Inspection on 19/07/06 for The Gables

This inspection was carried out on 19th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Gables 02/09/08

The Gables 13/09/07

The Gables 12/01/06

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 DE21 4QY Lead Inspector Angela Kennedy Key Unannounced Inspection 19th July 2006 09:30 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.V297694.R01.S.doc Version 5.2 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.V297694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gables, The Address 161 Morley Road Oakwood Derby Derbyshire DE21 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.V297694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 4 Day Care places Date of last inspection 12th January 2006 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. The current scale of charges at the home were: ensuite £360 per week and non-ensuite £340 per week. Further information regarding the home can be provided by contacting the registered provider- Mrs Margaret Morris on Tel: 01332 280106. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection (the home was inspected against the key national minimum standards) and took place over a 4 ½ hour period. During the inspection several resident and 4 members of staff were spoken with, several records and documents were examined including 3 residents care plans and assessments, health and safety practices, staff recruitment practices and staff training and the homes medication practices and procedures. A tour of the building was undertaken. The registered manager and deputy manager were available on the day of inspection to provide the required information and documents. What the service does well: What has improved since the last inspection? The home had met the requirement from the last inspection. The provider/manager and staff strive to improve services as an ongoing process. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 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.V297694.R01.S.doc Version 5.2 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.V297694.R01.S.doc Version 5.2 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): 3 Resident’s needs are assessed prior to moving into the home to ensure their needs can be met. Quality in this outcome area is good. This judgement has been made using the available evidence, including a visit to the service. EVIDENCE: 3 residents files were examined, and all 3 had evidence in place to demonstrate that a thorough assessment of need had been undertaken prior to admission. The pre-admission assessment assessed the following areas for each resident; breathing, eating and drinking, eliminating, maintenance of body temperature, maintenance of personal hygiene, sleep and rise, dressing ability, safety and avoidance of danger, communicating, psychological mood, mobility, work, worship, leisure pursuits, current medication, past health history, residents understanding of reason for admission, families perception of reason for admission, key relationships for resident, i.e. family/friends. This detailed assessment demonstrated that the home had sufficient information to determine if each residents needs could be met by the home. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 9 The home does not provide intermediate care; therefore standard 6 was not assessed. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Resident’s health, personal and social care needs were set out within their plans of care. Residents are protected by the homes medication practices and their privacy and dignity is maintained. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A social assessment was seen within the residents 3 files examined, this assessment was very detailed and included: likes and dislikes, life experiences, circumstances, skills and achievements, social history, education, employment, important life events, current social links, pets, choices, health, religion, spiritual needs and wishes, hobbies, interests, leisure pursuits (past and present), and preferred daily routines. This assessment also included the resident’s eye colour, distinguishing features, preferred name, weight and build, hair colour, height and date of admission and age on date of admission. Along with this assessment a ‘getting to know you’ form was also in place within the files seen and asked question such as, where the resident was born, if they were/are married and how long for, do they have any brothers or Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 11 sisters, did they work and what did they do, what were their parents names and jobs. This demonstrates that the home strives to get to know each resident on a personal and individual level, which inevitably will ensure that a more person centred approach to their care, can be maintained. 3 residents files were examined and all had care plans in place that had been developed from the pre- admission assessment of need. A summary of need was in place within each residents file seen, this included the date each need was identified and the date each need was resolved. Each care plan seen looked at the area of need/support and the goal to be achieved, and stated the intervention/support that was required for this goal to be achieved. Each care plan was reviewed on a monthly basis or more frequently if required. Care plans not only looked at the resident’s health care needs but also included spiritual, religious and cultural needs. Assessments were also in place that looked at the residents mental health, moving and handling, pressure areas, continence needs, personal care needs, supervision inside and outside of the home, activities and keeping occupied and socialising. An assessment regarding dental care and nutrition were also in place and reviewed each month. Monthly weighing was also in place within the residents files seen and all health care professional visits were also recorded. The medication practices of the home were also examined, this included looking at the medication stored, which was correctly stored and labelled, and the medication administration records which had been signed and administered appropriately. None of the residents at the home had chosen or were able to self-administer their medication. Residents spoken with were very complimentary regarding the care and support provided to them by the staff team. All of the residents spoken with said that they were treated respectfully by the staff and confirmed that their privacy and dignity was maintained. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 12 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 Residents had a variety of leisure activities to participate in and residents were able to move around the home and grounds freely. Contact was maintained with family and friends and the meals provided were of a good quality. Quality in this outcome is good. This judgement was made using available evidence including a visit to the service. EVIDENCE: The activities in and outside of the home were well organised and included: • Quizzes • Movement to music • Weekly musical entertainment • Drama production every three months • Coffee mornings • Clothes show • Board games • Manicurist every other week • Hairdresser twice a week • Library in home • Christmas fete • Luncheon club Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 13 • • • • Meals out Outings Shopping trips Church services each month Residents spoken with felt the entertainment at the home was good, several residents were observed within the homes grounds, some were sitting reading and others were chatting with each other. All residents were safely shaded from the hot weather conditions and regular refreshments were provided in the form of cold drinks and ice-lollies. The interaction between the residents and the residents and staff was observed and appeared positive and relaxed. The home had an open visiting policy and residents spoken with confirmed that they were able to entertain their visitors within their private accommodation or within the communal areas, as they preferred. Advocacy services were advertised within the home and within the service user guide, 2 resident used advocacy services. Residents were able to vote and used postal votes to do so, however it was confirmed that residents were given the option to attend their local polling station. Two church services, one Church of England and one Roman Catholic were provided within the home on a monthly basis for any residents who wished to attend. The inspector sampled the meals provided and found them to be of a high quality. Tables were presented in an attractive manner and alternative dishes were provided for residents who required or requested them. Staff were seen to be supportive of residents needs and a relaxed and unrushed atmosphere was noted throughout the meal. Residents spoken with were very complimentary regarding the culinary achievements of the home’s chef. The homes menus were seen and provided a varied and well-balanced choice of meals for residents. Meals could be taken within resident’s private accommodation if preferred. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 14 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): 16,18 The homes complaints procedure was clear and accessible to residents and visitors of the home. Resident’s protection was enhanced by the homes policies, practices and training. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 15 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): 19.26 Residents live in a safe, well-maintained environment that is kept to a high standard both internally and externally. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. EVIDENCE: A tour of the building was undertaken and the laundry, bathrooms, communal areas and some resident’s private accommodation was seen. The laundry area housed 2 washing machines and one of these had a built in sluicing facility for the sluicing of any soiled items prior to washing. A member of staff was employed to manage the laundry requirements of the home and appeared organised within this task and the laundry area was sited so that no soiled articles had to be carried through any food storage, preparation or eating areas. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 16 Bathrooms were seen and were clean, pleasantly decorated, and spacious and provided the relevant moving and handling equipment. All communal areas seen were decorated to a good standard and appeared clean and comfortable. Some of the resident’s private accommodation was seen and was personalised with resident own belongings and maintained to a good standard. Residents spoken with were very happy with their private accommodation and said the home was always kept clean and tidy. The home is set away from the main road and the grounds and therefore allowed privacy to residents who wished to use them. The grounds of the home were maintained to a high standard and were attractive in design. Resident were able to access the grounds and many residents were seen within different areas of the grounds on the day of inspection. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 The numbers and skill mix of staff can meet resident’s needs, further work is required to ensure the homes recruitment practices support and protect the residents. Quality in this outcome area is adequate. This judgement has been made using available evidence, including a visit to the service. EVIDENCE: Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 18 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): 31,33,35,38 Residents live in a home that is well managed and run in their best interests, with their financial interests safeguarded and their health, safety and welfare promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The registered manager/provider has worked in care since 1986 and has owned/managed the Gables since 1990. She has achieved an NVQ 4 in care and a management certificate and presents as competent and approachable. Staff spoken with confirmed that the registered manager and the management team were approachable and supportive. Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 19 The quality assurance practices of the home were examined, questionnaires were sent out every six months to residents, relatives and visiting professionals. All the comments seen were positive regarding the care and service provided and included comments stating how well run, clean and friendly the home is and comments from one visiting professional who said the home was among the best residential homes that they had attended. The home did not have a formal method of publishing the results of their satisfaction questionnaires, discussions took place as to how this could be achieved and included the development of a newsletter for the home that could include results from questionnaires and any actions taken from these results, this would further demonstrate that residents opinions and suggestions influence how their home is run. Transaction records for resident’s finances were examined and were managed satisfactorily. It was recommended to the registered manager that 2 staff signatures or the resident’s and 1 staff signature was provided at each transaction as a matter of good practice. Resident were able to retain their own finances if they wished to and were able to, this included small amounts of money which could be kept within residents own private accommodation and secure facilities were provided for this purpose within residents rooms. Some of the health and safety practices records of the home were examined and were found to be satisfactory and up to date, this included: • Pest control records • Electrical installation servicing • Portable appliance tests • Fire certificate of inspection • Fire fighting equipment servicing • Fire alarm tests and servicing • Lift servicing Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 20 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO 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 OP29 Regulation Schedule 2 (6) Requirement A full employment history together with a satisfactory written explanation of any gaps in employment must be obtained for all new staff prior to employment. Timescale for action 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations The findings of satisfaction questionnaires and actions taken should be published and made available to residents, relatives, visitors of the home, the commission for social care inspection and other interested parties. Two signatures should be supplied on each transaction undertaken regarding resident’s finances as a matter of good practice. 2 OP35 Gables, The DS0000001975.V297694.R01.S.doc Version 5.2 Page 22 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.V297694.R01.S.doc Version 5.2 Page 23 - 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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