Inspection on 07/10/05 for The Gables

This inspection was carried out on 7th 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 19/06/07

The Gables 23/11/06

The Gables 23/06/05

The Gables 29/11/04

The Gables 15/07/04

The Gables 20/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Gables 13 St. Mary`s Road Netley Abbey Southampton Hampshire SO31 5AT Lead Inspector Beverley Rand Unannounced Inspection 7th October 2005 11:00 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 DS0000011862.V256159.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 DS0000011862.V256159.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Gables Address 13 St. Mary`s Road Netley Abbey Southampton Hampshire SO31 5AT 023 8045 2324 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) Mr David Jackson Mrs Thelma Jackson Mrs Karen Pauline Edney Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24) of places The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd June 2005 Brief Description of the Service: The Gables is a care home offering accommodation and personal care to 24 people over the age of 65, some of whom may have dementia. The home is owned by Mr and Mrs Jackson, who have an active role in the home, and managed by Karen Edney. The home is located in the quiet residential area of Netley, which is on the outskirts of Southampton. There are local shops and amenities nearby. The accommodation is on two floors, and there are 14 single bedrooms and 5 shared. Communal space is comprised of a lounge, dining room and large conservatory on the ground floor. There is an enclosed garden and patio area at the rear of the property and a car park at the front. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of the year, and took place over three and three quarter hours. The inspector looked around the home, talked with residents and visitors, the providers, deputy manager and staff. Records such as care plans were also seen. What the service does well: What has improved since the last inspection? What they could do better: The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 6 The home should ensure that references for new staff have a date on them, so that it can be evidenced that these were received before staff began work. 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 DS0000011862.V256159.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 DS0000011862.V256159.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): These standards were not assessed. EVIDENCE: The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 9 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): 9 The home ensures that its policies and procedures protect residents with regard to medication. EVIDENCE: Staff described the procedure used to administer drugs safely. The provider, manager and deputy manager have undertaken a day course on medication. One of the staff said they were participating in in-house training and that they were able to go at their own pace. Staff monitor if residents refuse, or chew, their medication. A pharmacist had visited the home and given a training session about crushing medication. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 10 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): 14 The manager ensures that residents can make choices. EVIDENCE: The inspector saw evidence that residents can maintain their bedrooms as they wish. One resident does not like staff to tidy her room, and so possessions were left as the resident liked them. Residents are welcome to bring possessions into the home. One resident brought their cat into the home, and a visitor commented how nice this was. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 11 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 The home ensures that residents and their visitors feel able to complain. EVIDENCE: The home has a complaints procedure in place. The inspector spoke with two visitors who said that they felt able to complain if necessary. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 12 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 & 26 The providers and manager ensure that residents live in a well maintained, clean and hygienic environment. EVIDENCE: One bedroom has been re-decorated, and six bedrooms have new window blinds. Communal areas have been re-carpeted and the hallway has been redecorated. The main bathroom is undergoing total re-furbishment, which will include a new specialist bath. The garden is maintained and residents encouraged to sit outside when the weather allows. There is a sluice room which is used for cleaning commodes. Staff told the inspector that they reduced the risk of cross infection in the home by washing their hands before and after tasks, wearing gloves and aprons, using the sluice programme on the washing machine to rinse soiled laundry, etc. The home was clean and free from odour and two cleaners are employed Monday to Friday. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 13 The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 14 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 & 30 The home ensures that residents’ needs are met by trained and skilled staff, in numbers appropriate to residents’ needs. The recruitment procedure ensures that residents are protected. EVIDENCE: The rotas show that there are generally three or four care staff, plus the manager, on duty. Additionally, the home employs a cook and kitchen assistant every day, and two cleaners, Monday to Friday. The providers are frequently at the home in addition to the staff on the rota. Two staff are employed at night, both of whom remain awake. The deputy manager said that as there is now more staff in the evenings, there is time to do more activities with residents. Ten staff have achieved NVQ2 and staff said that they have been supported to complete the qualification, and had been given the time to do so. Other staff who had been approached by the management about doing the course, were considering this, and felt that they would be supported in their decision. The inspector looked at three new staff files. Two references were in place for each worker, although these did not have a date on them. The inspector advised the provider to ensure a record was kept regarding the date the references were returned. The provider undertakes a Protection of Vulnerable Adults check before employing new staff, and a Criminal Bureau Records check The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 15 follows this. The provider had not kept a record of the date of two of these checks, and needed to make a telephone call to ascertain the information. Staff told the inspector that they had received training in various topics, including Moving and Handling, Fire Training, Dementia workshop, Adult Protection, Medication, First Aid and Infection Control. The inspector saw records for in-house inductions for new staff. The level of induction was appropriate as the new staff were experienced in the care sector. The Gables DS0000011862.V256159.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, 35 & 38 The manager ensures that the home is run in the interests of the residents, and that their financial interests are safeguarded. The home is maintained in a way which keeps residents safe. EVIDENCE: The manager was unavailable on the day of the inspection, but the inspector was told that she has completed her Registered Manager’s Award qualification. The manager has also updated her training including Challenging Behaviour and Staff Health. The home has undertaken a questionnaire to seek the views of residents. A copy of the results has been sent to the inspector, and any issues highlighted have been discussed further within the home. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 17 Some of the residents like the home to look after their money for them. The inspector checked three accounts and found that the records matched the amount of money. Receipts were also kept. The Environmental Health Officer had conducted a routine visit and made some recommendations which the home have implemented. These included moving the cutlery tray and taking the temperature of cooked meats. Food was appropriately stored. Up to date maintenance certificates were available for equipment such as the lift. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 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. 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 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x 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 3 x x 3 The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 19 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. 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 Refer to Standard OP29 Good Practice Recommendations References should be dated to show the date they were returned. The Gables DS0000011862.V256159.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000011862.V256159.R01.S.doc Version 5.0 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. 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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