Inspection on 28/02/06 for The Gables

This inspection was carried out on 28th February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Gables 12/09/08

The Gables 12/09/07

The Gables 10/08/06

The Gables 18/08/05

The Gables 21/02/05

The Gables 04/10/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 The Gables 7 Park Terrace Bedlington Station Northumberland NE22 7JY Lead Inspector Allan Helmrich Unannounced Inspection 28th February 2006 10:00 The Gables DS0000000533.V259130.R01.S.doc Version 5.0 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 DS0000000533.V259130.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Gables Address 7 Park Terrace Bedlington Station Northumberland NE22 7JY 01670-826639 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 D Brown Mrs D Brown Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two named service users have a Learning Disability. No further admissions should take place for category LD without prior consultation with NCSC. 18th August 2005 Date of last inspection Brief Description of the Service: The Gables is a converted domestic detached house. Care may be provided for 9 adults and 3 older people with a mental disorder. The home is in Bedlington Station near to shops and other community facilities. Accommodation is provided over two floors, 6 bedrooms are single and 3 are doubles. None of the bedrooms have ensuite facilities. A bathroom and toilet are available on each floor. On the ground floor there is a kitchen, dining room and a lounge used by smoking and non smoking residents. There are 2 yards, one has access from the kitchen that is used for bin storage and the other with seating used by residents and for domestic purposes. There is no lift in the home making it unsuitable for anyone with a physical disability The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second annual inspection. It was unannounced and took 4 hours. In that time the manager and staff on duty were spoken to and the views of residents in the home was obtained. I reviewed a selection of records maintained in the home and took a general tour of the building communal areas, some bedrooms, the kitchen and laundry areas. What the service does well: 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 DS0000000533.V259130.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9. Each resident has a case record that contains an assessment of the care required. Risks are identified and recorded. EVIDENCE: Each resident has a plan of care that is recently improved. The plans generally contain good information as to how residents are supported and any agreements made with residents are recorded. A detail of health monitoring and involvement with healthcare professionals is recorded. Staff are not fully involved yet in the development of care plans or in the regular reviews of the care provision. The file of the newest resident contained a full assessment of risks associated with his daily living. Any instructions for staff associated with residents safety should be detailed. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15, 16, 17. Many of the residents have regular contact with friends and family. The routines in the home are flexible. Healthy eating is promoted. EVIDENCE: The majority of residents have regular contact with friends and family. The social life of each resident appears to be different and staff support is provided whenever it is required. Social activities involve the church, local social clubs and day services. During the inspection residents were seen coming and leaving the home to use community facilities with and without staff help. The home meets the needs of the residents and staff are flexible to allow residents to choose what to do and when. Residents who choose have a key to the home and any mail delivered is distributed to them. Staff promote healthy eating and fresh fruit and vegetables are included in the daily diet. Nutritional assessments are conducted and appropriate professional guidance is sought when necessary. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20. Staff give good support that does not take away the independence of the residents. Staff also deal with sensitive issues well. This is generally done without a clear instruction in writing. The home’s system for administering medicines is satisfactory. EVIDENCE: Residents confirmed that staff provide a good standard of care although this is not always reflected in the individual care plans. Whenever specialist assistance is required the manager obtains this. The system for administering and dispensing medicines is appropriate and those residents that self medicate have been assessed as able. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Staff are trained in abuse awareness but the appropriate guidance for them is not available. EVIDENCE: Staff have received training in abuse awareness and the manager has demonstrated previously that she is aware of the correct procedures to make sure the residents are protected. The Department of Health Guidance ‘No Secrets’ that relates to abuse awareness is not available to staff in the home. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. The building does not look like a care home and inside it is warm and homely. The home would benefit from further redecoration and furnishings. EVIDENCE: The home is a converted detached house similar to the other houses in the street. Some work has been done recently to improve the decoration in the home. Further redecoration and furnishings should be programmed. The residents are proud of their house and confirmed they are very comfortable. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35. A competent staff team supports residents. Training is now in place and the majority of staff have a range of appropriate certificated training. EVIDENCE: Residents spoke highly of the staff. Of the ten staff, four have a National Vocational Qualification (NVQ) in care at level 2 and others are working towards this qualification. Training is now in place and the majority of staff have a range of appropriate certificated training. The manager has produced a training plan since the last inspection. This plan should include dates. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42. The proprietor is very knowledgeable about the residents. There are shortcomings in some administration procedures and systems. No quality management systems are in place. The home is reasonably safe for residents and staff. EVIDENCE: The proprietor has managed the home since 1987 and she is aware of the individual needs of each resident. Administration systems are improving but staff do not as yet receive one to one supervision sessions and staff meetings are infrequent. Residents are vocal and are happy to inform the manager if they are not content but no formal system of quality assurance are in place. The home is reasonably safe for residents, fire records are maintained and appropriate maintenance certificates are in place. The Gables DS0000000533.V259130.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X X 2 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Gables Score 2 X 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 2 X X 3 x DS0000000533.V259130.R01.S.doc Version 5.0 Page 16 yes 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 2 Standard YA32 YA37 Regulation 18 24 Requirement Timescale for action 31/12/06 3 YA39 24 Continue with staff training to obtain a staff team in which 50 have a NVQ level 2 in care. Ensure each staff member is 30/04/06 provided with one to one supervision and that regular staff meetings are introduced. Introduce some quality 31/07/06 monitoring. Use questionnaires to obtain the views of residents and regular visitors to the home. 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 3 4 Refer to Standard YA6YA9 YA18 YA23 YA35 Good Practice Recommendations Involve staff in the development and evaluation of care plans and risk assessments. Ensure the good standards of care provided are recorded in the individual care plans. Provide the department of health guidance ‘No Secrets’ for the staff team. Insert dates into the home’s recently produced training plan. DS0000000533.V259130.R01.S.doc Version 5.0 Page 17 The Gables Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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. 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