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Inspection on 07/12/09 for The Gables

Also see our care home review for The Gables for more information

This inspection was carried out on 7th December 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: The Gables The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Alison McCabe Date of this annual service review: 0 5 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Apartments 1-9 Elmwood Avenue Highfields Huddersfield HD1 5DA 01484667866 Telephone number: Fax number: Email address: Provider web address:   lmacdonald@bridgewoodtrust.co.uk Name of registered provider(s): Name of registered manager (if applicable) Bridgewood Trust Limited Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 13 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Learning Disabilities - Code LD Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Gables is new build home, consisting of 8 apartments over three floors each with their own bathroom, bedroom, kitchen and lounge area. Five apartments provide twobedroomed accommodation. There is also a kitchen/lounge area on the ground floor which any of the people living there can access. The home is situated near the town Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 13 0 centre of Huddersfield, close to all local amenities and public transport. There is adequate parking to the front of the building. The Gables provides personal care for up to 13 people who are younger adults with a learning disability. The Provider informed the Commission for Social Care Inspection on 5 November 2009 that the fees range from £330.55 to £1,581.75 per week. Information about the home and the services provided are available from the home in the Statement of Purpose and Service User Guide. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and they know what further improvements they need to make. Information in the AQAA told us where improvements have been made to the service. This includes; - Personalised activities are now being offered to people living at the home. - All assessments of people living at the home have been updated and the recording of information is more detailed and accurate. - People who live and work at the home are much more settled and there is a happy and enjoyable atmosphere at The Gables. - People living at the home have been supported to increase their independence. - Procedures about how to safeguard people living at the home are now discussed at monthly staff meetings. - People have purchased items to individualise their apartments. Annual Service Review Page 4 of 7 - Two new full-time members of staff have joined the staff team. - One member of staff has now completed the learning disability qualification (LDQ). The AQAA gives information about staffing at the home. There are seven permanent care workers and all have completed the expected induction training. All staff receive regular training relevant to their role. This is confirmed in the staff surveys received by the commission. The AQAA confirms that policies and procedures are in place for dealing with complaints and protecting people, and no complaints have been received at the home in the last 12 months. In the past 12 months no safeguarding (adult protection) referrals have been made. Information received by the commission indicates that appropriate action is taken to protect people living at the home. As part of this annual service review, the commission sent surveys to thirty three people, twenty of which were returned, including the following: thirteen people living at the home, eleven were returned; fifteen staff working at the home, eight were returned (the commission has since been notified that there are only eight staff working at the home); five to social and healthcare professionals who have involvement with people living at the home, one was returned. All the people living at the home who completed the survey said they were asked if they wanted to move into the home and were given enough information on which to base their decision. All said they could choose how they spend their time and carers listened to what they said. Nine said the staff always treat them well, and two that staff usually treat them well. Some of the comments made in response to the question what does the home do well? include: Gives support when needed Keeps me safe. Looks after me and attends to my needs Provides nice meals and a clean home. The staff are always there if I need help Regular visits to see my parents. Ten of the eleven people who responded said that there was nothing the home could do better. The eight staff who completed the survey all said they were given enough information about people so they could meet their needs, and all knew what to do if someone had concerns about the home. All of the completed surveys indicated that there are always enough staff on duty to meet the needs of the people living at the home, and they receive enough support from the manager. Some of the comments made in response to the question what does the home do well? include: Annual Service Review Page 5 of 7 We provide a high standard of care that ensures all the service users individual needs are met to the best of our ability. We maintain a good standard within the home making it as clean, accessible and homely as it can whilst maintaining the service users rights for personalising and individualising their own flats how they wish. We strive to give our residents choices. Choice of what they have for tea, how they furnish their rooms, where they go on outings. We provide a high standard of care. We maintain good contact with family and friends. We always look after the care needs and well-being of the service users. Staff encourage service users to be as independent as possible and help them to achieve their goals and objectives. Everyone works well as a team and have positive relationships with the residents. Feedback from a healthcare professional was positive. Information received indicates that peoples social and health care needs are properly monitored, reviewed and met and that the service seeks advice from the appropriate professionals. The home continues to let us know about things that have happened since the last key inspection and they have shown that they manage issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all care services at least once every three years. The completion of the risk assessment and annual service review has not changed our view of the quality rating of this service, therefore we are not planning to inspect the service before 4th September 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!