This inspection was carried out on 7th January 2010.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Annual service review
Name of Service: The Gables Nursing Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Joan Browne Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: The Gables Nursing Home 123 Wendover Road Aylesbury Buckinghamshire HP21 9LW 01296423077 Telephone number: Fax number: Email address: Provider web address:
mg_gbls@hotmail.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mandeville Care Services Limited Number of places (if applicable): Under 65 Over 65 0 22 The maximum number of service users to be accommodated is 22. The registered person may provide the following category/ies 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) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Gables Nursing Home is an older building with character and retains some of its original features. The home is situated on a main road close to local amenities. The home provides nursing care for twenty-two service users. The staff team consists of qualified nurses, carers and ancillary staff with a manager, who is a suitably qualified nurse. The home has access to a large well-kept garden, which is situated approximately five minutes away at Mandeville Grange, which is also owned by the Annual Service Review Page 2 of 6 proprietors. Information about the home, in the form of a statement of purpose, which describes the services available and the terms and conditions, a service users guide and brochure can be obtained obtained from the home. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us completed by relatives on behalf of people using the service, staff, and from health care professionals. What the service has told us about things that have happened in the service, these are notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations . Telephone discussion with the registered manager to clarify some information and gave feedback from the surveys so that they can be addressed. What has this told us about the service? There was some delay in receiving the annual quality assurance assessment (AQAA) within the timescale requested. Information about what the service does well, what they could do better and their plans for improvement were completed. Statistical information was also received. It is clear that the home continues to provide a good service and they know what further improvements they need to make. Seven relatives who completed surveys on behalf of service users were positive about the service delivery. The following comments from respondents were noted: The Gables is a lovely home with high standards. The homes staff are always polite and friendly. They are always polite to my family too. The home is always clean, they all look after my Nan very well. Very happy with the home. All aspects of work is carried out well. I think it is a lovely home with high standards. The staff are friendly and lovely. Medical care is provided when needed. Nothing is too much trouble. The home has a warm friendly environment. Appears relaxed and flexible. Visitors made to feel welcome and as part of the family at all times. Meals are served to a good standard. Individuals tastes are catered for. Staff are friendly, cheerful, patient, helpful and interact well with residents. Cannot fault the Gables. A respondent raised concerns about the security of the back door which is sometimes overlooked. And a delay sometimes in communicating information to the family. A second respondent commented that the home could do better by providing a ramp for wheelchair access at the front door. These concerns were passed on to the manager to be addressed. Seven staff responded to the Commissions survey. They said that up to date information is always provided in relation to the needs of service users. Access to relevant training to support them in their roles was available. The following additional comments were noted: Management have good working relationship with all members of staff. Regular staff meetings are held and staff can express their opinions and views. Staff care for the residents really well. They are all given choices daily. Relatives always make comments how good the home is. The home always look after the best interest of the residents. They accommodate the residents requests really Annual Service Review Page 4 of 6 well. It is a nice friendly place to work in. Some staff respondents said that the home could do better by employing more staff. The following comments were noted: The home could do better by employing more staff so that the current staff are not overworked. The home could do better by recruiting more staff to meet individuals needs. The home should allocate enough staff per shift to meet the high needs of the individual so that things can be done to support individuals at the appropriate time and not do things for individuals way out of the normal time. Three health and social care professionals responded to the Commissions survey. They said that the home always or usually responds to the diverse needs of service users. The following comments were noted: The home provides good standard of care and is aware of psychiatric needs. The Gables offers a caring environment for the residents. They are all treated individually depending on their needs and always treated with respect. The AQAA informed that as a result of listening to people using the service the home has improved the decor of the home. There is an ongoing program of redecoration on bedrooms and communal areas. Numerous soft furnishings such as curtains, light shades and bedroom furniture have been replaced to enhance the environment. The homes barriers to improvement have been that the homes premises are a listed building so there are limitations for altering the building structurally. The home has tried to overcome these barriers by improving the environment within the restraints of the listed building regulations. The AQAA stated that the home has not had any safeguarding investigation or referral made within the last twelve months. The AQAA informed that the home promotes equality and diversity by ensuring that service users regardless of their race, gender, disability, sexual orientation, age, religion and belief are treated as individuals. The home has equality and diversity policies and procedures in place which staff are made aware of at induction and ongoing. What are we going to do as a result of this annual service review? We are not going to change our inspection plan. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
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