in place including dealing with accidents, food handling, infection control and fire. Individual risk assessments were completed for each service user on a variety of topics such as using the kitchen, undertaking domestic tasks, getting out of bed at night and accessing the community. The risks were clearly identified and actions put in place to minimise these e.g. staff supervision in the community, the use of alarms to monitor service users through the night. The use of risk assessments formed the basis of staff decisions to promote service users independence in the home, e.g. observation during the inspection showed that service users were encouraged to make their own lunch boxes up for the following day with appropriate support from members of staff. Behavioural management guidelines were in place detailing the action and strategies that could be used by staff to avoid/reduce the risk of self-injury or injury/harm to others. The inspector observed that these strategies were re-inforced verbally to members of staff during the shift handover. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14. All residents have appropriate daytime activities that they enjoy. There are opportunities to access the local community, although the new proposed manager is hoping to increase the range of leisure/social pursuits in the home to offer the residents more choice. EVIDENCE: At the beginning of the inspection, all the service users were out at their daytime activities. The three permanent residents attend local day centres, Mondays to Fridays. There were three service users staying for respite care and they were supported to attend their usual daily activities. Timetables were observed on service users files and a range of activities was offered such as horse riding, swimming and cooking. An activities sheet provided additional information about visits to areas of local interest and accessing the community. Service users were able to access the community by walking, use of the home’s transport, staff cars and public transport. Service users confirmed they were able to visit the local shops. The proposed manager said she wanted to increase the leisure activities available in the home and was going to consult the residents about their personal preferences The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 14 for social activities. After their return from day centres, service users were observed pursuing their own interests. Most residents chose to spend time in the communal areas either watching TV, spending time in the garden or being supported to make their packed lunches for the following day. One resident spent time in the small lounge upstairs reading and watching TV and another resident spent time in the privacy of their room listening to music and colouring. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19. Personal care is offered in a way that takes into account individual preferences and promotes independence. The health care needs of service users are well met with strategies in place for monitoring medical conditions and liaising with healthcare professionals as appropriate. EVIDENCE: Personal care needs and the support required are clearly identified on care plans with specific tasks stated e.g. “can clean teeth independently” and “needs to be assisted fully to shave.” There was evidence personal preferences were taken into account and discussion with service users confirmed times for getting up/going to bed, baths and meals were flexible. Observation showed that service users were encouraged to dress according to their own style and personality. Each service users has a keyworker and there are male and female workers. There was evidence of good working partnerships with families to ensure a consistent approach to service users care and relatives told the inspector they were generally happy with the care provided by the home. Personal health care records were available for each service user. It was noted that service users were facilitated to attend different surgeries promoting individual choice of G.P. Assessments were available from other professionals such as consultant psychiatrists, community nurses, speech and language therapists, The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 16 psychologists and audiologists. A record of all appointments was kept and service users were being supported to attend all outpatient appointments. Service users medical conditions were noted and appropriately monitored e.g. seizure charts and nocturnal monitoring. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22. The home has a satisfactory complaints system with some evidence that service user feel their views are listened to and acted on. EVIDENCE: The home has an appropriate complaints procedure. Since the previous inspection the home has changed its system of recording complaints to comply with the requirements of the Data Protection Act 1988. The Commission had not received any complaints with respect to the service since the previous inspection. Discussion with relatives confirmed they were aware of the home’s complaints procedure and discussion with some of the residents confirmed they had some awareness of whom they could talk to if they had any issues/concerns although the extent to which they understood this was limited. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24. The home generally provides service users with a comfortable and homely environment, however, a safety issue was noted in the hallway concerning some exposed wall brackets with sharp edges and some of the unoccupied rooms would need minor decoration prior to occupation. EVIDENCE: A complete tour of the premises was made as part of the inspection including observing all the communal rooms and all service users’ bedrooms. All service users have single rooms with ensuite facilities ensuring full personal privacy. The three permanent residents’ rooms were seen to be individually personalised to the occupants taste with sufficient space for personal possessions. Some minor repairs to paintwork were needed to some of the respite care rooms and a filing cabinet needs to be removed from one of the rooms. The proposed manager assured the inspector that re-decoration of the rooms would take place if they were to become permanently occupied and this would then take into account the new resident’s personal preferences. The communal rooms were observed to be bright, airy and decorated in a The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 19 homely way. Furniture and fittings were of good quality. It was noted that a radiator had been removed in the hall leaving the wall brackets with sharp edges exposed. The radiator needs to be replaced or the brackets covered/removed to ensure service users safety. The issue of the use of a ground floor communal room as a bedroom was addressed. The home is complying with three of the conditions referred to in a letter written on the 11th March 2005, i.e. the home remains registered to accommodate 7 service users, the use of an upstairs bedroom as a small lounge and confirmation from the service user and their family representatives that they are in agreement that the room and the adjacent bathroom fully meets their needs. The home still need provide confirmation to the Commission that the care manager is also in agreement and a qualified professional has assessed the room as suitable. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33. Some improvements to the staffing of the home were noted including the provision of extra care staff hours and recruiting new members of staff, however, there were still some gaps in day-time cover meaning service users access to the home could potentially be restricted at times. EVIDENCE: The home currently employs six care staff, however, the proposed manager informed the inspector they are interviewing next week and hope to recruit additional permanent members of staff. This was confirmed by an agency member of staff working in the home on the day of the inspection who told the inspector they had an interview for a permanent post the following week. A sample of staff rotas was also observed. These showed the home is staffed between 3.30 pm and 10.00 am Monday to Friday and throughout each 24 hour period at weekends. It was noted that there had been an increase of staff provided in the evenings from 2 to 3 as a response to providing a respite care service. Gaps in the shifts were filled by staff from the day service owned by the proprietors or regular agency staff. The proposed manager had also been working some shifts as part of her induction to get to know the needs of the service users in the home. She told the inspector that there were now some office hours provided on the rota. Analysis of the rota showed that this meant there were not so many gaps in the day time as cover was filled by The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 21 management hours during the day, this meant the home was more likely to be able to respond to service users needing to stay at home during the day either through illness or choice. This needs to be monitored as relatives told the inspector that it wasn’t always possible for service users to stay home during the day as no staff were available. The inspector was able to speak briefly to 2 of the staff on duty during the evening but not in private, as they were busy supporting the service users. A verbal handover was observed prior to the shift when clear guidelines were given about working with individual service users and roles allocated so staff knew their responsibilities during the evening. Further observation showed staff were accessible and approachable fully interacting with service users during the evening. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39. The home has an outstanding requirement to submit a valid application and fee for registration of a manager. The proprietors have recently appointed someone to this post who is well qualified and experienced, which will provide a new sense of direction and leadership after a period of uncertainty about the future of the home. T he home is not providing evidence required by regulation that it is carrying out regular monitoring visits to assess the quality of the service provided. EVIDENCE: The home has appointed a new proposed manager who commenced her post on 27.6.05. She now needs to complete an application to submit for registration with Commission as Manager of the Gables. During the inspection, the proposed manager discussed ideas she had for making improvements to the service demonstrating a sense of direction and leadership skills. Relatives told the inspector they had found her to be “understanding, efficient and professional.” There is still an outstanding requirement for the registered The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 23 providers to introduce a Quality Assurance System and produce a development plan for the service, seeking views from friends/family and other interested parties, on how the service is performing. This was not assessed on this occasion as it was still within the agreed timescale established at the last inspection, however, the requirement is carried forward to be addressed at the next inspection. The home is also still not forwarding copies of the visits carried out by the responsible individual for the home to the Commission as required by Regulation 26 of the Care Homes Regulations 2001. These reports need to be carried out on a monthly basis and must detail the observations and interviews with service users and staff. The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Gables Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x 1 x x x x D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 25 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. Standard 24 Regulation 23 Requirement The registered providers must ensure that the wall brackets left exposed by the removal of a radiator in the hall are covered/removed to prevent the risk of injury/harm from the sharp edges. The registered providers must provide the Commission with written confirmation from the Care Manager of the service user being accommodated in the ground floor room that they are in complete agreement that the room and adjacent bathroom fully meets the service users current/anticipated needs. The proposed manager must submit a valid application and fee for registration with Commission. The registered providers must introduce an effective Quality Assurance System and produce a development plan for the service, seeking views from friends/family and other interested parties, on how the service is performing. This requirement is brought forward from the inspection reports D55 S26806 The Gables V238781 120705 Stage 4.doc Timescale for action 1 September 2005 2. 27 23 1 October 2005 3. 37 9 1 September 2005 31 October 2005 4. 39 24 The Gables Version 1.40 Page 26 dated the 13/08/02 & 29/09/04. 5. 39 26 The responsible individual for the 31 October home must visit and report each 2005 month on the standard of care being provided in the home, and forward a copy of the report to the Commission. The report must detail the observations, and interviews with service users and staff. This requirement is brought forward from the inspection report dated 13/08/02 & 29/09/04. 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. Refer to Standard 14 24 Good Practice Recommendations It is recommended that further consultation is undertaken with residents to increase the choice/provision of social and community activities. It is recommended that the rooms currently being used to provide respite care are re-decorated to make good minor repairs needed to the paintwork prior to permanent occupation. There is also a filing cabinet in one of the rooms which would need to be removed prior to a service user moving in. It is recommended that staffing hours are reviewed to ensure they meet the recommendations of the Department of Health and do not potentially restrict service users choice/access to the home during day time hours. 3. 33 The Gables D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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 D55 S26806 The Gables V238781 120705 Stage 4.doc Version 1.40 Page 28 - 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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