Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: The Gables Nursing Home 231 Swinnow Road Pudsey Leeds Yorkshire LS28 9AP The quality rating for this care home is: The rating was made on: one star adequate 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sean Cassidy Date: 0 7 1 1 2 0 0 8 Information about the care home
Name of care home: Address: The Gables Nursing Home 231 Swinnow Road Pudsey Leeds Yorkshire LS28 9AP 01132570123 01132551336 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Dr Emad-Ul-Mulk Minhas,Dr Hussan Ara Minhas care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability 3 0 1 Over 65 3 23 0 Conditions of registration: The place for Physical Disability is specifically for the service user named in the variation application dated 20 February 2004. Not to exceed 3 service users in total for the categories DE and DE(E) Date of last inspection Brief description of the care home The Gables Nursing Home is an extended converted building that provides personal care with nursing for both men and women over 65 years. It is a three-storey building, but people living at the home have access to only two of these, the third storey is used for storage and office space. The home is situated on a busy main road with good Care Homes for Older People
Page 2 of 9 access to public transport for Leeds and Bradford. Facilities nearby include a public house, shops, a post office, a cricket ground and a GP surgery in the grounds of the home. The majority of bedrooms are single but there are some shared rooms. Some rooms have en-suite facilities, the majority of which have limited access. Lounges and the dining room are on the ground floor; the garden can be accessed from one lounge by a portable ramp. On the 22nd April 2008 the manager said that the weekly fees ranged from #440 - #545 per week. Additional charges are made for newspapers, hairdressing, chiropody and personal toiletries. Care Homes for Older People Page 3 of 9 What we found:
We looked at three care plans. These showed evidence that there has been improvement with the provision of care planning in the home. All three had up to date care plans that were reviewed monthly. Evidence was seen in the care plan documentation that outside professionals are consulted regarding care need issues. This was particularly relevant to wound assessment and planning. The dietitian were also involved when needed. Only one care plan seen showed evidence that the person receiving the care package was involved with the consent process. No care plans seen showed evidence of a person centred care approach being adopted. This is good practice for people with specialist dementia needs and provides staff with a better understanding of individuals needs. Improvements have been made to the recording, administration and storage of medicines. The current and previous months Medication Administration Records (MARs) were looked at. Evidence from the current MARs showed that medication is being given as prescribed. Antibiotic courses on the new MAR had signatures of administration that matched the quantity supplied. There was evidence on the current MARs that medication was in stock and available to administer from. One person has paracetamol prescribed as when required for pain relief. Records of administration made on the previous months MAR demonstrated that the person was given the paracetamol at times when needed rather than at the usual administration times. This is good practice as it means that staff have identified the persons needs,however the current MAR only had records made against the usual medication rounds. The code O was used on a number of occasions to record no administration. However there was no definition on the chart to explain why the person had not received their medication. This means that there is not a clear reason available to know how a person is taking their medication. The prescriber, who may wish to review the medication, may also use this information. A cross check of medication administration against medication remaining showed that medication was being given as prescribed. The fridge for storing medication has been moved to the medicines room and was locked on the day of the inspection. This means that medicines requiring cold storage are no What the care home does well:
People are being provided with care plans and risk assessments that are up to date Care Homes for Older People
Page 4 of 9 and reviewed when needed. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 1 4 (1) (2)5 (2) The home?s Statement of Purpose and Service User Guide must be in a format that is suitable to the needs of the people living at the home. This will make sure that people are aware of the services that the home provides. (Previous date of 31/8/07 was not met.) 31/10/2008 2 10 12(4)(a) The toilet and shower/bath facilities must have locks on the inside of the doors. This will help promote peoples? privacy in the home. 31/10/2008 3 12 16(2)(m) A more structured programme of activities and outings must be developed and provided to all people living in the home. These must be focused on the specialist dementia needs of those people living there. This will promote the well being of all people living in the home. 31/10/2008 Care Homes for Older People Page 6 of 9 4 18 13(6) Any incident that places staff 31/10/2008 or residents at risk of harm must be properly referred to the safeguarding team. This will help protect people from harm. 5 19 23 The home must continue with the refurbishment programme. This will make sure that the home is suited to the needs of the people living in the home. 31/10/2008 6 30 18(1)(c)(i) The staff working in the home must receive training that is relevant to the care needs they are providing care in. This will ensure people are receiving appropriate care. 31/10/2008 7 33 24 The manager must establish 31/10/2008 a robust quality assurance system within the home. This will help to improve the quality of care experienced by people living there. 8 38 13(4)(a) The manager must ensure all 31/10/2008 areas and equipment used in the home are thoroughly risk assessed. This will help minimise the risk of harm to people living in, working in or visiting the home Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 7 Care plans should be more person centred care in their approach. This will help staff provide the appropriate care package to individuals. Codes used to describe why medication administration has not taken place should be clearly defined so detailed information on a persons medical treatment can be obtained. 2 9 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
