Inspection on 21/10/05 for The Gables

This inspection was carried out on 21st October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 28/08/07

The Gables 30/08/06

The Gables 03/05/06

The Gables 22/11/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Gables Willoughby Road Cumberworth Alford Lincs LN13 9LF Lead Inspector Kima Sutherland-Dee Unannounced Inspection 21st October 2005 09:40 X10029.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 The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. 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. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Gables Address Willoughby Road Cumberworth Alford Lincs LN13 9LF 01507 490661 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) Mrs A D Pennington Mrs A D Pennington Care Home 3 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (3) of places The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age (OP) not falling into any other category (3) Learning Disabilities (LD) (1) The one LD bed is used for the service user named in the Notice of Proposal To Register dated 11/08/05 only The maximum number of service users to be accommodated is 3 2. 3. Date of last inspection 25th July 2005 Brief Description of the Service: The Gables is a large family home with a separate wing. This has three bedrooms, a lounge and kitchen. Upstairs there are 6 bedrooms and a bathroom. The home is owned and managed by Mrs Pennington and there are 2 residents at the home with no staff employed. The home has large gardens and is in a rural location approximately 5 miles from the small town of Alford. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived at the home at 9.40a.m and spent time looking around the home, talking with the one resident at home and with the owner. The inspector also reviewed a sample of the records. What the service does well: What has improved since the last inspection? What they could do better: The upstairs bathroom needs some repair work to the boxed in raised areas, and to the ceiling. The owner needs to attend further training to increase their knowledge of caring for people with learning disabilities. Currently the owner does not have any personal transport and this could restrict the access residents have to other facilities or leisure opportunities. Transport is arranged through taxis and the connect bus. The owner needs to increase the amount of consultation with the residents and their relatives, particularly in regards to their daily routine and their preferred activities. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 6 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 DS0000002673.V261682.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA1, 2, 3, 4, 5 The home does provide useful information for prospective residents but the owner needs to formalise the admission process with contracts and terms and conditions. EVIDENCE: The owner has produced a detailed statement of purpose and a residents guide to the home. The new assessment document covers both physical and social needs of each prospective resident and it would be used to make a decision about whether the home could meet a persons needs, prior to admission. There are two residents at the home but their records did not contain their terms and conditions or contract. Residents do have the opportunity to visit the home before they are admitted. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): OP7, OP8, YA6, YA9 The home is meeting the health care needs of the residents including safely administering medication. The manager treats people with respect and maintains their dignity. EVIDENCE: The care records were detailed and they demonstrate that the owner has an understanding of each persons needs. The daily contact sheets record that one of the residents attends a day service 5 days each week and the other resident went out with a relative during each weekday. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 10 One resident was at home during the inspection and they could not confirm that they knew about their care plans or whether they were consulted. The owner said that this resident had only been at the home for 3 weeks and they had shown they had settled in through positive changes in their behaviour. The records had information about health care needs and all medical appointments were recorded. Any medication dosages were recorded as administered. The owner has kept records of visits by the chiropodist. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA11, 14, OP13, YA 13, 15 OP14, YA7, OP15, YA17 The resident’s can choose their activities but when they are unable to make an informed choice the manager needs to guide them in appropriate activities and increase their opportunities. The manager offers a wide variety of meals and the residents can make their choices daily. The lack of personal transport could limit the availability of opportunities outside the home at times to suit the residents. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 12 EVIDENCE: The care plans do detail the resident’s daily routines. One persons routine was set by the family rather than the resident and the manager needs to increase this persons opportunities and to talk to the resident about their own wishes and choices. When there is conflict the manager should try to resolve this in the best interests of the resident. The menus are extensive and interesting. The fridge and freezer were well stocked and each resident can have their choice of meals each day. There are also facilities for the residents to make their own drinks and snacks. The manager did not have personal transport and taxi’s or the call connect bus were used. Transport by car could be arranged in advance. Although this has not stopped any trips out of the home it is limiting and the manager said that transport would be arranged as soon as possible. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA22, 23 The manager knows how to respond to complaints and has the documents ready if any complaints are made. The manager needs to get a copy of the Lincolnshire adult protection procedures and they must familiarise themselves and any future staff with the procedures. EVIDENCE: The home has the complaints policy in the statement of purpose and the manager has informed the residents about making complaints. The manager did not have a copy of the adult protection procedures. The manager has attended a 1-day course in the protection of vulnerable adults. The manager discussed a situation with the inspector who advised that the manager contacts a resident’s social worker for further advice. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 23, 24, 25, 26. The home offers a comfortable and pleasant environment that is kept clean and well decorated. EVIDENCE: The inspector saw 3 residents bedrooms and those that the manager intends to use for future residents. The rooms were of a good size and well decorated. The new resident said they like their room and they had everything they needed. An inventory of the resident’s possessions had been completed. The The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 15 home offers separate accommodation for the residents including a bathroom, kitchen and lounge although the residents are welcome in the family part of the home as well. The upstairs bathroom requires some repair and redecoration, but the downstairs bathroom is well decorated and fitted. There are large gardens and one of the residents enjoyed spending time outside. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected, as the manager is the only current member of staff. This will be assessed at the next inspection. EVIDENCE: The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 37, 38 The home is run in the best interests of the residents. The manager does verbally consult with the resident but this is not recorded. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 18 EVIDENCE: The manager keeps records about the residents securely and appropriately shares this information. The care records did include risk assessments for the environment and each person’s activities. The resident said that they are asked about what they want to do but the manager had not recorded this in the care plans. The home has not developed a quality-auditing tool yet to gain the views of the residents and relatives. This will need to carried out formally when there are more residents in the home. Views are gained informally through daily chats to the residents and close contact with the relatives. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 19 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 3 2 2 3 3 4 3 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 ENVIRONMENT Standard No Score 19 3 20 3 21 2 22 X 23 3 24 3 25 X 26 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 2 34 X 35 X 36 X 37 3 38 3 The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 20 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 YA5OP2 Regulation 5(b)(c) Requirement Timescale for action 30/01/06 2 OP18 13(6) The home must provide each resident with a contract and terms and conditions, these must be signed and agreed with the resident or their family. The registered manager must 30/12/05 keep a copy of the ‘Lincolnshire Adult Protection Procedures’ and they and staff must understand how to act is they suspect abuse. 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 Good Practice Recommendations YA14OP14YA11OP12 The registered manager should help the residents make informed choices about their routines and activities These should be recorded. Where this is in conflict with the family the manager should help the resident make decisions in their own best interests. YA13OP13 The registered manager should make provision for private transport as soon as possible. YA27OP21 It is recommended that the upstairs bathroom be redecorated and repaired before any further DS0000002673.V261682.R01.S.doc Version 5.0 Page 21 2 3 The Gables 4 YA39OP33 residents are admitted. It is recommended that the manager develops a formal review of the quality of the service and carries this out regularly. The Gables DS0000002673.V261682.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 DS0000002673.V261682.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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