Inspection on 18/08/05 for The Gables

This inspection was carried out on 18th August 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 no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Gables 12/09/08

The Gables 12/09/07

The Gables 10/08/06

The Gables 28/02/06

The Gables 21/02/05

The Gables 04/10/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 The Gables 7 Park Terrace Bedlington Station Northumberland NE22 7JY Lead Inspector Allan Helmrich Unannounced 18 August 2005 9:30 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 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 B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Gables Address 7 Park Terrace Bedlington Station Northumberland NE22 7JY 01670 826639 N/A N/A Mrs D Brown 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) Mrs D Brown CRH 12 Category(ies) of MD Mental Disorder (9) registration, with number MD(E) Mental Disorder (3) of places The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 3 service users also have a learning disability. Date of last inspection 21 February 2005 Brief Description of the Service: The Gables is a converted domestic detached house. Care may be provided for 9 adults and 3 older people with a mental disorder. The home is in Bedlington Station near to shops and other community facilities. Accommodation is provided over two floors, 6 bedrooms are single and 3 are doubles. None of the bedrooms have ensuite facilities. A bathroom and toilet are available on each floor. On the ground floor there is a kitchen, dining room and a lounge used by smoking and non smoking residents. There are 2 yards, one has access from the kitchen that is used for bin storage and the other with seating used by residents and for domestic purposes. There is no lift in the home making it unsuitable for anyone with a physical disability The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s first annual inspection. It was unannounced and took 5 hours. The manager was contacted and she came in for the inspection. As well as talking with the manager, time was spent with the residents, examining records and looking around the home. The purpose of the inspection was to review any improvements in the quality of record keeping and in the decoration. What the service does well: What has improved since the last inspection? 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. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 6 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 B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 7 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. New residents are only admitted after the proprietor has satisfied herself that the home can meet their needs and that existing residents will not be unduly affected. EVIDENCE: Prior to the admission of the most recent resident the proprietor obtained information from the care manager as to the needs of this person. Appropriate pre admission information was collected and visits were arranged to the home and a trial stay was offered. Before a final decision is made the views of current residents will be obtained. The proprietor has refused admissions previously that she thought would not be suitable in this home. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 8 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, 7. Each resident has a plan of care that reflects some personal goals. Residents generally are strong willed and decide what they want to do. EVIDENCE: Residents spoken to confirmed they decide what to do each day. They are aware of care plans held in the home but prefer to have little involvement with their development. The records reviewed are improving but still require more information to show the goals achieved with the assistance of the staff team. Any agreements made with individual residents or their care managers should be included. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 9 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) 11, 12, 13, Residents are encouraged and assisted with independent living skills. They choose where to go and what to do. The majority of residents choose to use the local community facilities on a regular basis. EVIDENCE: The social life of each resident appears to be different and staff support is provided whenever it is required. Social activities involve the church, local social clubs and day services. During the inspection residents were seen coming and leaving the home to use community facilities with and without staff help. Currently none of the residents has a work placement. Two residents attend a day service. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 10 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, 19. Staff give good support that does not take away the independence of the residents. Staff also deal with sensitive issues well. This is generally done without a clear instruction in writing. Professional support is obtained when it is required and residents are assisted to use community healthcare services. EVIDENCE: Residents made many comments during the inspection about the good staff team and the caring manager. In conversation with the manager and staff they talked about the way they provide care and how sensitive issues in the home are dealt with. Case records contain some information for staff of the type of care that should be provided but this would not be useful to new staff or anyone that has been away from the home for any time. Records should contain sufficient details to allow a good standard of care to be provided by a carer not familiar with the resident. Generally residents meet with a professional person each year and at other times when their mental health is poor. Each resident uses community healthcare facilities and a record of any appointments is kept in the home. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 11 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, 23. Residents are aware of their right to complain. Staff are trained in abuse awareness but the appropriate guidance for them is not available. EVIDENCE: Residents are well aware of how to complain and any issues are immediately addressed by the home. Should a complaint be made the home maintain a log to record the details and any actions they take. Staff have received training in abuse awareness and the manager has demonstrated previously that she is aware of the correct procedures to make sure the residents are protected. The Department of Health Guidance ‘No Secrets’ that relates to abuse awareness is not available to staff in the home. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 12 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, 25, 30. The building does not look like a care home and inside it is warm and homely. Much of the decoration and furniture is drab and the bathing facilities are basic. However residents enjoy living in the home and are content. The home is reasonably safe and clean. The bedrooms are as individual as the residents. EVIDENCE: The home is a converted detached house similar to the other houses in the street. The residents are proud of their house and are very comfortable. Although some recent decoration has taken place in the hall, stairs, laundry and dining room, the home is dark and drab. The home has two bathrooms and a separate toilet that is accessed through the laundry. The bathroom on the first floor is small. The kitchen is a good size and the equipment is all in working order. There is a dining room and a separate lounge used by all residents, smoking and non smoking. No specific arrangements have been made to reduce the level of smoke in the room. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 13 Several bedrooms were visited an each was as individual as the residents. Each resident spoken with was very happy with their room and one resident made a point of telling me how content she was with her room and the home generally. The laundry is large and contains suitable equipment to ensure disinfection standards can be met and has reasonable storage. Other than a grab rail in the bathroom there are no adaptations to the home and none are needed. The home is reasonably clean. The following maintenance tasks were outstanding; A hole in the laundry ceiling should be repaired, a door to a bedroom on the ground floor did not close fully, the ceiling on the first floor should be repaired, there was no soap in the bathroom and the light fitting in the linen cupboard should be refixed. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 14 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) 32, 33, 35. The staff team are working towards an appropriate care qualification. New staff follow a formal induction procedure and a staff training programme is in place. Residents are cared for by staff employed in sufficient numbers to meet their needs. EVIDENCE: Residents spoke highly of the staff. Of the ten staff, three have a National Vocational Qualification (NVQ) in care at level 2, two staff members have just started NVQ 2 and one staff member is doing NVQ 3. Training is now in place and the majority of staff have a range of appropriate certificated training. These details are not set down on a training plan. New carers are give an introduction into the home and are then provided with an induction to the standard approved by the Skills Council. A completed induction is not yet available for inspection. During the inspection sufficient staff were on duty to provide an appropriate level of support for the residents. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 15 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, 42. The proprietor is very knowledgeable about the residents. She is aware of her shortcomings in relation to administration and systems and is working to overcome these deficiencies. No quality management systems are in place. The home is reasonably safe but some procedures need to improve. EVIDENCE: The proprietor has managed the home since 1987 and is aware of the individual needs of each resident. Administration systems and documentation in the home is not good but some work recently has improved the standard. There is no system for assessing the quality of care provided. House meetings are infrequent as are staff supervisions. Questionnaires are not used to obtain opinions and recent improvements in the home to meet national standards are ad-hoc. There is no budgetary control and improvements are not made against a written programme, they are more to meet the commission’s requirements. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 16 The home is reasonably safe for residents, but an assessment of the home’s wiring is not in place, the home’s fire risk assessment was not available and staff fire instruction was not recorded at the desired frequencies of three months. The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 17 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 x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x x Standard No 31 32 33 34 35 36 Score x 2 3 x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Gables Score 2 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x 1 x x 2 x B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 18 no 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 Regulation Requirement The care plans should show how the staff are working with each resident to achieve their personal goals. The information should be specific and be reviewed with the resident regularly. If the goal is agreed with the care manager this should also be stated. Do the following repairs; repair and redecorate the ceilings in the laundry and first floor landing, make the bedroom door on the ground floor close fully, refix the light to the ceiling in the linen cupboard. Soap should be always available in the bathroom. Continue with the staff training programme to obtain 50 of staff with NVQ 2 in care by December 2005. Introduce some quality monitoring. Use questionnaires to obtain information. Have regular meetings and use staff supervision. Make sure the home is safe by; producing a fire risk assessment of the building, having regular staff fire instruction and getting B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc YA6 & YA18 15 Timescale for action 30/9/05 2. YA24 23 30/9/05 3. YA32 18 31/12/05 4. YA39 24 30/11/05 5. YA42 12 30/11/05 The Gables Version 1.30 Page 19 a certificate to confirm the standard of the homes internal wiring. 6. 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. Refer to Standard YA23 YA24 YA35 Good Practice Recommendations Get a copy of the Department of Health guidance NO SECRETS and show it to the staff team. Consider fitting a powerful fan in the lounge to remove the smoke. Produce a traing plan. This plan should include the training received by each member of staff and the detail of any future training planned for the year. This plan should be updated regularly. The manager should allocate time each week for management issues and improvements to administration procedures. 4. 5. YA37 The Gables B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 20 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 B53-B03 S533 Gables Bedlington V234803 180805 Stage4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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