Random inspection report
Care homes for older people
Name: Address: The Gables 1 East Park Street Chatteris Cambridgeshire PE16 6LA zero star poor service 05/07/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lesley Richardson Date: 1 4 1 2 2 0 0 9 Information about the care home
Name of care home: Address: The Gables 1 East Park Street Chatteris Cambridgeshire PE16 6LA 01354693858 01354696400 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sam Christopher Beaney Mrs Helen Mary Hewlett Type of registration: Number of places registered: Conditions of registration: Category(ies) : Stargate Partnership Ltd care home 41 Number of places (if applicable): Under 65 Over 65 17 23 1 dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 0 5 0 7 2 0 0 9 The Gables is an old largely Georgian house in the centre of the small Cambridgeshire town of Chatteris, which has been updated and extended to provide accommodation for up to 41 older people. The accommodation is split over two floors. On the ground floor, there are bedrooms and communal areas, which provide secure accommodation for 17 older people with dementia, and on the first floor facilities for up to 24 older
Care Homes for Older People Page 2 of 9 Brief description of the care home service users without dementia. There are bathroom and toilet facilities on both floors, and a large enclosed rear garden. Fees for the home range between 347 to 530 pounds per week. Copies of current inspection reports are in the entrance hall. Care Homes for Older People Page 3 of 9 What we found:
We looked at care plans for two people living at the home. Both of these contained more information than at the previous inspection, although they still need to be written with more personal information. For example, what food likes and dislikes people have if they have difficulty eating. The care plans we looked at had been reviewed every month, but there was no information in the review to show how the decision of no change had been made. People are referred to health care professionals for treatment and advice and this information is available to staff in the care records. We were not able to fully assess if the requirement regarding medication. There were no handwritten medication administration records (MAR), although the MAR sheets were completed to an acceptable standard. Storage area temperatures are recorded, although the drug fridge temperature was at too high a level to safely store medication that needed refrigeration. Staff told us that there was no medication being used at the time of the inspection that required this. Training records show that all staff members have received training in safeguarding vulnerable adults. No complaints have been made to the home since the last inspection and we, therefore, could not assess this area. Staff have received supervision twice since the last inspection, this is recorded and available in each staff members file. What the care home does well: What they could do better:
Care plans must contain more personal information about people, so that staff members are able to give the care that person wants. When care plans are reviewed they must show how the decision had been made. This is so that staff members consider everything about the person before deciding whether the care plan needs changing or not. The medication fridge should be run at a temperature that ensures the safe storage of medication. If its not in use, it should be switched off, but not run at a temperature too high to safely store medication.
Care Homes for Older People Page 4 of 9 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 9 13 Records must be kept to show the receipt of medication, their prescriber and storage conditions. This is so that medication is prescribed in a safe way, there is an audit trail for the medication in the home and it is stored in safe conditions, making sure it remains clinically effective. 14/08/2009 2 16 22 Records of complaints made within the last 12 months must be kept and made available. This is so that the service and the regulating body (Care Quality Commission) are able to see the level of complaints made and how they have been dealt with. 31/08/2009 3 18 13 Incidents of abuse or possible abuse must be reported. This is so that people are kept safe and incidents can be dealt with properly. 31/08/2009 4 29 19 Required checks and 07/09/2009 documents must be obtained before new staff members start working at the home.
Page 6 of 9 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action This is so that the service can be sure that the person they employ is safe to work at the home and people living there are not at risk. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 Reviews of care plans must show how a decision about the effectiveness of the plan has been made. This is so that all areas of care for a need are looked at before making the decision of whether the care plan is still appropriate or not. 31/01/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
