Inspection on 06/08/07 for The Gables

This inspection was carried out on 6th August 2007.

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 13/02/07

The Gables 17/05/06

The Gables 08/11/05

The Gables 12/07/05

The Gables 17/03/05

The Gables 09/09/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Gables (The) 7 West Moors Road Ferndown Dorset BH22 9SA Lead Inspector Tracey Cockburn Key announced Inspection 6th August 2007 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 Gables (The) DS0000026806.V347376.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 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. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gables (The) Address 7 West Moors Road Ferndown Dorset BH22 9SA 01202 855909 01202 872885 ferndown@gables7.fsnet.co.uk 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) H & H Partners Susan Mary Streets Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability- Code LD The maximum number of service users who may be accommodated is 7. 13th February 2007 Date of last inspection Brief Description of the Service: The Gables is a registered care home for 7 adults of both sexes between the ages of 18 and 65 years who have a learning disability. It is owned by H & H Partners (Mr and Mrs Habgood). The proprietors have regular contact with the home and the service users. At present there are four service users living at the Gables and the home has also been offering a temporary respite service in some of the vacant rooms. The Gables is situated in a residential area of Ferndown, Dorset. It is a large detached house in keeping with other properties in the vicinity. You approach the property via electric gates, and there are gardens to the front and rear of the home. The property is split into two. One side is The Gables residential home, with the other part of the property being a private Day Centre named Avatar (also owned by H & H partners). Avatar is a separate service and if service users choose to attend Avatar, this requires extra funding and assessment. Accommodation in the residential home consists of a large lounge, dining area, and kitchen. All service users have single rooms with 6, which are en-suite, and the 7th has use of an adjacent bathroom. There is a supermarket close by, and the town centre of Ferndown is within walking distance. The larger towns of Poole and Bournemouth are accessible by public transport also. Current fees are between £892 and £900 per week. Fees do not include personal items such as toiletries, hairdressing, magazines and sweets. For further information on fee levels and fair terms of contracts you are advised to referred to the Office of Fair Trading website: www.oft.gov.uk. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 5 The home keeps copies of all inspection reports that are available in the office and can be seen by service users, relatives and professionals at their request. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 1 day. The site visit had been arranged with the manager so everyone was expecting a visit. A picture of the inspector was on the daily notice board informing the people who live there who would be visiting and why. At the time of the inspection there are 4 people living in the home long term and 1 person living in the home temporarily. The registered manager was present throughout the inspection. The registered provider was also present for a short period. During the day there was 1 person who lives in the home present. At a return visit in the evening the other 4 people who live in the home were there and able to talk about living in the home. The people who live in the Gables were also observed with staff. During planning for the site visit a number of documents were reviewed including the Annual Quality Assurance Assessment, Regulation 26 visit forms and Regulation 37 forms. During the site visit files for both care staff and people who live in the service were reviewed. Staff rotas, training records and all health and safety documents were also seen. The manager discussed changes, which have been implemented, and the requirements and recommendations from the previous inspection were reviewed. What the service does well: People who are considering living in the home will have their needs assessed before they move in. The home will give assurance that they are able to meet the individuals’ needs. People who live in the service are able to participate in activities, which interest them. They are part of the local community. They also have relationships with people who are important to them. People who live in the service are developing responsibility for their daily lives with support from people who are important to them. There is development in encouraging people who live in the home to take responsibility for deciding what food to have on the menu. There is evidence that the staff and management ensure that people who live in the service receive personal support not only in the way they prefer but in the way they require. This means that their preferences are listened to. The manager has developed the concerns and complaints system to ensure that people feel not only listened to but their concerns acted upon. Staff receive the training they need to ensure that the people that live in the service are protected from abuse. The home is comfortable and homely and provides a safe place for people to live. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 7 The home is clean and management of infection control means the home is also hygienic. The manager has ensured that the staff are competent to do their jobs by updating the training record and arranging training courses, which are relevant to the care and support people living in the service need. The manager has developed the recruitment practice to involve people who live in the service. The good practice in place ensures that people living in the home are protected. What has improved since the last inspection? What they could do better: At the end of this key inspection there are no requirements and 3 recommendations. The hall carpet should be cleaned, the manager said this was in the process of being arranged. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 8 All mandatory safe working practice training such as Food Hygiene, first aid, health and safety and fire training should be up to date for all staff. This will ensure that the people living in the service are safe. All staff should undertake the Learning Disability Award Framework; this will enhance their skills in working with the people who live in the home. Management and staff have worked hard to ensure that the National Minimum Standards are addressed. Good practice is being developed involving people who live in the service and supporting them to have a voice about how the service is run. 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. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 9 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 Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2,5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who are considering using this service have their needs assessed so they know the home can meet their needs. People who use this service have individual contracts with the home. EVIDENCE: There have been no new admissions since the last inspection. There is 1 person living at the Gables on a temporary basis. The AQAA submitted by the home says that: ‘There is a pre admission process in place which includes assessments, visits and care planning. The AQAA also says that the individual would be at the centre of this process and the home would develop the care plan in a person centred way. At the previous inspection in February 2007 the admission process for a new resident was clear and included a care management assessment and care plan. The home had also carried out an initial assessment. There was also evidence that the prospective service user had visited the home before admission and this had included an overnight stay. At the last inspection 1 file had not contained a contract for the individual. At this inspection there was a contract in place for all residents Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 11 living in the home long term. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in this service have their needs and goals reflected in their individual plans. People who live in this service are supported to make decisions and take risks in their daily lives. EVIDENCE: The care plans for 2 people who use the service were looked at. Both contained detailed information on all aspects of personal and social support and healthcare needs. All files are kept in the office on the ground floor. They are files, which contain information about each person’s daily routine and personal preferences. During the course of the inspection, through observation, it became clear how important the personal preferences are for 1 person who lives in the service. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 13 The day-to-day file contains information on the daily routines, risk assessments and finances. The care plans is broken down into different aspects of care including bathing, domestic tasks, going out. These plans are step-by-step detailing each element of support the person needs. There was evidence that these plans are reviewed and up dated. During the inspection elements of the care plan were observed such as the step-by-step process to get ready for bed. Each file also contained detailed activity records. 1 person had been blueberry picking and had a trip to hengistbury head. Records are also kept of incidents when they occurred the duration. This information is feedback to the healthcare professional. A record is also kept of visits to the GP, dentist and optician. Daily records are clear and factual. Each person has an Essential Lifestyle plan this is written from the perspective of the person receiving the support so it has heading such as ‘ other people involved in my life, who I only sometimes see’ and then the list includes the individual’s social worker and hairdresser. All the people living in the service now have risk assessments on how they are to be supported with their finances. Risk assessments are in place with regard to medication. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in this service are supported to participate in activities, which interest them within the local community. They are able to have relationships with the people they want and their rights are respected. People who live in this service are encouraged to eat healthily. EVIDENCE: People who live in the service have details plans of their care and support needs. There was evidence in the care plans seen that appointment to the dentist, GP and optician are made and a record is kept of the outcome. Changes are made to the care plan if necessary. People who live in the service attend a day centre on site. Records in 2 residents files show that they are participating in activities in the local community. All residents are registered on the electoral roll. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 15 Holidays are being arranged and several residents said where they would like to go on holiday. 1 person living in the service said that they enjoy the activities; this person said they were very pleased that a new member of staff likes sports. The records show that this person does sports activities on a regular basis. The manager has introduced a home day when people who live in the service stay at home with their key worker and do activities in 1:1 time. At the time of the inspection the person who was staying at home spent time doing some domestic chores and also went out to do a favourite activity. When asked the person said they really enjoyed home day and spending time with their key worker. One person who lives in the service was very excited about a bar-b-q at the weekend, as they would be involved in cooking the food. Essential Lifestyle Plans and individual care plans detail the daily routines of the people living in the service including information on how they prefer to be addressed. Throughout the inspection the staff observed on duty spent all their time talking and interacting with the people who live in the service. Improvements in recording mean that domestic chores are not recorded as activities but are seen as part of daily living. Individual files record contact with family. AQAA says that people are involved in food preparation and there was some evidence of this during the inspection when people who live in the service were observed preparing food for the evening meal the following day. 1 person was making jelly with pineapple. In the evening 1 of the people who live in the service offered to make a hot drink and was supported to do this. There is a notice board in the dining room, which has a picture of the meal each day. On the day of the inspection the evening meal was fish pie. This was prepared and in the fridge. The menus were seen and offered a variety of choice such as Roast chicken, pizza and salad and spaghetti bolognaise. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: 2 files were examined during the inspection both contained detailed information on how people living in the service prefer to be supported. The information is written from their perspective. Personal care covers areas such as bathing/showering, hair care, brushing teeth. These plans are step by step and include guidance for staff on why this approach is necessary. People who live in the service have a choice to a degree about which care staff work with them. The manager was very happy that she had just appointed some male care staff, which gives choice to the male residents in the service. Each person who lives in the service has personal health care records, detailing visits to GP’s and other healthcare services such as dentists. There was also evidence on the 2 files seen of visits to psychologists. It was also noted that a Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 17 psychologist would be attending a future staff meeting to discuss strategies for supporting residents. The files also contained information of specific records such as when someone has had a seizure. This information is then collated to give to the specialist at the person’s next appointment. This information is kept together. Medication is kept in a locked metal cabinet in the office on the ground floor. This room is locked if there is no staff using it. The home uses a monitored dosage system for most medicines. A record of administration was seen. There were no errors in the records and there is a staff signature list attached to the file. All people who live in the service and are supported to manage their medication have a risk assessment in place. All staff administering medication have completed a course in the safe handling of medication. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns. They have access to a complaints procedure and are protected form abuse. EVIDENCE: The manager says they are developing a culture in the home that promotes openness. So that people who live in the service and their families can discuss any concerns or worries they have and be assured that these will be followed through. The manager says that she contacts families on a regular basis sometimes at least once a week. There is a concern book, which is available for anyone to write in. 1 person was asked whom they would talk to if they were worried about something. This person said they would talk to their family or their key worker. The home has an adult protection policy and procedure, which includes flowcharts and referral routes for any concerns. There was also a copy of the No Secrets guidance. Staff had signed to say they had read the document. There have been no adult protection investigations since the last inspection. Staff are up to date with adult protection training. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The service provides a comfortable, safe and well-maintained environment for people to live in. The home is clean and hygienic. This means that people who live in the home take pride in the place where they live. EVIDENCE: The home is set back from the road; a line of trees reduces noise from the road. There are electronically controlled gates into the property. There is parking at the front of the home. There is a secure garden at the rear of the house. The communal lounge is comfortably furnished with sofa and chairs. The dining room has a large dining table, which everyone can sit round and eat together if they wish. The kitchen is large and has all the equipment you would expect in a family style home. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 20 6 bedrooms are en-suite, the 7th has use of an adjacent bathroom. Each person has been able to choose the decoration in his or her room. During the inspection 3 people gave permission for the inspector to look in their rooms. Each room was very individual and had items, which were important to the person. They people whose rooms they were were very excited about showing their rooms. They were very keen to say they had decided what furniture they had and it was their choice of colour on the walls. The home is light, nicely decorated and the furnishings are homely. The carpet on the stairs and on the hallway on the first floor is stained and worn in places. There were carpet swatches in the office; the manager said they would be replacing the stair and hall carpet. The manager explained that the lounge will be redecorated and at the moment they are discussing the colour of the walls and choice of curtains and flooring with the people who live in the home. 1 resident said they were being able to choose a colour they all liked for the walls in the lounge. The manager says people had request this. The home has used the Department of Health guide ‘Essential steps’ to assess management of infection control in the home. There is a separate laundry room, which is sited away from where food is stored and prepared. Training records show that all staff have received training in infection control. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Developments in identifying training needs means that the staff working in the home are receiving the training they need to develop their skills to ensure that the people living in the service are supported. EVIDENCE: At present there are 10 staff employed and the registered manager. Staff were observed during the inspection using skills such as listening, being approachable. 1 member of staff who was working with a person who live in the service was very enthusiastic able the role of the key worker and the introduction of home days. The manager explained that care staff that have been employed recently have been interviewed by the people who use the service. The manager was very enthusiastic about this development and how perceptive the resident’s views had been. This has been clearly documented in the recruitment file. The file of Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 22 1 new member of staff was examined. There was an application form, interview record, 2 written references. Any inconstancies were explored and recorded during interview. The Criminal Records Bureau check was satisfactory. All documentation was received before the person started work. There was a signed copy of the person’s terms and conditions of employment. A copy of the homes staff training record was seen. This demonstrated which members of staff needed updated training and which members of staff were already booked onto courses such as fire safety training, autism and challenging behaviour training. The record demonstrated which staff were not up to date with food hygiene training and infection control training. Staff are up to date with adult protection training and moving and handling. At the time of the inspection there are 5 staff that hold the NVQ at level 2 or above. Not all staff have completed the Learning Disability Award Framework training. From looking at the training record there are 5 members of staff who have not completed any module of this training. The home has 50 of staff with NVQ level 2 or above. The manager said she is planning to arrange disability equality training. The manager is using the Skills for Care common induction standards to induct all new staff. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The management and administration of the home is involving people who live in the service in decision making. This means that people who live in the service feel like it is there home. EVIDENCE: The manager has successfully completed the registration process. She has NVQ level 4 in care and the Registered Managers Award. The training record demonstrated that the manager has undertaken periodic training and is doing the training on the 12/09/07 on autism and challenging behaviour. She is also up to date on mandatory training such as moving and handling, food hygiene and is undertaking an update on health and safety. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 24 All certificates were properly displayed such as insurance and the registration certificate. The home has a quality assurance process, which the manager is currently working on. Questionnaires are sent to all relatives, people who use the service and other interested parties such as care managers. This has only just been done and the manager said she would then put the information into their annual development plan. The provider undertakes regular monthly visits. Policies and procedures are in place the Annual Quality Assurance Assessment submitted by the home states they have been reviewed in May 2007. PAT testing of all electrical appliances is being done on the 8th and 9th of August 2007. The records for all fire tests such as the alarms, fire drills and testing of emergency lighting and equipment was up to date and had been checked at the appropriate intervals. Staff are receiving training in safe working practices, not everyone is up to date with this training. Windows on the first floor are restricted. Water temperatures are regulated. The environment is maintained, the driveway is clear and the garden is secure. Kitchen equipment is maintained, as is the laundry equipment. All accidents, injuries and incidents are recorded and reported. Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA24 YA35 Good Practice Recommendations The registered provider should ensure that the hall carpet is cleaned. The registered provider should make sure that all mandatory safe working practice training such as fire safety, first aid and food hygiene are up to date for all staff. The registered provider should make sure that all staff undertake the Learning Disability Award Framework training. 3 YA35 Gables (The) DS0000026806.V347376.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 - 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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