Inspection on 06/04/05 for The Gables

This inspection was carried out on 6th April 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 14/12/09

The Gables 05/07/09

The Gables 07/05/09

The Gables 02/11/07

The Gables 06/06/07

The Gables 13/06/06

The Gables 19/12/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Gables Residential Home (The) 1 East Park Street Chatteris Cambridgeshire PE16 6LA Lead Inspector Alan Buttery Unannounced 06 April 2005 @ 10:00 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. Gables Residential Home (The) Version 1.10 Page 3 SERVICE INFORMATION Name of service The Gables Residential Home Address 1 East Park Street Chateris Cambridgeshire PE16 1LA, 01354 693858 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) The Stargate Partnership Ltd Ms Lois Hall Care Home 40 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (22), of places Physical disability (1) Gables Residential Home (The) Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: One named service user under age 65 (PD) Date of last inspection 31st January 2005 Brief Description of the Service: The Gables is an old largely Georgian house in the centre of the small Cambridgeshire town of Chatteris, which has been updated and extended to provide accommodation for up to 40 older people. The home curently has one service user under the age of 65 which has been agreed with the CSCI. The accommodation is split over two floors. On the ground floor, there areBedrooms and communal areas, which provide secure accommodation for 17 older people with dementia, and on the first floor facilities for up to 23 service users, but without dementia. There are bathroom and toilet facilities on both floors, and a large enclosed rear garden Gables Residential Home (The) Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the current year, and an unannounced visit, and was followed up by the inspector attending both staff and service user meetings to try and get as much information from them on what living or working in the home is really like. In addition, service user and relatives Comment cards were left in the home, and a large number returned to the CSCI before this report was written. These comment cards were all favourable, clearly illustrating the way in which the home is run. The inspection lasted about 5 hours in total, and the manager of the home was available at all times to provide the information required. At the time of the inspection, the home had one vacancy upstairs and one downstairs, but these were being filled soon after the inspection. What the service does well: What has improved since the last inspection? Since the last inspection new owners have taken over the home, and a programme of refurbishment is underway. Care plans have all been reviewed, and are now up to date, and a regular system of review in place. Gables Residential Home (The) Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Gables Residential Home (The) Version 1.10 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 Gables Residential Home (The) Version 1.10 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) 1,3, 4, and 5 The Gables has a detailed admission procedure, including visits from service users, ensuring that the needs of service users moving into the home can be met. EVIDENCE: During the inspection, the registered manager was available to provide information on the homes Statement of Purpose and Service User guide. Following the recent changes in ownership, revised documents have been sent to the CSCI, and these meet the requirements under the regulations. Included in these documents are details of the services available, the management and staffing arrangements and information on making a complaint. Prior to any new admission, the registered manager visits prospective service users, and completes a detailed assessment. This enables the home to ensure that the home is suitable for the prospective service user, and that they are able to meet the service users needs. At the present time, the assessment is not signed, and this was left as a recommendation, to ensure a clear record of who carried out the assessment is available. Gables Residential Home (The) Version 1.10 Page 9 Gables Residential Home (The) Version 1.10 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 standard(s) 7, 8 and 9, The healthcare needs of service users in the home are identified, and individual care plans detail these needs and how they should be met, to ensure all carers have the information they need when caring for the service user. EVIDENCE: During the inspection, the care plans and related documents of a number of service users were looked at, and all showed that the information gathered by the home is satisfactory. The care plans are reviewed monthly, and a record of this was also seen which ensures that the care plans are up to date at all times, giving care staff the information they require. The home has a good relationship with the local GP practice, with regular visits from the GP to the home. It was agreed with the manager that the inspector for the home would attend both a service user meeting and a staff meeting which offered service users and staff the chance to discuss any issues or areas of concern, and comments and information gained at these meetings has been included in this report. Gables Residential Home (The) Version 1.10 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) 12,13,14,and 15 The Gables offers a particularly wide variety of social activity, and a varied and balanced diet, ensuring service users have a choice in all areas of their lives. EVIDENCE: During the inspection and service user meeting a number of service users commented on the activities available within the home, and all agreed that a good variety of activities are available. During the inspection, the homes activity worker was planning for two very different activities later that week, the funeral of the Pope and the marriage of the Prince of Wales. Regular church services are arranged in the home, and some of the service users attend the local church opposite the home. The food provided at the home appeared to be of a high standard, with choices available to service users, and regular discussions take place with the service users and cook to discuss changes. The service user meeting was attended by about 12 service users, the responsible individual and the relatives of one service user, and everyone living in the home receives a copy of the minutes of the meeting. It allowed service users to comment on various aspects of the home, and to be kept up to date with plans for the future. Gables Residential Home (The) Version 1.10 Page 12 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) 16 and 18 The homes complaints policy is available to all service users and their families, and service users are confident that any concerns they may have will be dealt with properly. Adult protection policies are in place to ensure the protection of service users from abuse. EVIDENCE: Since the last inspection, all senior staff have had further internal discussions around adult protection issues, and are now familiar with the policy, and aware of action they should take if any form of abuse is suspected. This will be passed on to other staff over the coming weeks. All staff have also received training from the local Social Services trainer in all aspects of adult protection. Although there have been no complaints made to either the home or to the CSCI since the last inspection, the homes policy on complaints was discussed, which meets the requirements, and ensures that any complaint is properly dealt with. Gables Residential Home (The) Version 1.10 Page 13 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) 19, 20, 23, 24, 25 and 26 The programme of refurbishment continues, offering service users a comfortable and safe environment to live in, with their own possessions around them if they choose. EVIDENCE: The inspector was able to look round the building during the inspection. It was noted that the programme of redecoration has continued since the change in ownership. The upstairs corridor was being decorated at the time, and the manager advised that new lighting was also being installed. New lighting has also been installed in the upstairs lounge, and further refurbishment and redecoration is planned. As rooms become empty, they are being completely refurbished, with new freestanding furniture, carpets and washbasins. Examples of rooms that have already been refurbished were seen during the inspection. The home was clean, and free from unpleasant smells, and the rooms of service users rooms all had items of a personal nature, including furniture and other effects. Gables Residential Home (The) Version 1.10 Page 14 The new owners are currently considering further plans for the refurbishment of the home, and this will be discussed further with the commission in due course. Gables Residential Home (The) Version 1.10 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) 27,28,29 and 30 The procedures for the recruitment of staff are robust and offer protection to people living in the home. The deployment and number of staff available is appropriate to meet the needs of the service users. EVIDENCE: The manager confirmed that the home currently has a good level of staffing, with vacancies for one member of staff on days and 2 on nights. Other new staff have been recruited, and service users were particularly impressed with the standard of the new staff. Staff are well trained, and records of the training being provided were seen during the inspection. Gables Residential Home (The) Version 1.10 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) 33, 35, 36 and 38 The home is well managed and staff receive leadership, guidance and direction to ensure service users receive consistent quality care. The health, safety and welfare of the people using the service is promoted and safeguarded at all times. EVIDENCE: The home has changed ownership since the last inspection, and a number of changes are likely as a result. As has already been indicated, a programme of refurbishment and redecoration is continuing, and further more extensive changes are planned. Some of these were discussed with the inspector, and further discussions will occur. Gables Residential Home (The) Version 1.10 Page 17 The home has policies and procedures in place to ensure that service users monies are looked after at all times, and health and safety training is provided to all staff on a regular basis. The registered person must ensure that the monthly report required is sent to the CSCI, and that all the records required are up to date. Gables Residential Home (The) Version 1.10 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 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 Standard No 16 17 18 Score 3 x 3 x x 3 x 3 2 x 3 Gables Residential Home (The) Version 1.10 Page 19 NO 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 36 36 Regulation 26 19 (1)(b) Requirement A monthly report must be provide by the registered person All staff files must contain the required information Timescale for action 30/6/05 30/6/05 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. Refer to Standard 3 3 Good Practice Recommendations all pre admission assessments should be signed by the prson carrying out the assessment The manager should discuss a programme of falls prevention with one of thefalls prevention nurses from the local PCT Gables Residential Home (The) Version 1.10 Page 20 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Gables Residential Home (The) Version 1.10 Page 21 - 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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