Inspection on 23/10/07 for The Gables Nursing Home

This inspection was carried out on 23rd 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 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 Home 08/09/09

The Gables Nursing Home 24/11/08

The Gables Nursing Home 03/10/06

The Gables Nursing Home 09/12/05

The Gables Nursing Home 05/07/05

The Gables Nursing Home 13/10/04

The Gables Nursing Home 20/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Gables Nursing Home 56 Ifield Green Crawley West Sussex RH11 0NU Lead Inspector Mrs D Peel Unannounced Inspection 10:15 23 October 2007 rd 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 Home DS0000024225.V347529.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 Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Nursing Home Address 56 Ifield Green Crawley West Sussex RH11 0NU 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) 01293 552022 01293 528001 Excel Care Homes Limited Ms Sara-Jane Barrington Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56) of places The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with Nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Dementia (DE) 2. Learning Disability (LD) 1 The maximum number of service users to be accommodated is 56. 3rd October 2006 Date of last inspection Brief Description of the Service: The Gables Care Home is registered to provide personal and nursing care for fifty-six residents. Excel Care Homes Limited privately owns the service and the Responsible Individual on behalf of the company is Mr K Indra. The Registered Manager is currently Mrs Sara Jane Barrington. Mrs Barrington has informed the Commission for Social Care Inspection (CSCI) of her intention to resign her post as manager but on the day of this visit to the home a certificate of post vacant had not been issued by CSCI and Mrs Barrington was working at the home in her management capacity. The home is located in Ifield Green, which is on the outskirts of Crawley. There is a car park to the front of the home. A local shop, post office and pub are close by. Bus services are available close to the home and Crawley town centre and other amenities are approximately 10 minutes drive away. The home consists of a two-storey building, the majority of the residents rooms are situated on the ground floor, and those rooms on the first floor are accessible by a passenger lift. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 5 An enclosed garden is in the centre of the premises; resident’s rooms surround this. A pleasant garden with a lawn, shrubs and flowers is to the front of the premises. The fees currently being charged by the home are £448 to £671 per week. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Diane Peel carried out this unannounced visit to The Gables on the 23rd October 2007. During this visit the intended outcomes for 33 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home previous inspection reports and information gathered about the home since it was last visited in October 2006 were reviewed. Have Your Say surveys were returned to CSCI by two people living at the home, ten surveys were returned by relatives and friends and two surveys were returned by staff prior to the visit to the home. All this information was used to inform the inspection process. In addition a relative contacted CSCI after the visit to the home to give their opinion of the home and the inspector contacted one member of staff who had said that they would like to speak to an inspector on the Have Your Say survey returned to CSCI. The majority of people providing feedback to CSCI were satisfied with the service but for one person a number of issues were of concern and this person has been asked to use the homes complaints procedure to bring their views to the attention of the management of the home. The Annual Quality Assurance Assessment (AQAA) was returned to The Commission for Social Care Inspection (CSCI) prior to this visit to the home and this was used to address areas of improvement and further improvements with the manager. During the course of the visit the inspector met many of residents and spoke with those who were able to converse with the inspector in either in the privacy of their bedrooms or in the communal areas. A case tracking exercise for four people living at the home was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. Staff were spoken with during the visit and observed during their interaction with people living at the home. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? Since the last visit to the home the home has improved its care plans to include residents social care needs and explain how a resident wishes his or her care to be provided. Menus have been revised with the suggestions of the people who live at the home and people feel that there is more fresh fruit and vegetables available. The safeguarding adults policy of the home has been revised to meet the West Sussex Multi Agency procedures. An area of the home has been identified to provide a safer environment for people who have dementia care needs. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 8 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 Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 9 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 Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 10 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): 1,2,3,4,5,6 People who use the service experience excellent outcomes in this area. People, who come to live at the home and their families, have information available to make an informed choice about where they want to live and people’s needs are assessed before they move to the home, so that they know that the home can meet those needs. EVIDENCE: A revised statement of purpose and service users guide was provided prior to the visit to the home which was observed to provide good informational about the home and what accommodation and services which it can offer. This information also included the information about the specialist needs, which the home can cater for. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 11 Mrs Barrington said that when an initial enquiry is made a leaflet is sent out to the enquirer with a price list. People are encouraged to come and have a look around the home unannounced but if they want to meet with the manager it is suggested that they make an appointment. A sample menu is also provided with the service users guide at the point of visiting the home. Mrs Barrington explained that a needs assessment is carried out by either herself or the deputy manager before anyone is offered a place at the home. She explained that even though an assessment may have been carried out by placing officers from local authorities they do not rely on this information alone. The pre assessment for one person who had moved in the previous day was observed and confirmed that it had been carried out prior to this person moving into the home for a trial period. Other assessments were observed for people who had recently been assessed but not necessarily moved into the home. Mrs Barrington said that once someone had moved into the Gables a welcome letter was sent to both the resident and their relative or person acting on their behalf. This letter supplies information about housekeeping such as a reminder to sign in the visitor’s book and how to contact the manager. All residents including those funded by social services are provide with a contract and terms and conditions of residency, which explains what the fee being paid is, what the fee covers and who is paying what part of the fee. People’s specific social, cultural and religious needs are identified in their care plans and through case tracking one such resident it was evident that staff at all levels were aware of these needs. Discussion with this persons relative visiting the home confirmed that they were satisfied that their relative living at the home had their needs met. Out of the ten relatives who returned Have Your Say surveys to CSCI three reported that their relatives needs were always met and seven said that they were usually met. Information provided in the homes Annual Quality Assurance Assessment (AQAA) returned to CSCI prior to the visit to the home reported that there are both male and female care staff working at the home of various ages between eighteen years of age and sixty five years of age and who are from diverse social, cultural, and religious groups providing a service to people who have a range of diverse physical, emotional and religious and cultural needs. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 12 The Gables does not provide intermediate care. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 13 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 People who use the service experience good outcomes in this area. The health care and care support needs of residents are being met and improvements have been made to the detail of resident’s social needs and how residents want their care to be delivered so that people living at the home know that individual needs will be met. EVIDENCE: The care records and plans of four people were observed during this visit to the home and a case tracking exercise undertaken to establish how assessed needs had been developed into the plan of care for each individual, this included one person who had recently moved into the home. With the exception of the person who had only just moved in, the plans had been regularly reviewed and daily records were kept for all four to monitor the changing needs of each individual. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 14 In addition fluid, food and turning records were being used to monitor those people who had been identified as being at risk from poor fluid and food intake and were at risk from poor tissue variability. Care plans addressed personal risks and included a dependency profile and nutritional risk assessment. Records of visits by other healthcare professionals are kept and for one person case tracked there was documented evidence that the Doctor had visited them the previous day. The home has a medication policy, which the AQQA returned to CSCI reports was last reviewed in June 2006. Only qualified nurses administer medication at the Gables using a monitored dosage system. During the course of the visit a nurse was observed to administer medication to a person requiring their prescribed medication via a PEG feed. Each medication was carefully measured out and dosage checked against the medication administration sheets and then signed for. Medication is stored in a number of locked metal trolleys and returned to lockable storage after use. A Doctor returning a Have Your say survey to CSCI reported that as far they were aware the service meets peoples individual care needs and that staff “always move the resident to their own room or private area for examination, taking care to close doors, pull curtains etc.” When asked what do you feel the care service does well? the same Doctor said “ Good general nursing care-hygiene, skin care, wound management-calling in nurses with added experience for advice, if possible. Sensitive liaison with relatives. In management of very ill residents, quick to seek advise. Good consideration of feeding problems, nutrition.” The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 15 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): 12,13,14,15 People who use the service experience good outcomes in this area. The home is friendly and staff respect the privacy and dignity of residents. The activity programme is flexible to cater for individual residents abilities so that they experience variation to daily living. Meals are of a good standard. EVIDENCE: The Gables Nursing home felt like a busy care home with visitors coming and going all day. It was observed that visitors were also welcomed over meal times and were encouraged to feel part in their relatives care. The visitor’s book also records many visitors. One visitor who spoke with the inspector said that they visited every day and were always made to feel welcome by the staff. They felt that the staff were doing everything they could for their relative living at the home. Relatives returning Have Your Say surveys to CSCI commented about the activities at the home, mentioning keep fit, singing, games, and celebration of birthdays. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 16 One relative said, “the entertainment is suited to the residents and enjoyed by them.” Another relative said, “ “the food is good. Social interaction is good, bingo, sing-a-long.” A Doctor returning a Have Your Say survey to CSCI also commented about the social programme: “Good social programme with enthusiastic staff involvement to encourage residents to participate. The entertainment programme was observed to be on display in the hallway and included: bingo, arts and crafts, and music. Also on display in the hallway were photographs of events, which had taken place in the home and outings. On the day of the visit many of the residents joined together in the dining room to play bingo. People living in the dementia care unit of the home were encouraged take part and it was also observed that visitors to the home joined in. The activities co-ordinator showed much enthusiasm and had been heard earlier in the day reminding people of the afternoon’s session of bingo with vouchers as prizes to be used in a high street store. The inspector joined residents in the dining room for the main meal of the day, which was lasagne and green beans. Some people had chosen the alternatives of salad or jacket potatoes. The desserts offered were tapioca pudding, fruit and cream, ice cream cheese and biscuits. There was also a large bowl of fresh fruit on the table for people to help themselves to. Special diets are being catered for and for one person being case tracked, who was a vegetarian the chef reported that they had provided a vegetarian lasagne. For those people who need assistance with their meals staff rotate an allocation list so that no one gets left out. One of the nurses on duty told the inspector that meals are kept hot in the hot trolley until they are needed for those people who need assistance. People seemed to enjoy their food and had the opportunity to provide feedback to the chef when he came out of the kitchen to ask them how they had found the meal. The chef also explained that the menu was new and had been put together from suggestions from the residents of the home. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 17 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): 16,18 People who use the service experience good outcomes in this area. The complaints procedure enables those using the service to have the confidence that any complaints will be taken seriously and responded to. Arrangements are in place to protect people using the service from being place of harm or abuse. EVIDENCE: CSCI have received two complaints about the home since the last visit. The manager was asked to investigate these complaints though the homes complaints process and outcomes of the complaints were reported back to CSCI. The AQAA (Annual Quality Assurance Assessment) received prior to the visit to the home recorded that two complaints had been received by the manager. Neither complaint was upheld and both were dealt with within 28 days. The complaints record examined during the visit to the home, demonstrated that complaints had been responded to appropriately, outcomes recorded and copies of letters kept. Three out of the ten surveys returned from relatives to CSCI said that they did not know how to make a complaint but others commented “ There are notices The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 18 up on the message board at reception.” and “ had list of instructions when my mother entered the home.” On the day of the visit the complaints procedure was observed to be on display in the entrance hall. The home has its own safeguarding adults procedure, which it uses in conjunction with the West Sussex Multi Agency Adult Protection Procedures and had been reviewed since the last visit to the home when a requirement was made for it to be updated. Mrs Barrington had been on a recent seminar to bring her up to date with the revised West Sussex multi agency procedures. One safeguarding adults referral had been made directly by the home in the past year, which is still being investigated with the co-operation of the management of the home. Mrs Barrington confirmed that safeguarding adults is covered during staff induction and then further training is provided for all staff. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 19 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): 19,20,21,22,23,24,25,26 People who use the service experience good outcomes in this area. People have a homely, safe environment to live in which is being gradually improved to facilitate the changing needs of its service users. EVIDENCE: Since the last visit to the home a variation to the homes registration had been made which enables people who have dementia care needs to come to live at the home. Alteration to the fabric of part of the building has been made to ensure the safety of people who have dementia such as a keypad system and a new assisted bath. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 20 There are other adaptations in place in this area of the home which include signage and orientation boards. There has been some redecoration to communal space and some bedrooms and the home has carried out roof repairs. Information provided by the manager in the AQAA confirms that annual safety inspections are undertaken on equipment and utility supplies. These were sampled at random and found to be correct. On the day of the visit the home was observed to be clean and reasonably well maintained. A relative returning a Have Your Say survey to CSCI commented, “ Considering the age of the building it is kept clean and tidy.” And both people living at the home who returned surveys to CSCI reported that in their opinion the home is always kept clean and fresh. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 21 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): 27,28,29,30 People who use the service experience good outcomes in this area. Recruitment procedures safeguard and protect residents at the home and staff receive training to support them in carrying out their jobs. EVIDENCE: The staff on duty on the day of the visit were enthusiastic and maintained a happy environment whilst showing respect and consideration for individual peoples needs. The deployment of staff at busy times of the day had been considered and there were work rotas and records of physical care tasks, which were being carried out but feedback from one relative contacting CSCI suggested that people living at the home are often left unsupervised in the lounge. Relatives retuning Have Your Say surveys to CSCI had positive comments to make about the staff such as: “I have been pleasantly surprised at the care and attention my mother has receives.” “I think the staff do a good job” The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 22 Some people returning surveys had concerns about shortage of staff and commented that there was “a shortage of staff” and “ obviously it would help with a few more staff but those they have got cope very well.” Staffing levels was discussed with the Mrs Barrington who said that staffing levels had been the subject of comments left in the suggestions box in the entrance hall. In response to this and other issues she had written a letter to all relatives explaining that staffing levels were higher at busy times of the day and this was confirmed by staff during the visit to the home and in surveys returned to CSCI by staff. Information provided in the AQAA returned to CSCI prior to the visit to the home stated that at the time of completing the assessment there were twenty five full time care and nursing staff working at the home and eighteen part time care and nursing staff. In addition they were being supported by 15 none care staff. Eight carers had an NVQ level2 or above and four other carers were working towards an NVQ level2 or above. The records of four staff were observed during this visit to the home. They were observed to include evidence of Criminal Record Bureau (CRB) and Protection of Adults (POVA) checks. A job application was on file, two written references (for those people employed after 2002), photograph, proof of the person’s identity and completed equal opportunity monitoring forms and health declaration forms. Staff records viewed also demonstrated a commitment to staff training within the home and staff returning surveys to CSCI confirmed regular external and internal training. Induction records were available for staff whose records were viewed based on the skills for care common induction standards and as part of the induction process for new staff they are provided with a copy of the General Social Care Council code of practice. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 23 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): 31,33,35,36,38 People who use the service experience good outcomes in this area. Systems are in place to ensure the effective management of the home and the views of residents, their families and friends are sought so that organisation can measure how successful the home is at meeting its aims and objectives and its statement of purpose. EVIDENCE: The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 24 CCCI have received a letter informing us of Mrs Barrington’s intention to resign her post to move to a new service owned by the same providers currently going though the CSCI registration process. She had already written to relatives informing them of her intentions but on the day of the visit a certificate had not been issued by CSCI and Mrs Barrington was still working at the home to support the deputy manager who will be acting up as manager once Mrs Barrington moves to the other care home. Relative’s comments about the management of the home included: The Gables has a wonderful matron and care team. The proprietors are very involved.” There has been no progression with the formal supervision process for staff. At the last visit to the home CSCI were shown a format intending to be used to record supervision but in reality this had not happened. A statutory requirement has now been made to ensure that staff are formally supervised in addition to being supervised as part of the normal management process and annual appraisal. Quality assurance systems are in place, which include surveying residents and relatives on an annual basis. There is a suggestions box in the entrance hall, which is regularly emptied and responded to, most recently by a letter to all relatives. For the majority of people living at the home their relatives or appointee looks after their finances for them. Any expenses not covered by the fees charged by the home are invoiced directly. The home does not handle money for residents and have policies and procedures in place to protect service users from financial abuse. Records seen showed that Health and safety checks are carried out monthly as part of the home quality assurance system and both the Health and Safety Executive and Environmental health officer visited the home in April 2007. Information provided by the manager in the AQAA confirms that annual safety inspections are undertaken on equipment and utility supplies. These were sampled at random and found to be correct. The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 25 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 4 3 3 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 1 X 3 The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 26 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 OP36 Regulation 18.2 Requirement All staff must have formal supervision. Timescale for action 01/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Gables Nursing Home DS0000024225.V347529.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Home DS0000024225.V347529.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. 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