Inspection on 27/10/05 for The Gables

This inspection was carried out on 27th October 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Gables 27/02/07

The Gables 23/02/06

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 Ashley Fawthrop Unannounced Inspection 27th October 2005 10:00 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.V259659.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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.V259659.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Gables Address 65 Skipton Road Silsden Keighley West Yorkshire BD20 9LN 01535 655846 01535 655846 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.V259659.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2005 Brief Description of the Service: The Gables is an adapted property two extensions to the original building. The home provides accommodation for 44 older people who’s special needs include physical disabilities, dementia related illness or both. The home does provide nursing care. The home provides single and twin bedrooms on two floors, there are two lounges a dining room and a conservatory. The home is situated on a bus route on the outskirts of Silsden village. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook the inspection in one day. The process of inspection included reading reports and documents, policies and procedures talking with senior staff and service users. On the day of the inspection the registered provider was not available, however, the home was staffed with both qualified nurses and care staff and the senior staff had good knowledge of the conduct of the home. Information is available to prospective service users and their representatives prior to admission. Pre admission assessments are undertaken and service users have the opportunity to visit the home prior to admission. The care plans are computer generated and are lifted of the system at regular intervals. On inspecting these they do give a picture of the changing needs of the individual and the action taken to meet these needs. The care plans cover the health and social care of the individual, however, there is no evidence that the service user has any involvement in developing the plan. Activities are offered and the service users have the opportunity to participate, service users are encouraged to maintain contact with family and friends and do entertain visitors in private. There are appropriate complaints and whistle blowing procedures. Investment is being made into the building on a regular basis the standards of furniture and furnishings are good. The equipment needed to deliver nursing care is good. The home is clean, light and welcoming. Both qualified nurses staff the home and care staff they are appropriately recruited and check for criminal offences are undertaken. Training and updates are by staff regularly. There is evidence that the home is run for the benefit of the service users and there views are taken into consideration. The safety of the service users, staff and visitors are ensured through the health and safety procedures and documents. What the service does well: The home provides information to prospective service users in detail so that they can make an assessment whether the home can meet their needs prior to admission. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 6 The environment is bright clean and welcoming, the equipment provided for nursing procedures is good. The home is run for the benefit of the service users and their wishes and views are taken into account. 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 Gables DS0000029159.V259659.R01.S.doc Version 5.0 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.V259659.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5 The home does provide appropriate information and assesses individuals prior to admission. However, the registered person must ensure that where service users have dementia related illness leaving the building is not an issue as the home is not a secure unit. EVIDENCE: The home has a Statement of Purpose that is available to all current and prospective service users and their families. There is a Service users Guide that is given to all prospective service users or any one enquiring about the service. The information gives the individual information about the home and the care provided so that the individual can make a decision on whether the home could meet their individual needs or not. There are pre admission assessments on file many of these are from Social Workers as most of the service users have been admitted via the Social Services. The home also has it’s own assessment where service users have purchased their own care. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 9 Prospective service users and their families are invited to visit the home prior to admission, and is particularly important where the service user may have a dementia related illness as the home do cater for this, however, the home is not have secure doors and there is a risk if the individual wanders. This home does not provide intermediate care. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, and 10 Sufficient information is available for staff in the care plans for staff to provide care on a day-to-day basis. Both physical and social needs are included it is difficult to assess how much staff have input into the plan as there is no hand written information on file and I could find no evidence of service user input. EVIDENCE: All the service users continue to have a care plan that documents their individual needs. The plans include the physical, psychological and social needs. The format is computer generated and the senior staff puts in the information. Care staff record events on a daily basis that is then added to the plan if applicable. The information is lifted of the computer regularly and is placed on an individual file and on reading these there is a picture of the individuals changing needs. On reading the plans there was no evidence that he service user or their families/ representatives had input into the planning of care. The individual’s health and social needs are met and the plans are individual During the inspection I observed and spoke to service users who were enjoying the privacy of their own rooms. Individuals were happy with the level of care The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 11 they received from the staff they said that they were treated with respect and their privacy was respected. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 and 15 On the whole service users find that the home fits their life style. The registered person and staff encourage service users to maintain contact with family and friends. Service users spoken to were happy with the food and the level of activity. EVIDENCE: There is evidence that the routines of daily living are flexible. During the inspection staff were assisting service users with different care tasks some remained in bed while other were up and about either in the lounges or in their bedrooms. Visitors were in the building and some service users were going out. Staffs were dealing with a new admission and were answering the queries of the relatives politely and accurately. Activities are offered and service users have the opportunity to be involved. There is evidence that traditional festivals are celebrated and pictures of activities are on display. Service users said that the food varied mostly it was very good and there were no concerns raised about the timing of meals. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 Complaints are taken seriously and appropriate action is taken. Service users are aware of how to complain. EVIDENCE: There is an appropriate complaints procedure in the home that is available to both service uses and, relatives and visitors. There is a copy in the Statement of purpose and the Service User Guide and one on display within the home. Complaints received in the home are recorded in the complaints file. There have been no complaints since the last inspection visit, however, complaints in the past have been dealt with appropriately. Service users said they were happy with the care they received and knew who to complain to if they were not. There are policies and procedures in place that enable staff to identify and act on allegations of abuse. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 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 the following standard(s): 19,20.21, 22, 23, 24, 25 and 26. There is continuous investment into the premises the surroundings are comfortable and clean bedrooms are individual the levels of equipment for nursing care are good and the home is bright and welcoming. EVIDENCE: The home employs maintenance staff to ensure the home is maintained to a good standard. There are lounges on two floors of the building with a large conservatory. There are gardens to the front of the premises with sitting areas. There are toilets and bathrooms on each floor these are appropriately furnished and are near to sitting areas. On touring the building I noted that service users bedrooms were decorated and furnished individually there was evidence of service own personal possessions giving the home a feel of ownership. Bedrooms were also furnished with appropriate equipment to meet nursing needs. There are staff employed to clean the home on a daily basis there were no odours on the day of the inspection and the home was clean. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The service users are protected against abuse by the recruitment procedures the mix of staff and knowledge of staff is good and they meet the needs of the service users. EVIDENCE: Qualified nurses and care staff staff the home. The turn over is relatively low both nursing and care staffs have the opportunity to undertake training. There is a thorough recruitment policy the process includes the completion of an application form, checking references and undergoing checks by the Criminal Records Agency proof of identity is evident in the form of photographs on passports or driving licenses. Interviews are undertaken the process ensures that service users are kept safe and are cared for by appropriately checked staff. Both qualified and care staff have access to training courses and updates records are kept on the staff files. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38 The home is run in the best interests of the service users and they are kept safe by the Health and Safety policies and checks that are in place. EVIDENCE: The proprietor of the home is also the manager and has been registered as a fit person by the Commission. There is evidence of both staff and service user meetings and service users said that their preferences in food and activities are sought and acted upon. The records and policies and procedures are up to date and kept in good order and are stored appropriately. The records relating to the health and safety of the home were up to date the fire alarm is tested regularly. Risk assessments of the environment are updated regularly. The Gables DS0000029159.V259659.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 3 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 Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 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 3 x 3 X X X X 3 The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 18 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 OP7 Regulation 15 (1) Requirement Service users must have the opportunity to be involved in the development of their care plan this should be evident in the plan. Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Gables DS0000029159.V259659.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 DS0000029159.V259659.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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