Inspection on 16/10/07 for The Gables, Burnham-on-Sea

This inspection was carried out on 16th October 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 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Gables, Burnham-on-Sea 15/10/08

The Gables, Burnham-on-Sea 13/07/06

The Gables, Burnham-on-Sea 11/10/05

The Gables, Burnham-on-Sea 19/05/05

The Gables, Burnham-on-Sea 15/12/04

The Gables, Burnham-on-Sea 09/06/04

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 The Gables Grove Road Burnham-on-sea Somerset TA8 2HF Lead Inspector Jane Poole Unannounced Inspection 16th October 2007 09:30a The Gables DS0000015983.V353204.R01.S.doc Version 5.2 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 DS0000015983.V353204.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. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Address Grove Road Burnham-on-sea Somerset TA8 2HF 01278 782943 01278 782943 the.gables@craegmoor.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) R J Homes Ltd Post Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To accommodate one named person over the age of 65, as stated in the letter from Craegmoor, dated 29th September 2004. 13th July 2006 Date of last inspection Brief Description of the Service: The Gables is registered with the Commission for Social Care Inspection (CSCI) to accommodate up to ten people under the age of 65 who have a learning disability. (There is a condition on the homes registration that allows them to accommodate one named person over the age of 65). The home is a large detached property within walking distance of the sea front and all the amenities of Burnham on Sea. Service user accommodation is arranged over two floors and all bedrooms are for single occupancy. One room has en suite facilities and other service users share communal washing and toilet facilities. The Registered Provider is R.J. Homes, which is owned by the Craegmoor Group Ltd. There is no Registered Manager at the home but a manager is in post who will be applying to be registered with the CSCI. Fees at the home currently range from £421.00 to £1642.00 per week. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. The inspection was carried out by one inspector over a one day period. The inspector was joined for part of the day by Hayley Hughes who is known as an ‘expert by experience’ and her supporter from Bristol and South Gloucestershire People First advocacy group. There were 10 people living at the home at the time of the inspection. The inspector was given unrestricted access to all areas of the home, was able to talk with staff and service users and view records and observe care practices. The ‘expert by experience’ spent time talking with staff and service users. Prior to the inspection the manager completed an Annual Quality Assurance Assessment (AQAA) setting out how the home had improved over the last twelve months and their plans for the future. 2 carers/relatives completed questionnaires prior to the inspection. What the service does well: All prospective service users have their needs assessed and are able to spend time at The Gables before deciding to make it their home. Each service user has a care plan that is personal to them and where possible service users are involved in the creation and review of these. There is evidence that service users have access to healthcare professionals according to their individual needs. The staff assist people to attend appointments outside the home. Service users are able to make choices about the food they eat and some people assist with grocery shopping. Three people living at the home have devised their own personal menus according to their likes and dietary needs. Staff spoken to appeared well motivated and enthusiastic about their jobs. There is a robust recruitment procedure in place that minimises the risks of abuse to service users. The home has an induction programme for all new staff and ongoing training opportunities. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 6 The inspector viewed the Medication Administration Records and found that they gave evidence of up to date good practice. All medication is securely stored and records of administration are well maintained. What has improved since the last inspection? What they could do better: The home is working to fully introduce person centred care plans. The home must ensure that any physical interventions that have been agreed by multi disciplinary teams are easily accessible in the care plans. Also there are some restrictive practices that are not recorded, for example the removal of some peoples clothing out of their room. There needs to be clear rationale for any restrictions and regular reviews of practice. The home must ensure that the environment is suitable for the service user group. All service users must be able to access all communal areas. Aids and adaptations should be put in place to ensure people maintain dignity. This includes ensuring that people outside the home cannot see into personal rooms. At times the home can become noisy and the home should explore the possibility of providing a quiet lounge for people who like a calmer atmosphere. There should be safe outside safe for all service users to enjoy. The manager has now been in post for over seven months but has not yet registered with the Commission for Social care inspection. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 7 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. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 8 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 DS0000015983.V353204.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3 & 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No new service users move to The Gables without having their needs assessed to ensure that the home is able to meet their needs. EVIDENCE: The home is in the process of up dating the homes Statement of Purpose to ensure that it reflects the changes that have occurred in the home. Since the last inspection two new service users have moved to the home. All prospective service users are assessed by the home and have opportunities to visit the home before making a decision to move in. The two new service users appeared to have settled well into the home and staff were able to demonstrate that they had the skills to meet their needs. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 10 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. All service users are given opportunities to make choices about their day-today lives. Care plans are created and updated with the involvement of service users where appropriate. EVIDENCE: All service users living at the home have a care plan. Since the last inspection the home have changed the format to reflect a more person centred approach to care. The inspector viewed two care plans, they both gave comprehensive information about the service user and clear guidance for staff in most areas. Each contained a pen picture of the service user which gave an overview of the personality, ability and needs of the person. In one case where physical The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 11 intervention may at times be used this information, although documented in the file, was not easy to find. Staff spoken to were aware of the interventions that could be used and strategies for diffusing situations to avoid the use of any physical intervention. The expert by experience stated that some service users that they had spoken to had commented that they did not feel that they had enough access to their care plan and this was passed on to the homes manager. Risk assessments are completed to ensure that service users have access to activities in the safest way possible. Daily records of significant events are maintained and keyworker summaries are written each month. There was evidence that service users were involved in the creation and review of their care plan where this was appropriate. Staff assist service users to make decisions about their day to day lives. Some service users have created their own menus, people decide how they spend their time and are able to make decisions about activities and holidays. Staff assist service users to carry out personal shopping and make decisions about the clothes and other personal items that they buy. No service users currently living at the home manage their own finances but clear records are kept of all personal finance and a sample of these were viewed by the inspector. During the inspection the expert by experience spoke with 3 service users and felt that service users should have greater access to the kitchen to enable them to learn and develop independent living skills. There are some instances where restrictions are placed on people, for example when clothes are not kept in personal rooms and the rationale for this must be clearly documented. One service user has an independent advocate. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 12 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, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There have been improvements in the range of activities available for service users since the last inspection. Routines in the home are flexible to enable service users to make choices about their day to day lives. EVIDENCE: Daily routines in the home are flexible to enable people to make decisions about the time they get up, when they go to bed and how they spend their day. Since the last inspection the home have improved the amount of activities that are offered to service users both at home and in the community. The home The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 13 has two vehicles to enable service users to access local facilities and have trips out. Records show that there have been trips out to Longleat and the West Somerset Stream Railway, people have been to the cinema and theatre. The expert by experience spoke to service users about the types of activities that they took part in. People said that they enjoyed listening to music, watching TV and playing cards and dominoes with other service users and staff. One person said that they had an electric buggy and went out with support to the local pub, library and shop. One person stated that they enjoyed household chores such as cleaning and assisting the maintenance person. Everyone has the opportunity to have a holiday away from the home or days out if they prefer. Many service users have recently been away to Butlins and a stay in London has been arranged for others in line with their expressed wishes. The home is considering employing a part time worker to co-ordinate and facilitate activities. 3 people are supported by staff to attend college in Weston. Family and friends are made welcome at the home. One relative wrote on their questionnaire that the home were always “Welcoming and friendly.” As previously stated 3 service users have created their own menu and although there is a set menu for others in the home people are able to have alternatives to the planned meal if they wish. Some service users assist with weekly shopping which is another opportunity for people to make choices about the food in the home. The expert by experience spoke with one service user who stated that they are not allowed in the kitchen but can ask for drinks, not food, at any time. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 14 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. Care plans give detail of the level of support required with personal care to ensure that people are assisted in the most appropriate way. The policies and procedures in relation to medication are followed to ensure safe practice. EVIDENCE: Service users access a variety of health care professionals. Care plans seen contained records of visits to GP, Clinical Psychiatrist, dentist, chiropodist and optician. Each service user had a health care file detailing all contacts made and outcomes of visits, including action to be taken if needed. Care plans give details of the level of support that individuals require with personal care. Some service users living at the home have mobility difficulties and there are assisted bathing facilities to ensure that they can access a bath. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 15 Staff spoken to gave evidence that they are aware of service users needs in respect of personal care and it was apparent that they respected the privacy and dignity of service users. The home employs both male and female staff meaning that service users are able to express a preference about the gender of the person who assists them with intimate care. Currently no one living at the home looks after their own medication. All staff who administer medication have received training in this area. There is appropriate storage for medication including controlled drugs. The inspector viewed the Medication Administration Records and found them to be well maintained and correctly signed when administered or refused. Currently the staff write the expiry date for creams on their boxes and it is suggested that this practice is changed and the date is written on the container/tube so that when boxes are lost the expiry date is still available. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. There are policies and procedures in place to minimise the risks of abuse to service users. There is no rationale in care plans for some restrictive practices in the home. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. Staff spoken to were aware of the ability to take serious concerns outside the home. Many of the service users living at the home may be unable to use the formal complaints policy but staff gave evidence that they had good knowledge of individuals behaviour and were able to ascertain when someone was unhappy or concerned about something. The inspector carried out a random inspection earlier in the year in response to a complaint raised with the Commission for Social Care Inspection. This was found to be unsubstantiated. The company have investigated two complaints and again both have been unsubstantiated. Physical restraint is at times used with some service users at the home and is only practiced by staff who have received the appropriate training. Guidelines The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 17 in the use of physical restraint have been drawn up by multi disciplinary groups in respect of each individual. As previously stated the home should ensure that these are easily accessible in service user files and that any restrictions imposed are clearly recorded and regularly reviewed. Staff receive training in the Protection Of Vulnerable adults during their induction and this is up dated every two years. Staff also receive training in equal opportunities awareness every three years. The inspector observed that service users had unrestricted access to their rooms and communal areas of the home, however the upstairs communal area is not accessible to people who are unable to manage the stairs. The inspector viewed the recruitment files of three newly appointed members of staff. All gave evidence that staff are checked against the Protection Of Vulnerable Adults (POVA) register and undergo an enhanced Criminal Records Bureau (CRB) check before they begin work in the home. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 18 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, 26, 27, 28, 29 & 30. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home continues to up date the premises to provide a comfortable homely environment. Some areas including some flooring would benefit from replacement. Not all communal areas are accessible to all service users. EVIDENCE: The Gables is a two storey building located within walking distance of Burnham town centre and the sea front. The home is fitted with a fire alarm system and all fire doors have electronic door closures fitted. The home has grab rails fitted and bathing aids have been provided where needed. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 19 There is a passenger lift which has not been in operation for many years as no service users have required assistance to go upstairs. There are now service users with mobility difficulties and therefore the lift should be put back into service to enable all service users to access the first floor, which includes an activity/art room. One service user who the expert by experience spoke to stated that they had difficulty with mobility and found using the stairs difficult. There is a lounge and dining room on the ground floor which are accessible to all service users. Since the last inspection the dining room has been up graded with new furniture and is now a much more pleasant area. The home can at times be noisy and there is no alternative lounge area for people who would like to sit quietly. At the front of the house is a garden area where service users are able to spend time. One person living at the home particularly enjoys gardening and grows flowers and vegetables. The garden is not secure and is close to a busy road so many service users are unable access it without support. There is also a large secure courtyard area but this is not inviting and therefore not used by service users. The home have been proposing to upgrade this area for many years but to date no improvements have been made. Since the last inspection a maintenance person has been employed and this has meant that many areas, including service users rooms have been redecorated. There are still some areas that require upgrading and some flooring would benefit from replacement. The inspector was able to see a sample of service users rooms and these had been personalised to reflect the personalities and needs of the individual. One service user is unable to tolerate curtains in their bedroom. The room is at the front of the house so the window should be replaced to ensure that people can not see in and compromise the privacy and dignity of the service user. There are ample bathrooms and toilets on both floors. The expert by experience pointed out that one bathroom door did not have a lock on and this information was passed onto the manager. There is a laundry at the back of the home which is appropriate to the needs of the service user group. On the day of the inspection all areas seen were clean and fresh. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 20 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 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. At the time of the inspection there were adequate numbers of staff on duty to meet the needs of the service users. The recruitment practices in the home minimise the risk of abuse to service users. EVIDENCE: The home employs 16 care staff, 6 have a National Vocational Qualification in care and a further 6 people are working towards the award.(Figures taken from Annual Quality Assurance Assessment completed by the home prior to the inspection.) At the time the inspection there were 5 care staff on duty, 1 cleaner and 1 maintenance person. The manager and deputy manager were also on duty. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 21 Staff stated that there was always a senior member of staff on duty who co ordinates the shift and offers supervision and guidance to less experienced members of the team. Staff spoken to stated that there were adequate numbers of staff on duty and the inspector observed that staff were able to take people out and spend time with people at the home. Staff interacted well with service users and it was apparent that they had a good knowledge of the individuals. Staff spoken to stated that the opportunities for training were good and as well as the statutory training they were able to suggest other courses that may be useful to them. All staff stated that they had regular supervision and that this was an opportunity to look at their personal training and development needs. The inspector did not view supervision records on this occasion. For new staff there is a welcome to The Gables pamphlet giving basic information that people receive on their first day and then a more in-depth 12 week induction programme. The inspector viewed the recruitment files of 3 recently appointed members of staff and found them to give evidence of a thorough and robust recruitment procedure. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 22 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): 38, 39 & 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has been without a registered manager for over a year, however the manager now in place is competent and shows a commitment to continual improvement. There are systems in place to monitor the quality of care. EVIDENCE: There is currently no registered manager at the home. However a manager has been in place for over seven months and assurances were given that they would be applying to the Commission for Social Care Inspection to be registered. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 23 In addition to the manager there are two deputies, 2 senior support workers and 2 team leaders. The manager and one deputy were available throughout the inspection. The manager has made changes at the home and has an obvious strong commitment to continual improvement and involvement of service users. Staff spoken to stated that the manager was very visible in the home and led by example. Everyone asked stated that she was open and approachable. During the inspection both staff and service users came in and out of the managers office to chat or ask questions. Appropriate measures are in place to ensure the health and safety of service users. Staff have received training in fire safety and alarms and emergency lighting is regularly tested in house and serviced by outside contractors. Staff have also received training in moving and handling, health and safety, food hygiene, first aid and infection control. Records of equipment servicing were not available on this inspection. There are various quality audits in place and the manager stated that the company are in the process of devising new questionnaires for interested parties to seek their views on the service offered. There are regular staff meetings and minutes seen showed that these are well attended. Due to the nature of the service users there are no formal meetings although the inspector saw evidence that staff seek the views of people living at the home including monthly keyworker meetings. The provider carries out monthly visits and copies of reports written are forwarded to CSCI. Appropriate insurance is in place and the certificate is displayed in the main entrance hall. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 24 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 2 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 3 28 2 29 2 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X x 3 3 x x 3 x The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 25 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 Standard YA37 Regulation 8 (1) [a][b] Requirement A manager must be registered with the Commission for Social Care Inspection. (requirement made at random inspection timescale 15/08/07 not met) The registered person must ensure that any restrictions placed on service users are assessed, recorded and reviewed. The registered person must ensure that service users privacy and dignity is respected. This refers to the need to replace the clear glass in one bedroom window. The registered person must ensure that all service users are able to access all communal areas. Timescale for action 31/10/07 2 YA6 YA23 12(2) 30/11/07 3 YA26 12 (4) [a] 31/12/07 4 YA29 23(10 [a] (2) [e] 31/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 26 No. 1. 2 Refer to Standard YA24 YA28 Good Practice Recommendations The registered person should consider improving the patio area to the rear of the home. The registered person should consider providing additional lounge facilities where people can spend time quietly. The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 The Gables DS0000015983.V353204.R01.S.doc Version 5.2 Page 28 - 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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