Inspection on 03/11/05 for The Gables Nursing and Residential Home

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Nursing and... 14/10/08

The Gables Nursing and... 06/11/07

The Gables Nursing and... 08/12/06

The Gables Nursing and... 04/05/05

The Gables Nursing and... 05/10/04

The Gables Nursing and... 29/06/04

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Chesham House

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Dorset Lodge

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Abbey Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE The Gables Nursing And Residential Home Eastrea Whittlesey Cambridgeshire PE7 2BD Lead Inspector Lesley Richardson Unannounced Inspection 11:00 3 November 2005 rd X10029.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 Nursing And Residential Home DS0000024303.V270173.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 and 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 Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Gables Nursing And Residential Home Address Eastrea Whittlesey Cambridgeshire PE7 2BD 01733 351252 01733 204610 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) BUPA Care Homes (CFCHomes) Ltd Miss Dawn Anne Feeke Care Home 55 Category(ies) of Dementia - over 65 years of age (55), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (55) The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 42 places to provide nursing care Date of last inspection 4th May 2005 Brief Description of the Service: The Gables is a purpose built building providing accommodation, support and care, including nursing, for up to 55 people over the age of 65 years with mental health needs or dementia. The home is situated on the outskirts of the village of Eastrea, which lies east of Peterborough and two miles from the neighbouring market town of Whittlesey. Public transport is available from Whittlesey to Peterborough and other nearby market towns. Accommodation in the home consists of 55 single rooms, all of which have en-suite facilities, and the home has other bathing and toilet facilities, which are provided with aids to enable the needs of the residents to be met. The gardens, which surround the home, include a sensory garden and there are views over surrounding arable land. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6½ hours and was carried out as an unannounced inspection on 3rd November 2005. It was the second inspection of this home for the 2005-2006 year. Three and a half hours were spent examining records and documents and three hours were spent with service users and staff. A tour of the building was also undertaken during this time. The manager was present during the inspection. Six people who were living at the home and three of the staff on duty were spoken to during the inspection. Not all service users were able to express their views. What the service does well: The home provides nursing and personal care for older people with dementia and works hard to make sure people live in a caring environment where they are treated with dignity. The home completes an assessment of people who want to live there before they go into the home, and assessments from hospitals and/or social service departments are also asked for. This makes sure home has enough information to say it can look after that person properly. The home has developed guidance for staff on how to properly care for a person with dementia who is dying and their family. Support for relatives continues after the person has died. Families of people who live at the home are encouraged to visit and be involved with their relative’s care. They are able to stay at the home for as long as they wish when visiting. Meals are given in a relaxed way and can be eaten almost anywhere in the home that a person wishes. People who need help are given this in an unhurried way and relatives are also able to take meals if visiting during meal times. Staffing numbers in the home are good overall; these include registered nurses, some of whom are specifically trained in mental health. Issues concerning protection of people who live at the home from abuse are dealt with quickly and properly. Referrals are made immediately to the appropriate agencies that deal with abuse issues. This means that people who live at the home and their relatives can be assured everything is done to protect them. The home makes sure people who live there are not disadvantaged or at risk by keeping records to show health and safety checks are completed properly, money looked after for them at the home is kept properly, and their opinion about the home is asked for. In doing this the home shows they are interested in the people who live there and do their best to make sure their welfare and safety is maintained. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: 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 Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Pre-admission assessments of prospective service users, and specialist and regular staff training ensure the home is able to meet service users needs. EVIDENCE: Pre-admission assessments are completed by the manager to ensure new service users needs are properly assessed and planned for. Assessments of need are also obtained from healthcare professionals and social service departments. This gathers as much information as possible about each person before they enter the home and ensures their needs can be met. A preadmission assessment completed by the home could not be found for one service user, although a health care assessment had been completed and sent to the home prior to the service user’s admission. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 9 However, as the health care assessment had been completed approximately two and a half months prior to admission, the home should have obtained up to date information to ensure they were still able to meet that service users needs. As an assessment had been obtained it is considered this standard has been met. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Improvement is required to ensure care plans meet all identified care needs. EVIDENCE: Care plans are available for each service user to ensure personal and health care needs are met in the most appropriate way. Not all needs identified in pre-admission assessments were included in care plans; one service user’s assessment identified a health need that advised specific monitoring. There was no care plan to show how this was to be met, or evidence that review of the care need indicated it had resolved. Another service user who had recently The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 11 been admitted to the home had an identified increased risk of falling, and although a risk assessment had been completed, there was no care plan advising how best to manage this risk. This means service users are at risk of not having needs met. Not all plans are reviewed on a monthly basis or re-written when care needs change. This makes it difficult for staff to ascertain most recent developments and strategies to meet changing needs. Not all entries in care records are signed or dated. This should be done to ensure an audit trail is available should clarification be required at a later date. The social and life histories of people who live at the home are obtained by the activities co-ordinators. This can give a wide range of information about a person’s likes, dislikes, interests and behaviour patterns during their life. However, this information was not available in care files and therefore possibly not known by all care staff. As some of this information can have an impact on best ways to manage behavioural difficulties or care routines, it is suggested incorporation into each person’s care file would facilitate this. The home has developed a palliative care in dementia care pathway. This addresses the specific problems associated with death and dying people with dementia, and gives care staff clear guidance on how to manage this care. The home stays involved with service users families following the death of that person to reduce the risk of added trauma and anxiety. Medication is administered by registered nurses to service users who are unable to or do not wish to administer their own medication. Medication held in the home is stored correctly and medication administration records are maintained with appropriate recording for medications given and not given. The controlled drug register is completed but does not include the name and address of the pharmacy supplying to and receiving controlled drugs from the home. Staff at the home are polite, respectful and caring in their approach to people who live there. They ask what someone would like to do, giving choices, rather than informing people what they want them to do, and discuss situations and possible experiences, rather than telling people they cannot do something. For example, staff members were talking with one service user about the cold, windy weather outside and what that may be like for a person only wearing a shirt and trousers, who wanted to go out of the front door. The person decided he would rather not go out but would like a drink instead. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Social activities provide stimulation and interest for people living in the home. Links with the community are good and support and enrich service users’ social opportunities. EVIDENCE: The home employs 2 activities co-ordinators who organise activities, entertainment and trips outside the home for service users. There are regular visits every week to local areas, such as the riverfront, local market towns and coffee shops. Usually service users are taken out individually or in small The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 13 groups to ensure their safety, with larger more organised trips being difficult to arrange due to service users changing moods and behaviours. Service users families are asked to give information about their relative’s life and social histories. Families that have done this have provided valuable insight into service users lives, which in turn explain some behaviour patterns that re-emerge while people are living in the home. The life histories contain stories, photographs and information about likes and dislikes, and why this may be. An activity folder contains information about activities within the home and which service users have attended. This enables the co-ordinator’s to further develop particular activities that service users gain pleasure and enjoyment from. Meals are served in two of the three dining rooms, in the lounge rooms or service users own room if that is preferred. Service users are helped to sit in the dining room, and those that need help to eat are given it. Staff members stay with these service users until they have eaten as much as they want. Lunch was served during the inspection and appeared relaxed and unhurried. One service user did not wish to finish his meal at the time and left the room, but was asked later if he would like to finish the meal and enabled to do that. People visiting the home during meal times are also able to take meals there. Checks of hot meal temperatures, fridge and freezer temperatures, meals offered and amounts eaten by each person living at the home are recorded and checked monthly by the manager. Records are comprehensive and easy to understand, ensuring reduced nutritional intake and subsequent problems, such as weight loss, reduced skin integrity, behaviour and health problems, can be identified from a number of different sources. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The home has systems in place that ensures correct action is taken and that service users are protected from abuse. EVIDENCE: The home has a protection from abuse policy and procedure to ensure guidance is available for staff members. Incidents that cause concern are reported to the local PoVA (Protection of Vulnerable Adults) team, who then advise the home of actions the must take. This ensures investigation can be completed by the most appropriate agency. The home has sought the advice of the PoVA team on a number of occasions since the last inspection, and also refers incidents immediately to the Commission for Social Care Inspection and the police. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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, 25 and 26 The standard of the environment within this home is good, providing service users with an attractive and homely place to live. EVIDENCE: The home is well decorated and maintained, and all areas are accessible and safe for people who live there, with large open communal spaces. It was clean, tidy and all areas were free from offensive odours. There was a smell of urine in one corridor and at the entrance to one of the dining rooms at the The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 16 beginning of the inspection. However, these smells had dissipated later in the day after housekeeping staff had attended to the areas. This shows appropriate action is taken to reduce the spread of infection and maintain a clean, hygienic environment. Radiator pipes in the home have not been covered, but radiators could either not be turned on full or did not get hot enough for the pipes to get hot. Pipes examined were only warm to touch and the manager confirmed the radiator thermostat had been reconfigured to ensure radiators do not get hot. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 29 Some improvement for the recruitment of staff is required to ensure protection to people living at the home. EVIDENCE: The home has a good ratio of staff members to service users. Staffing numbers on the day of inspection were 12 staff, including 3 registered nurses, during the day and 10 staff, including 2 registered nurses, in the evening. The home employs registered nurses trained in mental health nursing and adult nursing. The files of two recently employed staff members shows the home undertakes most of the necessary recruitment checks to ensure the protection of service users. Enhanced Criminal Records Bureau (CRB) and PoVA are applied for and returned prior to staff members starting work at the home. However, employment histories for both staff members were in months and years, and gaps in employment had not been explored. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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, 37 and 38 Records are kept to a standard that ensure service users welfare, health and safety. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 19 EVIDENCE: The process to register the manager with the Commission for Social Care Inspection has recently concluded with the recommendation to approve the manager for registration. Quality assurance questionnaires have recently been sent to service users, their relatives, representatives and stakeholders in the community. Replies are sent to the provider’s head office, information collated and reports sent to the home from there. Individual feedback is given to the manager, action needed is identified and feedback then given to staff members. Service users entering the home are given written information about how the home takes care of their money and the procedures for debiting an account. Statements are sent on a monthly basis, detailing incoming and outgoing transactions, and any interest earned. Although all service users funds are placed into the same account, each service user using the system has a separate written account and record on the computer. Checks are required to ensure the health and safety of service users and these must be recorded. The home completes checks and maintenance on all pieces of equipment on a regular basis, for example monthly checks are completed on all wheelchairs within the home and all shower heads are sterilised monthly. The fire safety policy and procedure is comprehensive and contains information on fire drills, fire prevention, escape routes, equipment testing, bonfire and firework procedures and what to do in the event of a fire. Records were seen for fire safety, hot water temperatures, gas safety, and hoist and equipment checks. These were all recorded as acceptable. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 20 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 3 26 3 STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 4 38 4 The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 21 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. 1. Standard OP7 Regulation 15(1) Requirement The registered person must prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met. The registered person must make arrangements for the recording, and disposal of medicines received into the care home. The registered person must obtain in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. A full employment history, together with a satisfactory written explanation of any gaps in employment. Timescale for action 30/11/05 2. OP9 13(2) 30/11/05 3. OP29 19(1)(b) 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP3 Good Practice Recommendations The home should confirm with providers of pre-admission DS0000024303.V270173.R01.S.doc Version 5.0 Page 22 The Gables Nursing And Residential Home 2. 3. OP7 OP7 assessments that service users needs have not increased if the assessment has not been completed immediately prior to admission to the home. Each entry in care records should be signed and fully dated by the author of that entry. Care plans should be reviewed each month to ensure changed care needs are recorded. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. The Gables Nursing And Residential Home DS0000024303.V270173.R01.S.doc Version 5.0 Page 24 - 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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