Inspection on 22/08/07 for The Gables

This inspection was carried out on 22nd August 2007.

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 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 23/08/06

The Gables 08/02/06

The Gables 30/08/05

The Gables 17/11/04

The Gables 14/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE The Gables Highfield Road Middlesbrough TS4 2PE Lead Inspector Brenda Grant Unannounced Inspection 22nd August 2007 09:55 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 The Gables DS0000000122.V348276.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. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Address Highfield Road Middlesbrough TS4 2PE 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) 01642 515345 01642 515346 T L Care Ltd Mrs Carol Marie Singleton Care Home 64 Category(ies) of Dementia (32), Old age, not falling within any registration, with number other category (32) of places The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2006 Brief Description of the Service: The Gables is a 64-bedded care home, which is a two-storey purpose built property. The home provides personal care for older people and also for older people who have dementia. There are four dedicated units on both floors within the home. All 64 bedrooms are single rooms with en-suite facilities. At the back of the home there is an enclosed garden. The Gables has been a care home since September 1999 and is owned by TL Care Ltd who operate a further four care homes within the Tees Valley area. The Gables is situated near to Middlesbrough Town Centre with close access to public transport, shops and a public house/hotel. On the date of this inspection the fee at The Gables was £355 per week. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection. We assessed the information from: the Annual Quality Assurance Assessment, surveys that had been completed by residents and relatives, health and social care professionals and we carried out two visits to the home. The visits took place over two days, eleven hours and forty minutes in total. Discussion took place with six residents, two relatives of residents, three care staff, the cook, the activities co-ordinator, a volunteer and the manager. We looked around the home and examined a number of records that included; residents and staff files, health and safety and maintenance checks and complaints, accident and kitchen records. The home calls people who use the care service ‘residents’ therefore they are called residents in this report. The findings from the inspection were of the home providing a good care service with most of the National Minimum Standards being met. What the service does well: The home provided a pleasant, comfortable and homely environment for the residents. The relationship between staff and residents was seen to be very relaxed and it was obvious that staff enjoyed their work. Resident’s rights were respected and residents lived their lives as they wished. One resident said, “It is good there are no silly rules to keep to”. Residents were protected by the homes complaint’s, safeguarding and recruitment procedures. Staff completed basic and additional training. It is commendable that there was more than 91 of care staff were qualified to at least National Vocational Qualification Level 2 and the rest of the care staff, four care assistants, were undertaking the qualification. The home had appropriately trained staff to care for the residents who lived at The Gables. In surveys: The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 6 A health professional commented: “The service does just about everything well”. Residents commented: “I find all the staff lovely and helpful”. “All staff are very dedicated in their work”. “I am very happy”. Relatives commented: “Staff are very caring”. “This is a very well run home”. “The care of my relative at The Gables has exceeded my expectations”. What has improved since the last inspection? What they could do better: The home must be able to show that residents and/or their representatives are involved with reviews of Care Plans. Risk Assessments must be reviewed at the same time as the Care Plans. The home must have a greater variety of food on the menus so that residents are offered a better choice of food. Documentation for the cleaning rota and fridge temperatures of the small kitchens, in the four units, must be kept up to date. The manager must complete her management training and she must make sure staff have one to one supervision, from their direct manager, at least six times per year. The home must complete Risk Assessments for the Control of Substances Hazardous to Health. Results from the quality assurance survey The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 7 must be given in a report and include details of measures to be taken for improving the quality and delivery of the service. 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 summary of this inspection report can be made available in other formats on request. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 8 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 The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using a range of evidence, including two visits to this service. Standards: 3 & 6 Resident’s needs were assessed before moving to the home and they were assured those needs would be met. EVIDENCE: Residents who are funded by the local authority have assessments, carried out by a care manager, which are shared with the home. For those and privately funded residents, the manager carried out a further assessment, so that The Gables could determine whether the needs of the person would be met at the home. The assessment included details of: health, social and personal needs. Two residents and a relative said, they were involved with the assessment process and they had the opportunity to look around the home before the resident was admitted. In a survey, a resident commented, “There was enough information to decide making a choice about this home”. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 10 The home’s assessment did not include some personal details but that information was later documented in a ‘pen picture’ record. It gave the resident’s historical details and the resident’s social interests, hobbies and religion. The home did not offer intermediate care therefore standard six does not apply. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including two visits to this service. Standards: 7, 8, 9 & 10 Resident’s health, personal and social care needs were met and recorded in Care Plans. Residents were protected by the home’s policies and procedures for dealing with medicines. Residents were treated with respect and their right to privacy was upheld. EVIDENCE: A sample of resident’s Care Plans was examined. The home developed a Care Plan for each resident. There was information about the person’s care needs and how those needs would be met. The plans were reviewed on a monthly basis. The home had started asking residents and/or relatives to sign the Care Plans, which confirmed they agreed with the plans. At the time of the inspection ‘site’ visits, not all residents or relatives had signed the Care Plans. Risk Assessments were included with the Care Plans. Risk Assessments informed how risks would be managed; to reduce those risks to an acceptable The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 12 level. The sample of Risk Assessments was examined. They had been regularly reviewed but not always at the same time as the Care Plans. Resident’s files included healthcare visits and appointments. The records showed the regularity of visits for treatment from: doctors and District Nurses, opticians, chiropodists, dentists and other healthcare specialists. The home had equipment to assist staff when they were moving residents. There was also specialist equipment provided, to make residents more comfortable and safe. One resident said, “I have a lovely new special bed, to stop my skin from getting sore”. In a survey, a relative commented, “We are fully informed of all issues regarding healthcare and concerns about my relative” and another relative stated, “Records are always well maintained and monitoring is good”. One relative wrote, “Family are kept up to date with important issues affecting residents”. In a survey a resident commented, “We get well looked after” and another resident said, “I am very happy with my care”. The home took appropriate action for managing resident’s medicines. The storage and recording was found to be satisfactory. Resident’s files did not include assessment details, for whether a resident was capable to look after their own medicines. The manager said that assessment was carried out but not recorded. At the time of the inspection ‘site’ visits the home did not have any residents who were in control of their medication. Staff files confirmed staff had completed ‘safe handling of medication’ training. Staff were observed being respectful to residents and knocking on bedroom doors before entering the room. The relationship between staff and residents was very relaxed and residents, spoken with, confirmed they were treated with respect. One resident said, “The staff are lovely and always willing to help” and another resident said, “They are a free and jolly crowd”. All comments, from residents and relatives, were very complimentary about how staff looked after residents. One resident said, “Everything is satisfactory and I am very happy living here”. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including two visits to this service. Standards: 12, 13, 14 & 15 Residents lived their lives as they wished and residents maintained contacts with families and friends. Residents had choice and control over what they do. The home provided an adequate balanced diet. EVIDENCE: Residents spoken with said, staff tried to make sure individual needs were met. The home offered different activities in the four units that depended on resident’s abilities. The home had two units for people who have dementia and the activities co-ordinator tailored their activities to their level of understanding. On the day of the second inspection ‘site’ visit, a volunteer was leading a sing-a-long which was as preparation for a special event that was to take place in a few weeks. The activities co-ordinator attended resident’s meetings, to find out if residents were satisfied with the activities programme or if they wanted the programme changed. A service user wrote in a survey, “There is an activities programme and I enjoy everything we do”. The home provided for resident’s religious needs by arranging regular religious services from two religious sects. There were also some residents who had their own The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 14 church representative visiting them. The manager said, “If it was not already provided for, the home would always make suitable arrangements to meet resident’s religious and cultural needs”. Staff said, they sometimes accompanied residents to the local shops or they just went out for a walk. The activities co-ordinator planned ‘themed’ events throughout the year and focused on a subject that was of interest to residents. There were also organised outings and trips to the theatre. Residents and staff said, relatives and friends were always made to feel welcome when they visited the home. Staff said the home has regular contact with resident’s families. In a survey a relative commented, “There is a welcoming atmosphere for relatives” and another relative wrote, “Staff have a great rapport with residents and their relatives”. Residents said, they felt they were in control of their lives and they lived their lives as they wished. One resident said, “I can please myself with what I want to do”. Residents said, they were able to bring their personal possessions and have their bedrooms arranged as they wanted them. The manager said, “When a married couple came to the home they were offered two rooms; they could have separate sleeping arrangements or sleep in one room and have the other room as a private lounge”. The home accommodated for residents who wished to: get up early or late, stay in their bedrooms or go to communal rooms. The home’s menus were examined; the four-week menu offered similar food, for the main meal, Monday to Friday. The alternative food, offered to residents, was salad or sandwiches. Four residents said, there was little variety of food offered to them but the food was good. One resident said, “The food is lovely” but another resident said, “The food is very bland and it all tastes the same”. A resident said, “We never get any chicken”. The manager said, she has to keep within a budget but she will look at the menus and see if residents can be offered a greater variety and choice of food. One the day of the second inspection ‘site’ visit, the cook had changed the food from the originally planned fresh vegetables and cooked frozen vegetables instead. The cook said, “There is normally fresh vegetables”. The lunch was well presented and the dining areas were very pleasant. The food stored at the home was of there being fresh fruit and vegetables and a good variety of dried, tinned and other foods. The cook kept a record of the food that had been served to residents and there were completed records for: the cleaning rota, fridge, freezer and food temperatures. The cleaning and fridge temperature records for the small kitchens, of the four units, had not been completed even though each kitchen had a file for the documentation. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including two visits to this service. Standards: 16 & 18 Residents were confident their complaints would be listened to, taken seriously and acted upon. Residents were protected from abuse by the home’s policies and procedures. EVIDENCE: The home had a satisfactory Complaints Procedure. Residents spoken with informed, they did not have anything to complain about but they were confident complaints would be appropriately dealt with. Since the last inspection the home received one complaint and there was a record showing it had been properly investigated and appropriate action had been taken. In a survey a relative commented, “We have no complaints and minor suggestions/observations are always dealt with promptly”. The home had procedures for protecting residents from abuse. Staff records confirmed staff had completed training for safeguarding vulnerable adults. Staff said, they knew of the procedures to follow if there was an allegation of abuse on a resident. The home’s procedure, for safeguarding adults, was that of the Teeswide ‘No Secrets’ Procedure. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including two visits to this service. Standards: 19 & 26 Residents lived in a safe and well-maintained environment. The home was clean, pleasant and hygienic and free from offensive odours. EVIDENCE: The Gables provided a homely and comfortable environment for the residents. The manager informed, there were plans to redecorated the lounges and dining areas and the garden was already being improved. The dining area serving hatches and the lounge, used by residents who wished to smoke, had stained walls. The flooring of a shower room had been painted but some of the paintwork had been chipped and the original colour had not been fully covered by the new colour. The ceiling of a shower room had a hole in one corner. The garden was well maintained and there was a large area, at the back of the The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 17 home, which was paved and had plenty of seating for residents who wished to sit outside in warmer weather. The home’s maintenance records were examined. The requirements of the Environmental Health Department had been met and all fire safety measures were in place. The fire alarm weekly checks were recorded and an up to date Fire Risk Assessment was in place. The home was clean, pleasant, hygienic and free from offensive odours. A relative commented, “The rooms are always kept clean and tidy”. In a survey a relative commented, “They ensure all aspects of cleanliness” and a service user wrote, “The home is fresh and clean”. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including two visits to this service. Standards: 27, 28, 29 & 30 Resident’s needs were met by the numbers and skill mix of staff who were trained and competent to care for the residents at the home. Residents were protected by the home’s recruitment procedures. EVIDENCE: On the days of the inspection ‘site’ visits there was sufficient staff on duty to meet the needs of the residents who lived at the home. We examined staffing figures and they showed there was enough staff for the number and dependency levels of residents. The home had male and female care assistants therefore The Gables offered residents more choice with having care delivered by a care assistant from either gender. Management of the home was of there being two unit managers, some supervisors and senior care assistants who supported the manager. One member of staff said, “We always work as a team and we have good support from management”. In a survey a relative commented, “There is an excellent structure in place and I would be delighted if they can continue to maintain such high standards”. The home had an activities co-ordinator who organised all of the social and recreational events in the home. There was also a volunteer visitor who was also involved with resident’s activities. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 19 The number of care staff who had successfully completed the National Vocational Qualification at Level 2 was more than 91 . The manager said, of the staff that did not have the qualification, those four staff were undertaking the qualification. Supervisors and unit managers had gained the qualification at Level 3. Staff’s training files confirmed staff had completed basic and further training. Some staff had completed extra training specifically for caring of older people with dementia. In a survey a relative wrote, “It is quite clear to me that a high level of training has taken place” and a healthcare professional commented, “I am really pleased with the staff and the service” and “Every member of staff is quite dedicated”. Staff files confirmed the home followed the recruitment procedure, for all staff, and there had been satisfactory checks for the volunteer visitor. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence, including two visits to this service. Standards: 31, 33, 35, 36 & 38 The home was well managed and run in the best interests of the residents. Resident’s personal monies were safeguarded by the home’s procedures. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The manager had experience running a care home for older people. The manager was undertaking training for the Registered Manager’s Award for management of care services. The manager had successfully gained a National Vocational Qualification Level 4 in care. Staff said, the manager gave good support when it was needed. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 21 Staff had annual appraisals; where their performance, in carrying out their role, was reviewed and training needs were identified. Staff’s one to one supervisions had not taken place on a regular basis and they were not at least six times per year. The manager said, she was developing the role of the supervisors, so that they would carry out staff’s one to one supervisions and they would take place on a regular basis. The home had regular committee meetings when management, staff, the activities co-ordinator, the volunteer and resident representatives, from each unit, discussed how the home was run. They all had the opportunity to put forward views for developments and improvements to the service. The home kept minutes of those meetings. The home carried out quality assurance surveys where residents and/or their relatives complete a questionnaire. The results of the surveys had not been compiled into a report but the home’s business plan took account of people’s comments, for developing and improving the service. In a survey, a healthcare professional commented, “The service does just about everything well”. The manager carried out regular audits of the service; records of the audits were available at the home. The provider carried out monthly monitoring visits and prepared a written report on the conduct of the care home, as a result of interviewing residents and staff and inspecting the premises and records. Financial records of monies, held on behalf of residents, were examined and found to be correct. A sample of health and safety records were examined and found to be in order. The manager kept an up to date record of all maintenance and checks that were required throughout the year. Staff had completed health and safety training and the home provided protective clothing for staff’s use. There was documentation for the Control Of Substances Hazardous to Health (COSHH) but COSHH Risk Assessments had not been completed. The manager said, those Risk Assessments would be carried out within the month. It was confirmed that the home met the requirements of the Environmental Health Department and Fire Service. The home kept up to date records for: all accidents, checks of the hot water outlet temperatures and electrical equipment. The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 22 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 3 The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Risk Assessments must be reviewed at the same time as Care Plans, so that both documents can be updated together. Where possible residents or their representative must have the opportunity to agree and sign Care Plans. The menus must have a greater variety of food, so that residents are offered more choice of food. The dining area serving hatches and the lounge, used by residents who wished to smoke, had stained walls. They must be redecorated. The flooring of a shower room, where some of the paintwork had been chipped and the original colour had not been fully, covered must be recovered. The shower room ceiling that had a hole in one corner must be made good. Timescale for action 10/10/07 2. OP15 16 10/10/07 3. OP19 23 31/10/07 The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 24 4. OP31 9 The manager must complete the Registered Manager’s Award training so that she is appropriately qualified to manage a care home. The manager said, she will be completing the training December 2007. Previous timescale of 31/07/07 not met. The manager must devise a report that gives information of the results from the quality assurance survey. The report must include details of measures to be taken for improving the quality and delivery of the service. The manager must make sure staff receive one to one supervision at least six times per year, so that she can make sure they are doing their job correctly. The manager must carry out Risk Assessments for the Control of Substances Hazardous to Health, so that the level of risk can be determined and appropriate actions taken to reduce risks. 31/12/07 5. OP33 24 31/12/07 6. OP36 18 31/10/07 7. OP38 13 30/09/07 The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 25 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 OP9 Good Practice Recommendations Residents should be assessed, to find out if they are capable of looking after and taking their own medicines. The cleaning rota and fridge temperatures, in the small kitchens, should be recorded and kept up to date. OP15 The Gables DS0000000122.V348276.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000000122.V348276.R01.S.doc Version 5.2 Page 27 - 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!