Inspection on 23/06/05 for The Gables

This inspection was carried out on 23rd June 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 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 19/06/07

The Gables 23/11/06

The Gables 07/10/05

The Gables 29/11/04

The Gables 15/07/04

The Gables 20/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Gables 13 St. Marys Road Netley Abbey Southampton SO31 5AT Lead Inspector Beverley Rand Unannounced 23 June 2005, 10:00 rd 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 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 H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Gables Address 13 St Marys Road Netley Abbey Southampton Hampshire SO51 5AT 023 8045 2324 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) Mr David Jackson & Mrs Thelma Jackson Mrs Karen Edney CRH 24 Category(ies) of Dementia, over 65 - DE(E) - 24 registration, with number Old Age - OP - 24 of places The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29.11.04 Brief Description of the Service: The Gables is a care home offering accommodation and personal care to 24 people over the age of 65, some of whom may have dementia. The home is owned by Mr and Mrs Jackson, who have an active role in the home, and managed by Karen Edney. The home is located in the quiet residential area of Netley, which is on the outskirts of Southampton. There are local shops and amenities nearby. The accommodation is on two floors, and there are 14 single bedrooms and 5 shared. Communal space is comprised of a lounge, dining room and large conservatory on the ground floor. There is an enclosed garden and patio area at the rear of the property and a car park at the front. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the first unannounced one of the year, and took place over five hours. The inspector spoke with five residents, one visitor, five staff, the manager and the owners. Records such as careplans were looked at. What the service does well: What has improved since the last inspection? What they could do better: The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 6 The careplans which detail how staff must support residents, should contain more information about all aspects of their lives. An example of this would be in someone was feeling ‘low’, the careplan should say how the staff would know, and what they should about it. Staff did not know the home’s procedures regarding what to do if there was an allegation of suspicion of abuse in the home. 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 H54 S11862 The Gables V227280 230605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 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 standard(s) 3 & 4 The home ensures that no service user moves into the home without having their needs met. EVIDENCE: The inspector viewed a pre-admission assessment for a new service user, who had spent a day at the home before moving in. The home undertook their own assessment which included all the necessary information and also asked for and received assessments from other health/social care professionals. The home has information regarding individual service users’ needs, for example, dementia, and staff knew how to access it. During conversations with the inspector the staff demonstrated understanding of individual requirements. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 9 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 standard(s) 7, 8 & 10 Insufficient information in care plans means staff cannot respond consistently to all of an individuals needs. Relationships are in place between the home and healthcare professionals which ensure that health care needs are met. The home’s culture ensures that service users do feel they are treated with respect and dignity. EVIDENCE: Careplans were detailed with regard to physical support needs, but need to be more in depth regarding mental health needs. For example, if someone can become ‘low in mood’, the careplan should detail how staff can recognise the signs and how they should respond in an individual, but consistent way. Careplans sampled showed evidence of service users signing the plan, and plans are reviewed every month. The home is visited when necessary by GPs, Psycho geriatricians, Community Psychiatric Nurses, the Memory Nurse, the District Nurse, the chiropodist, the dentist, etc. Service users and staff said that service users generally see healthcare professionals in their own room, but occasionally see one of the local GPs and the optician in someone else’s room, because of poor mobility. This situation has improved since the last time the standard was assessed, but The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 10 the manager and staff should ensure that all possible action is taken to minimise this occurrence and that informed consent is obtained. Staff gave the inspector examples of how they respected residents’ privacy and dignity. These included using screens in shared rooms, ensuring doors were closed and covering people when undertaking personal care. Residents confirmed that staff use screens and are always polite. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 11 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 standard(s) 12, 13 & 15 The relaxed routines ensure that service users are happy at the home, and that visitors are made to feel welcome. Mealtimes are enjoyable. EVIDENCE: Activities include bingo, exercises to music, singers, arts and crafts sessions, trips out in the mini-bus and flower arranging. On the day of the inspection a BBQ was planned for the afternoon. Residents told the inspector that they had recently enjoyed a trip to Hamble, where they had an ice cream and ‘watched the world go by’. Two residents said they would like more activities, such as going out and exercises, and one of them said they would be particularly interested in animals. The manager ensures that there is more staff on duty on Wednesday and Thursday afternoons, so that activities can take place. A record is kept as to who takes part, and thought is given to people’s interests and abilities. Not all residents take part, even though the inspector heard the manager encouraging one person. Residents are able to get up and go to bed when they like, and this was evidenced at least one person getting up after the inspector had arrived at 10am. Staff gave examples of people choosing what time to get up etc. A visitor said that they were always made welcome, and often joined in with the exercises to music and other activities. A resident said that visitors can come when they like, and that the home ‘feels like a big family’. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 12 The cook said that there is a three week rolling menu for the meals, but is varied on a daily basis as necessary. She was aware of people’s individual requirements, such as part vegetarian, or not wanting quiche on a Friday. One resident said the food was, ‘really, really good’ and that if you didn’t like something the cook would do something else. Another resident said the menu did not vary much, but was happy with this. Three other residents asked said they enjoyed the food. Service users choose whether to eat in the dining room or their own rooms. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 13 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 standard(s) 18 The lack of staff knowledge regarding the home’s procedure regarding the protection of vulnerable adults means that service users are not fully protected. EVIDENCE: The manager was fully aware as to the home’s procedure regarding the protection of vulnerable adults. However, the staff were unclear. Whilst they all said that they would report any suspicions or allegations of abuse to the manager, they were not clear what would happen then. Additionally, staff and senior staff were not sure what to do if the providers and manager were unavailable, (saying that they would observe and report when they returned) or if the allegations were against management. Staff have received training in the protection of vulnerable adults, but need clarification regarding the home’s policies and procedures. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 14 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 standard(s) EVIDENCE: This standard was not assessed, but decorative changes have been made in the home. The hallway has been re-decorated, and new carpets are on order. There are some new bedspreads, and one of the bedrooms has been decorated. Some residents were identified as needing raised toilet seats and these have been put in place. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed. The Gables H54 S11862 The Gables V227280 230605.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 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 x x x x x x x x The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 18 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 OP7 Regulation 15 Requirement Timescale for action 31/08/05 2. OP18 13 (6) Careplans must set out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the service user are met. All staff must be aware of the 31/08/05 correct adult protection procedures, and know what to do in the absence of management. 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 OP8 Good Practice Recommendations The manager should continue working with healthcare professionals to ensure that residents see them in their own bedrooms. The Gables H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 19 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 H54 S11862 The Gables V227280 230605.doc Version 1.30 Page 20 - 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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