Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 08/12/06 for The Gables Nursing and Residential Home

Also see our care home review for The Gables Nursing and Residential Home for more information

This inspection was carried out on 8th December 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

What the care home does well

What has improved since the last inspection?

There has been some improvement in two areas since the last inspection, although further improvement is needed for all care needs to be cared for fully. Care plans are reviewed on a more regular basis, but these must be looked at and revised if there is no improvement or the aim of the plan is not being met. There is better signing and dating of care records. A requirement made at the last inspection about recording the name and address of the supplying pharmacy in the controlled drug register has been met. However, drugs the reasons for not giving prescribed drugs must be more accurately recorded.

What the care home could do better:

The home was told they must look at gaps in employment histories when new staff apply for employment. This has not been carried out in one of the staff files seen, and did not need to be looked at in the other staff file seen. This must be done so that the home has a full record of each employees employment record. 50% of care staff working at the home should obtain a national vocational qualification. There were some issues about how staff members talk to people who live at the home, and make it possible for them to have choices. Things like talking directly to people, rather than doing something else while talking to them, so they can clearly hear what is being said. Or, providing condiments other than just salt and pepper with some meals, so that people can help themselves immediately to tomato sauce or vinegar with their fish and chips. However, relatives said staff are always ready to listen and help, that they are kind and caring, and that `(he) is always treated with kindness and respect`.

CARE HOMES FOR OLDER PEOPLE The Gables Nursing And Residential Home Eastrea Whittlesey Cambridgeshire PE7 2BD Lead Inspector Lesley Richardson Key Unannounced Inspection 8th December 2006 11:20 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 Nursing And Residential Home DS0000024303.V322500.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 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 Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Nursing And Residential Home Address Eastrea Whittlesey Cambridgeshire PE7 2BD 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) 01733 351252 01733 204610 www.bupa.co.uk BUPA Care Homes (CFCHomes) Limited Miss Dawn Anne Feeke Care Home 55 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (54), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (54) The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Up to 42 places to provide nursing care One named service user under the age of 65 years for the duration of their residency in the category of DE Up to 3 places in category DE for service users aged between 60 and 65 years of age 3rd November 2005 Date of last inspection 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 ensuite 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. Fees at the home range between £729.00 and £828.00 per week. Copies of CSCI inspection reports are kept in the administrator’s office and in a staff area. These are available for relatives and visitors to the home should they wish to read them. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 8 hours and 40 minutes, and was carried out as an unannounced inspection on 8th December 2006 and 11th December 2006 by the lead inspector. It was the first key inspection for this home for the 20062007. The inspection involved speaking to residents, staff members, relatives, the deputy manager and the manager. However, it has not been possible to include conversations with service users in this report due to the level of dementia suffered by the people who live at the home. The inspection also included observation, reading documents, a tour of the building, views of relatives and visitors to the home from a survey before the inspection and information provided by the home in a questionnaire. As part of this unannounced inspection the quality of information given to people about the care home was looked at. The information included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. Three requirements and five recommendations have been made as a result of this inspection. One requirement has been carried over from the last inspection. What the service does well: The home provides care, including nursing, and accommodation to people with dementia and mental health needs, in a safe and pleasant environment. Comments from relatives of people who live at the home during the inspection and through a survey conducted before the inspection are all positive. They include general comments, such as, ‘(he) is very happy at the home’, ‘he is well looked after and is happy there’, ‘my mother told me one day that , “If I lost one of my eye lashes, they’d search until they found it for me”. She frequently tells me what a lovely place – and room – it is’, and ‘my mother ALWAYS appears well-cared for’. 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. Written information is available to show people what the home is like, and prospective residents and their relatives can visit the home before moving in. This makes sure home has enough The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 6 information to say it can look after that person properly, and prospective residents are able to make a decision based on accurate information. All residents have access to healthcare professionals, as they need them. 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 varied and alternatives are available if something is not liked. Relatives of people living at the home are also able to take meals if visiting during meal times. One relative commented, ‘if (he) does not like something chef will always provide an alternative’. The activities staff provide group and individual sessions for residents, which involves relatives and people visiting the home, and takes into consideration residents hobbies and life styles before they entered the home. This is an excellent way for the home to get a better insight into why people who live there behave in particular ways. One person said, ‘one of the activities staff is very innovative and does lots of things to ensure the residents are involved’, and another commented that she is invited to and attends activities and events that involve her mother. Information about how to deal with or make complaints or concerns about protection from abuse is available. Staff have the knowledge to deal with these situations properly and are given regular training in a range of subjects, ranging from required health and safety issues to specific training on equipment or how to meet one person’s particular needs. Staffing levels in the home are adequate, and both staff and visitors to the home feel there are sufficient numbers for people who live at the home to be cared for properly. Relatives said staff are always available if they are needed. The home has a well-qualified and experienced manager, who has been in this role since October 2004. Quality assurance surveys are carried out in a number of different areas and different ways to try and obtain as much information about how the people who live at the home feel about it. This means that changes made as a result are in the best interests of the people who live there. Records are kept to show safety checks are completed and money kept on behalf of residents can be accounted for. What has improved since the last inspection? There has been some improvement in two areas since the last inspection, although further improvement is needed for all care needs to be cared for fully. Care plans are reviewed on a more regular basis, but these must be looked at and revised if there is no improvement or the aim of the plan is not being met. There is better signing and dating of care records. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 7 A requirement made at the last inspection about recording the name and address of the supplying pharmacy in the controlled drug register has been met. However, drugs the reasons for not giving prescribed drugs must be more accurately recorded. 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 summary of this inspection report can be made available in other formats on request. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 8 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 Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide enable an informed decision to be made. Pre-admission assessments of prospective service users, and specialist and regular staff training ensure the home is able to meet service users needs. EVIDENCE: Information is available for prospective service users and their relatives or representative. This includes a service users guide and statement of purpose. A contract is provided by the home to service users who are privately funded. The contract for those whose placement at the home has been made through the local authority or PCT is made with the placing authority. It was only possible to speak with one person during the inspection about information provided by the home for them to make a choice about whether their relative was be happy living at the home. The visitor spoken to said she had not The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 10 received a service user guide as her husband was admitted urgently from hospital. She did confirm though, that she has been given a written contract, is informed about any changes to the cost, and has information about how and who to complain to. Two relatives, completing pre-inspection surveys on behalf of people living at the home said they had received contract. All three people who responded on behalf of service users said they received enough information about the home so they could make a decision about whether it was the right place for their relative. The manager completes pre-admission assessments 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, ensures their needs can be met and identifies possible conflicts that may arise. The home does not provide accommodation for intermediate care. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Further improvement in care plan revision and medication records is required to fully ensure service users needs are met. EVIDENCE: Care plans for four service users were assessed. Needs were addressed individually for each service user to ensure personal and health care needs are met in the most appropriate way. Care plans are detailed, with a few containing enough information that anyone reading the plan would have a good idea of not only what they are required to do, but also what the service user is like and how they are likely to respond. Most plans are reviewed on a monthly basis and plans are re-written when care needs change. However, one person’s plan had not been reviewed for 2 months or updated, despite a recorded 9 (nine) incidents of the type the plan was in place to reduce or prevent. This makes it difficult for staff to ascertain recent developments, trends in behaviour, or develop strategies to meet ongoing or changing needs. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 12 Especially as staff members confirmed they access the care records for updated information about service users needs and how to meet them. Risk assessments are completed when a risk or potential risk is identified. However, in regard to one area, those seen are not individual and refer to corporate plans for assessing risk. Care records indicate service users have access to healthcare professionals, and 2 of the 3 people who responded to a pre-inspection survey said their relative always receive the medical support they need. 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, although there must be more clarification when medication is not given. A period of time was spent observing interaction between service users and staff at the home. Generally staff are polite, respectful and caring in their approach to people who live there. There were, however, instances were staff members could have enabled service users more easily. For example, one staff member asked a service user a question while performing another task. As the service user was some feet away and the staff member had her head bent in order to complete the task, it took three or four attempts for the service user to understand what the staff member was asking. Service users eating their meals in one lounge/dining area were assisted by two staff members. Not all meals were served together, leaving two people asking a number of times where their meals were. When one person asked to go to the toilet during her meal the staff member said she should finish her meal first or it would go cold, but not until the service user got up from the table did the staff member assist her to go to the toilet. Visitors responding to a survey before the inspection all said their relative received the care and support they need. There were positive comments about staff and service users appearance and emotional well-being. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 groups to ensure their safety, with larger more organised trips being difficult to arrange due to service users changing moods and behaviour. The social and life histories of people who live at the home are obtained by the activities coordinators, who record the information and plan how to meet each person’s social needs. This gives a wide range of information about a person’s likes, dislikes, interests and behaviour patterns during their life. The information is available in care files and forms part of the overall care provided by all staff members. Social activities and interactions between service users and visitors The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 14 to the home are recorded. Staff were able to recall an event where one person had benefited from playing a musical instrument for young visitors to the home. Unfortunately this information had not been recorded, although information about the musical instrument was available in the care plan. Comments from a survey conducted before the inspection are positive and identify that the home involves service user and their relatives in activities. 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. Not all condiments were available for service users, and by the time tomato ketchup was provided for one person, he did not know what it was or that he had asked for it. Salt and pepper pots are provided, but one person was asked if she wanted the staff member to put salt on her lunch. When the service user said she would put the salt on herself, she was advised to, “be careful then”. There were also a number of people who didn’t like what they had been given to eat, but the reasons for this were not explored. Although service users are enabled in making choices about their lives every day, there are some limitations that are not always supported by planning. As described above and in the previous section, service users choice is not always enabled as a matter of course. Care plans seen did not reflect why service users choice about daily living should be limited, although areas where a person’s specific choice has been identified as unacceptable level of risk do have plans to guide staff. People visiting the home during meal times are also able to take meals there. Responses to a pre-inspection survey show that visitors and relatives to the home felt service users enjoy meals and alternatives are available if required. Relatives and families are welcome to visit the home at any time during the day. One relative said she is always welcome, has lunch when visiting and finds it a very social experience. Another relative, responding specifically on the relatives/visitors questionnaire said she is made welcome at any time and can visit in private if she wishes. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Guidelines are available and staff knowledge is sufficient to ensure service users are safeguarded. EVIDENCE: Policies and procedures are available in the home to guide staff in dealing with complaints and safeguarding adults. Information received since the inspection shows there have been 3 complaints made. Records for two of these were looked at during the inspection, and show the home investigates and responds within the timeframe specified in their own complaints procedure and that required in the Care Homes Regulations 2001. Information is also available to show the outcome of the investigation and any actions taken. All relatives and visitors responding to the pre-inspection questionnaire said they always knew how to and who to make a complaint to. They also felt staff listened and acted on what they said and what their relatives said. Referrals are made to the local Adult Protection team following incidents in the home. These are made to ensure vulnerable adults living in the home are safeguarded, and any decision made about how best to meet an individual’s needs in particular circumstances is made through a multi-disciplinary team approach. One investigation has been made regarding staff involvement in a concern about adult protection. A referral to the PoVA register was not The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 16 required. Staff said they had not been given training in adult protection, but gave appropriate responses to questions and they were able to identify the location of additional information, such as policies and procedures. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 for people who live there, with large open communal spaces. It was clean, tidy and most areas were free from offensive odours. There was a smell of urine in the foyer and the main lounge close to the entrance at the beginning of the inspection. However, these smells had dissipated the next when the inspection continued. This shows appropriate action is taken to reduce the spread of infection and maintain a clean, hygienic environment. Relatives completing questionnaires on behalf of service users said the home is always fresh and clean. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 18 The door handle to an external fire door was broken, which means emergency escape could not be made from that door. This places service users at risk in the event of an emergency and must be repaired. It is felt the home manages these issues promptly and will do so on this occasion, therefore an immediate requirement was not made. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing numbers and staff training opportunities are sufficient to meet the needs of service users. Not all pre-employment checks are completed to ensure staff are safe to care for service users. EVIDENCE: The home has a good ratio of staff members to service users. Staffing numbers on the day of inspection were satisfactory. The home employs registered nurses trained in mental health nursing and adult nursing, and has at least one registered nurse on duty at all times. Relatives responding in the pre-inspection questionnaire felt there are always sufficient numbers of staff on duty and they are usually available when needed. 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 one staff member was in years only, and there was no evidence in the file that gaps in employment had been explored. This requirement has not been met from the previous inspection. CSCI will seek legal advice if this requirement has not been met at the next inspection. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 20 All staff receive mandatory health and safety training and basic dementia care training. Additional training is given to meet service users specific needs and to guide staff in the use of specific records. Staff members confirmed they have training, and said this gives them confidence they will be able to properly meet service users needs. Only 24 of non nursing care staff have obtained a national vocational qualification at level 2 or above. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified to run the home, thereby ensuring service users safety and care is given in their best interests. The home regularly reviews aspects of its performance through a programme of self-review and consultations, which include seeking the views of staff and relatives. EVIDENCE: The manager is registered with the Nursing and Midwifery Council as a registered nurse – mental health. She has worked as manager of the home since October 2004, and previously as a Community Psychiatric Nurse, and is currently undertaking a Registered Manager’s Award. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 22 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. 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. The manager said individual feedback is then given to her, action needed is identified and feedback then given to staff members. However, this years survey results had not been fed back to her. The home also completes an annual self-audit and considers reports and minutes from groups and meetings held at the home when looking at how the home can develop and improve. Information supplied since the inspection shows health and safety checks, maintenance and servicing is completed as required. During a tour of the building it was noted that fire equipment had been checked and serviced within the last year. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 23 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 1 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 Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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. 2. Standard OP7 OP9 Regulation 15(2)(c) 13(2) Requirement Care plans must be revised if the aim of the plan is not being achieved. The reason for medication not being given must be clearly stated on medication administration records. A full employment history, together with a satisfactory written explanation of any gaps in employment. (Previous timescale of 30/11/05 not met.) Timescale for action 31/01/07 31/01/07 3. OP29 19(1)(b) 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP7 OP10 OP14 Good Practice Recommendations Care plans should be reviewed each month to ensure changed or un-resolving care needs are recorded. Staff should consider service users abilities when completing everyday tasks. Staff should consider how to anticipate service users needs DS0000024303.V322500.R01.S.doc Version 5.2 Page 25 The Gables Nursing And Residential Home 4 OP28 in making every day choices. 50 of non-nursing care staff should have a national vocational qualification in care at level 2 or above. The Gables Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Nursing And Residential Home DS0000024303.V322500.R01.S.doc Version 5.2 Page 27 - 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!