Inspection on 27/02/07 for The Gables

This inspection was carried out on 27th February 2007.

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 23/02/06

The Gables 27/10/05

The Gables 11/11/04

The Gables 01/03/04

The Gables 30/09/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE The Gables 65 Skipton Road Silsden Keighley West Yorkshire BD20 9LN Lead Inspector Nadia Jejna Unannounced Inspection 11:00 27 February 2007 th 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 DS0000029159.V326650.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 DS0000029159.V326650.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Address 65 Skipton Road Silsden Keighley West Yorkshire BD20 9LN 01535 655846 F-P 01535 655846 rgsmith@tesco.net 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 C M Mallinson Mr R G Smith Mrs C M Mallinson Care Home 44 Category(ies) of Dementia - over 65 years of age (13), Old age, registration, with number not falling within any other category (44), of places Physical disability over 65 years of age (31), Terminally ill over 65 years of age (1) The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 Brief Description of the Service: The Gables is in the outskirts of Silsden, a large village between Keighley and Skipton. It is a care home with nursing and provides a service to people over the ages of 65 who may have physical disabilities or dementia related illness. The Gables is a large, detached period property that has been adapted in keeping with its character and two extensions have been added to the original building. The home stands in its own grounds and there are pleasant garden areas near the reception area with a water feature and sitting areas where residents can enjoy the sights and sounds of the garden. Car parking areas have been provided. Accommodation is provided over three floors in single or double bedrooms. Most of the bedrooms have en suite facilities and there is ample provision of communal toilets and adapted bathing facilities. There are two lounges, a dining room and a large conservatory providing comfortable communal seating areas with views of the gardens. Information about the services provided by the home can be obtained from the providers in the form of a brochure and Service User Guide. Copies are kept in the reception area of the home and can be posted out on request. At the time of writing this report the weekly charges for care are from £477 to £550. The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started on 27th February 2007 and a second visit was made on 9th March 2007. The home did not know that this was going to happen. Feedback was given to the manager during and at the end of the visit. The purpose of the visit was to make sure the home was being managed for the benefit and well being of the residents. Before visiting the home the inspector asked for information from the manager. This included asking about what policies and procedures were in place and when they were last reviewed, when maintenance and safety checks were carried out and by whom, menus used, staff details and training provided. It was returned in the pre inspection questionnaire (PIQ). Comment cards were sent to the home to be given to residents, their relatives and other visitors to find out what their views of the home were. At the time of writing this report twelve resident responses had been returned. In order to find out how well staff knew residents care plans were looked at during the visit, and residents, visitors and staff were spoken to. Other records in the home were looked at such as staff files, complaints and accidents records. What the service does well: The home provides a good standard of care to residents in a comfortable and well-maintained home. It is decorated and furnished to a good standard. Residents said that they can bring in their own belongings to personalise their rooms and that the home was always clean tidy and did not smell. They said that the food was good. Visitors said that they could visit the home at any time. That they were made welcome, and were offered refreshments by staff. This makes it a pleasant, comfortable and homely place to live. Relationships between staff and residents were warm and friendly. Residents said that they were happy with the care provided and that the staff were kind and caring. They said that they can choose how and where to spend to their time and whether or not they want to join in with the planned social activities. The home has an activities organiser and an excellent range of activities is provided such as crafts, entertainers and trips out. The activity organiser also spends one to one time with residents talking about their past and finding out what they would like to do. Visitors said that staff keep them informed of any changes with their relative and knew that help from other healthcare professionals, such as the GP or tissue viability nurse, was asked for when needed. They said they were happy The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 6 and satisfied with the care and support their relatives received. One said that they were ‘relieved and grateful that their relative was being cared for by people who are genuinely concerned about their residents and families. The levels of care and nursing provided are very high.’ Information about services provided by the home is available and lets residents and their relatives decide if the home will be suitable for them. Staff visit prospective residents to assess their needs to make sure that the home and staff team will be able to meet them. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. The Gables DS0000029159.V326650.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 The Gables DS0000029159.V326650.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can make an informed choice about the home through visits and the information they are given. EVIDENCE: Information about the home is available on request in the Statement of Purpose and Service User Guide. This is being revised and redesigned by the provider, but they have made sure that there is always an information pack in the reception area and copies will be given to enquirers. It provides good information about the home and the services it provides. Prospective residents and their relatives are welcome to visit and look around the home at any time. Trial visits are offered so that they can spend a little time talking to staff and residents before they make their minds up about coming to live in the home. The information given to them states clearly that if The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 9 they choose to come to the home a pre admission assessment will be carried out and the first few weeks will be a trial period. Information received from residents said that: • They had been given enough information about the home before they chose it. • Contracts and/or terms and conditions of residence had been put in place. One said that their son looked round the home and was pleased with it; he had looked at other homes. Three care plans were looked at. These showed that the manager or one of the nurses had visited the individual to assess their needs before they were admitted to the home. This information was used to make sure that the home would be able to meet their needs. The manager was advised to look at the homes registration categories and skill mix of the staff team when the pre admission assessments had been completed, because one of the residents admitted two months earlier had mental health care needs. The manager said she would look at the document used, and make changes where appropriate. For example recording the reason why twenty-four hour care was needed, would identify staff need additional training to meet their needs and if any special equipment was needed. The Gables DS0000029159.V326650.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents care needs are met and they are treated with respect. EVIDENCE: The care plans are computer generated. The manager and nurses put in the information. Care staff record events on a daily basis and it is then added to the plan if applicable. The information is printed from the computer regularly and placed in resident’s files. Three were looked at. These showed that care plans were in place for assessed and identified needs. They would benefit from being more detailed and individual to the residents needs, strengths and abilities. Staff had a very good understanding of individual residents personalities and how to help them but this was not documented in the plans seen. For example the care plan for a resident with dementia did not say what type of dementia they had, how it affected them and what staff could do to help. The manager evaluates and reviews the plans regularly producing a summary of progress and changes since the last summary. These were detailed and informative. It was seen that either the resident or their relatives had been involved and that they were kept up to date with any changes. The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 11 Communication books are kept in each resident’s room so that staff and relatives can pass messages to each other in this way if they wish to. Some of the books were used regularly by the relatives and provided a good system of communicating and letting people know if the resident was running short of toiletries or if the GP had visited and they needed to speak to the nurse in charge. This is good practice. The records seen had a section stating if the resident was to be resuscitated or not. The manager said this was agreed with the resident and or their relatives. She was advised to make sure that detailed, signed records were kept about the agreements and that other healthcare professionals such as the GP were also involved. Nutritional assessments are carried out and residents are weighed at regular intervals. If an individual is at risk of losing weight or loses weight the GP is contacted for advice and to request referral to a dietician if appropriate. Assessments about the risk of developing pressure sores are carried out and appropriate care plans put in place. Specialist pressure relieving equipment is used for those residents who are at risk. The manager has made links with the tissue viability nurse and contacts them for advice and support as needed. Falls risk assessments are carried out. If a resident is at risk of falling or has fallen, the manager said they will contact the GP for advice. She said she would contact the falls prevention team for advice and support as well. Some residents were seated in Kirton ‘bucket’ style chairs for safety and comfort reasons. The manager had not done risk assessments but said that they would be put in place for using these types of chairs. Information from residents said that: • They got the care and support they needed. • Staff usually listened to and acted upon what they said. • They received the medical support they needed. • Their privacy was respected. Visitors spoken to said that: • They were very grateful for the way their relative’s needs were met by caring and concerned staff. All staff were involved and interested and their concern extends to the relative and their family. • Staff had been asked to have music playing when their relative was in their room and this was almost always done. • They were very satisfied with the care and support their relative was given and the high standard of care provided. • They were kept informed of any changes. The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 12 The manager said that they have just changed the medication systems to start using the monitored dosage blister packs. The medication administration records seen were up to date. The manager said that a copy of the homes medication policies would be sent to the CSCI. The medication storage room has recently been moved to another larger room and work has not been fully completed. The door to the room still needs to be fitted with a Yale type lock that does not need a key to lock it. The provider said that this would be done. The Gables DS0000029159.V326650.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): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are offered a good range of social activities, they are helped to exercise choice and control over their daily lives and to maintain contact with family and friends. EVIDENCE: The PIQ said that there were regular planned social activities such as exercise to music twice a week, entertainers, library book service, quizzes, reminiscence sessions, crafts, baking, gardening and trips out. A list of activities for the week ahead was displayed in different areas of the home and given to residents and their relatives. An activity organiser is employed for thirty hours per week. They have completed various training courses especially for activity organisers in care home settings and said that they had been very useful and were keen to do more relevant training. It was clear that they were committed and very enthusiastic about their role. They have done detailed social and leisure assessments for each resident that looks at their past life history, family links, interests, hobbies as well as cultural and religious needs. This is used when planning activities. The manager said that she was looking at including this information in the care files, as it would be useful in the care planning process. The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 14 The activity organiser keeps a record of what activities individuals have joined in with. Different events are photographed and the pictures displayed for all to see and enjoy. If individuals are not joining in with group sessions she will see them in their rooms and find out what they want to do. The activity organiser has made links with local churches and every month there is an in house service from the local parish church. Other links have been made with community groups and some of the residents regularly go to the local community centre, another goes to the Salvation Army Citadel and others to support groups for people with mental health and eyesight problems. Links with local schools have been made and children come in to see the residents and sing for them at Christmas time. Two weeks menus were sent with the PIQ. Only one course is offered at the main mealtime but alternatives are always available. The cook said that she knew what resident’s likes and dislikes were and the menus were based around them. Meals are discussed at residents meetings and residents can make suggestions for different meal ideas. Special diets are catered for such as for people who are diabetics. The cook was aware of ways of enriching food and meals for people who had lost or were at risk of losing weight. The kitchen was clean, tidy and well organised. The cook said that records of fridge, freezer and food delivery temperatures and cleaning schedules were kept and up to date. Information from residents said that: • There was a lively programme of activities. • They enjoyed the meals provided. • The cook was doing well ‘accommodating my dietary needs’. A visitor said that staff had shown great patience and understanding helping their relative ‘to eat and to find a favourite taste for them’. The Gables DS0000029159.V326650.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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel safe and can be confident any complaints will be taken seriously. EVIDENCE: The complaints procedure is included the information pack and displayed in the reception area. It is clear and easy to follow. Information from residents and their visitors was that they knew who to speak to if they had any concerns. The PIQ said that there have been two complaints since the last inspection. Records seen showed that the manager had investigated these and responded to the complainants to their satisfaction. One was about food and the manager spoke to the complainant to resolve their concerns. The home has adult protection policies and procedures in place. Not all staff have received training about abuse and adult protection yet. The manager said plans are in place to provide it. Staff spoken to said they would not hesitate to report actual or suspected abuse to the manager or person in charge. The Gables DS0000029159.V326650.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): 19, 20, 21, 22, 24 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is clean, tidy, well maintained and suitable for their needs. EVIDENCE: The providers are committed to making sure that the home is well maintained and there is continual programme of redecoration and refurbishment. Since the last inspection four of the double rooms have been fitted with en suite facilities. At the time of the visit the downstairs lounge was being redecorated. There are two lounge areas and one dining area on the first floor, and a lounge on the ground floor. They provide views of the gardens and are comfortably furnished, providing a pleasant place for people to sit. When the weather is good residents can out to walk round the gardens and patios have been provided with furniture so they can sit and enjoy the gardens and fresh air. The gardens have been planted with a variety of flowers and shrubs, some of The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 17 which are scented so they will appeal to people with poor eyesight. Some of the flowerbeds have been raised so residents can look after them if they want to. There is a water feature and two raised ponds with Koi carp that adds to the sensory stimulations provided. The home also has two pet guinea pigs and residents can enjoy watching and listening to them. Many of the bedrooms were seen. It was clear that residents are able to bring in their own belongings and make the room more homely and ‘theirs’. Many of the rooms had height adjustable beds and a large number of these were profiling beds. The manager said they were buying these types of beds because they provided more comfort for the residents and were safer for staff if the resident was being nursed in bed. There is ample provision of adapted bathrooms, communal toilets and there is one assisted shower. Equipment to help with moving and handling needs of residents is available but there is an issue around storage space for it. Hoists and wheelchairs were stored in corridor recesses and at times in front of toilet doors. The provider is aware that storage space is a problem and is looking at ways of dealing with it. All areas of the home seen were clean, tidy and fresh. There were no bad odours anywhere. The home has a team of domestic staff including laundry staff. Good infection control practices were seen, staff were wearing disposable aprons, using disposable gloves and domestic staff used colour coordinated cloths and equipment for different areas of the home such as toilets or bedrooms. The laundry room was tidy and residents clothing appeared well looked after. Residents said that the home was lovely and clean, it was always spotless, tidy and there were never any lingering smells. The Gables DS0000029159.V326650.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): 27, 28, 29 and 30. Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Recruitment procedures must be more thorough to protect residents. EVIDENCE: Two weeks duty rotas were sent with the PIQ. These showed that there were enough staff on duty to meet the needs of residents. Information from residents and their relatives confirmed this. During the visit there were enough staff on duty to meet the needs of residents, call bells were answered promptly and there was a calm atmosphere. From talking to the manager and staff it was clear that staff are encouraged to attend training sessions and events. The PIQ said that twelve of the twentythree care staff have achieved NVQ (National Vocational Qualification) level 2 or above and that over the last twelve months training sessions have included: • Fire safety, • Moving and handling, • Introduction to palliative care, • Nutrition and wound assessment, From looking at staff records though it was seen that staff have not yet received all the training needed in order to maintain the health, safety and well being of themselves and the residents, as well as the specialist health care The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 19 needs of residents. For example the home provides care to people with dementia but not all staff have had training about dementia. Training around safe moving and handling was not up to date for all staff and only one person has a first aid certificate. The manager is in the process of auditing staff files so that she can identify what training individual members of staff need. This must be done so that training can be planned in order to make sure that all staff receive appropriate training to maintain the health, safety and well being of themselves and residents, as well as the specialist care needs of residents. The manager was also advised to look at the induction training provided to make sure that it is to Skills for Care common induction standards. Five staff files were looked at. These showed that: • Three had been employed with only reference rather than the two required by the Care Homes Regulations. • Two had been employed before the enhanced CRB (Criminal Records Bureau) disclosure had been received. • Nurse’s registrations with the NMC (Nursing and Midwifery Council) had been verified. • Proof of identity and that the individual could work in the United Kingdom had been checked. The Gables DS0000029159.V326650.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): 31, 32, 33, 35, 26 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed and run in the best interests of residents. EVIDENCE: The home has two registered providers and the manager is one of them, she is a registered nurse with many years experience in the care of older people. The providers are very ‘hands on’ and are in the home most days. The manager deals with the care side of the business and the other provider deals with administrative matters, maintenance and health and safety related matters. Residents, visitors and staff said that they are open, approachable and supportive. Regular residents meetings are held. The activities organiser and one of the nurses run these, and they use a different theme at each meeting. The last The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 21 meeting at the end of 2006 was about staff and what did residents expect from them. The outcome of this was that residents wanted the staff to be caring, to listen to the residents and understand their needs and feelings as well as being smart in appearance. The residents said that they were happy with the staff team. Records are kept and if any suggestions are made they will be acted upon if it is felt they might make improvements. The manager said that she meets with staff all the time as part of the working day, and regular informal meetings are held to discuss any issues that might arise, i.e. changes in the home or with residents needs. She said that there is a nominated staff representative who can deal with staff issues and bring them to the management team if needed. The manager said that staff supervision and appraisal is provided at least twice a year. She said that informal staff supervision is provided much more often. This system needs to be formalised to make sure it is provided at least six times a year and that records are kept. The provider looks after financial matters for one resident at their request and has done so for a number of years. Appropriate records are kept of all financial transactions made on their behalf. The home has got the Investors In People quality assurance award and is due to be reassessed for this in the near future. The most recent residents survey was in January 2006. Questionnaires were sent to all residents and they received 16 responses. The outcome was summarised in a letter and sent to all the relatives. It will be included in the information file about the home that is kept in the reception. The PIQ said that all appropriate policies and procedures are in place and staff are aware of them and have ready access to them. Accident records are kept. These would benefit from additional information about treatment given and the outcome of the accident. The PIQ said that all maintenance and safety checks are carried out and up to date. The manager said that the handyman carries out the weekly fire alarm checks. He has attended a fire safety training facilitators course and provides this to staff every six months. The Gables DS0000029159.V326650.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 3 3 3 X 3 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 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 4 4 4 3 X 4 X 4 STAFFING Standard No Score 27 3 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 3 The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 23 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 OP18 Regulation 13 Requirement The manager must make sure that all staff receive training around abuse awareness and adult protection. The manager must make sure that all pre employment checks are in place before offering employment to staff. The manager must make sure that all staff receive training that helps them to maintain the health, safety and welfare of themselves and residents as well the specialist care needs of residents such as dementia. The manager must make sure that staff receive formal supervision at least six times a year and that records are kept. Timescale for action 30/09/07 2. OP29 19 30/04/07 3. OP30 18 30/09/07 4. OP36 18 30/09/07 The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 24 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 OP3 Good Practice Recommendations The manager should make sure that when the pre admission assessment has been carried out the homes registration categories and skill mix of the staff team are looked at. This is so that they can be sure the home can meet the resident’s needs. The manager should look at making the care plans person centred and more detailed about how to meet individual residents needs. Their strengths and abilities should be included. The manager should make sure that detailed, signed records were kept about the agreements made around resuscitation and that other healthcare professionals such as the GP were also involved. The provider should review the provision of storage space to reduce the use of corridors for storing equipment such as hoists and wheelchairs. The manager should make sure that the induction training given to new staff is equivalent to the Skills for Care common induction standards. 2. OP7 3. OP8 4. OP22 5. OP30 The Gables DS0000029159.V326650.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 DS0000029159.V326650.R01.S.doc Version 5.2 Page 26 - 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!