Inspection on 05/06/08 for The Gables, Truro

This inspection was carried out on 5th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Gables, Truro 04/06/09

The Gables, Truro 28/06/07

The Gables, Truro 08/06/06

The Gables, Truro 19/01/06

The Gables, Truro 07/06/05

The Gables, Truro 05/01/05

The Gables, Truro 19/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 The Gables Newquay Road Goonhavern Truro Cornwall TR4 9QD Lead Inspector Diana Penrose Unannounced Inspection 5th June 2008 09:30 The Gables DS0000008970.V362551.R01.S.doc Version 5.2 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 DS0000008970.V362551.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Address Newquay Road Goonhavern Truro Cornwall TR4 9QD 01872 571030 0871 661 8115 choicecareservices@yahoo.com 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) Mr John Aubrey Nicholls Mrs Rebecca Jane Warren Mr Dean Farnan Care Home 10 Category(ies) of Dementia (1), Learning disability (10) registration, with number of places The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability, excluding dementia or mental disorder (Code LD) maximum 10 places 2. Dementia (Code DE) - maximum one (1) place The maximum number of service users who can be accommodated is 10. 28th June 2007 Date of last inspection Brief Description of the Service: The Gables is registered to provide care for ten service users with learning disabilities and one with a dementia. This home offers day care; respite care and holidays for service users with a learning disability. The registered providers Mr Nicholls and Ms Warren live on the premises. The Gables is a detached house situated in the village of Goonhavern, which is between Perranporth and Truro. It provides single accommodation for the people using the service and there is a self-contained flat to accommodate one person. There is a suitable dining room and two lounges on the ground floor. There are two workshops situated at the rear of the home that predominantly provide activities for day care service users but are also utilised by all the people accommodated in the home. The home is clean, warm and comfortable. The people currently living in the home attend weekday activities assessed for and provided by the Cornwall department of adult social care. They are given ample opportunities for socialising and visitors are openly encouraged. Information about the home is available in the form of a statement of purpose / service users’ guide, which can be supplied to enquirers on request. A copy of the most recent inspection report is available in the home. Fees range from £375.00 to £521.00 per week. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 5 confectionary and toiletries The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. An Inspector visited The Gables Care Home on 05 June 2008 and spent seven and a quarter hours at the home. This was a key inspection and an unannounced visit. The focus was on ensuring that resident’s placements in the home result in good outcomes for them. It was also to gain an update on the progress of compliance to the requirements identified in the last inspection report dated 28 June 2007. All of the key standards were inspected. On the day of inspection seven people were living in the home, three of these were on holiday. The methods used to undertake the inspection were to meet with residents, staff and the manager to gain their views on the services offered by the home. Records, policies and procedures were examined and the inspector toured the building. CSCI surveys have been returned in respect of 8 residents, 7 relatives, 4 staff and 3 professionals; these have also informed this inspection. This report summarises the findings of this key inspection. The people using this service expressed satisfaction with the care and services provided at the home. What the service does well: The home provides a comfortable relaxed environment for permanent and holiday residents and their comments show that they are happy living in the home. The grounds are tidy and residents can access them easily. Residents are able to make decisions on how they live and maintain their independence. The daily routines are flexible to meet their individual needs and wishes. Contact with family and friends is encouraged and visiting is open. Personal support is given according to the person’s needs and preferences and there is a suitable system in place for the use of medicines in the home. Residents have access to a variety of activities at the home and via day centres and work placements. The home has its own transport, which enables residents to go out on a wide range of day trips and outings. Some of the pottery work undertaken by the people using the service is on display in the home. The home has satisfactory complaints and adult protection policies that ensure people are listened to and protected from possible risks of harm or abuse. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 7 There is a robust recruitment process and all the relevant checks are undertaken prior to employment. All documentation and records are stored confidentially and in line with data protection requirements. Health and safety precautions are good and appropriate maintenance; equipment and service checks are undertaken. What has improved since the last inspection? What they could do better: The registered persons must make efforts to comply with the requirements set in this report or enforcement action may be taken. The home has information available in the form of a statement of purpose and service user guide, these documents must be kept up to date to ensure people are given the correct information about the service. The assessment of people who stay on holidays at the home needs to be more thorough to ensure the home can meet their needs fully. Care plans are in place for permanent and respite residents, these need to be more detailed and reviewed regularly with the involvement of the resident and other appropriate people such as their relatives and social worker. This will ensure that the plans are up to date and include the resident’s preferences. The people using the service need to be more involved in the running of the home and more formal meetings would evidence that this is happening. Some parts of the home still require extra cleaning or decoration and some furniture and fittings need to be replaced. The registered manager is aware of this and plans are in progress. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 8 The duty rota should include the care hours and administration hours worked by the registered manager to show that an appropriate balance is worked and that the manager is not working too many hours per week. Staff and the management team need to ensure that they keep up to date on issues relevant to people with learning disabilities and external courses may provide some additional stimulation for staff to back up the in house training provision. The home has no quality assurance systems in place and these are required to monitor and improve the service. 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 DS0000008970.V362551.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents are given information about the home enabling them to make an informed decision however this information needs to be kept up to date. All new people admitted to the home have an assessment but more detail is needed to ensure the home can fully meet the needs of holiday residents. EVIDENCE: The home had a suitable statement of purpose at the last inspection it now needs to include details of the newly registered manager. The service user guide shown to the inspector was dated March 2006, the same as at the last inspection. The manager said he had updated this but agreed to do it again and forward a copy to the Commission as soon as possible. The manager stated that prospective residents are assessed by the home prior to admission and there is a suitable form used for this assessment. There were assessments seen on files from the department of adult social care as well. There have been no new people admitted to the home since the last inspection. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 11 The home requests that the person referring a resident for a holiday stay completes one of The Gables profile forms. This gives information about the resident and their care needs, completed profiles were seen for the three people on holiday. They were well completed but there was little detail regarding past medical history, for example one person sees a psychiatrist regularly but it did not state why. The registered manager said that he could review the form but they will not be admitting holiday residents after the end of August 2008. If there are any queries on the forms in the meantime he will enquire by telephone and record the details. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All permanent and respite residents have a care plan that includes risk assessments, more detailed plans with a multidisciplinary review, including the resident, would ensure that staff know how to meet their needs fully. EVIDENCE: Residents who live permanently or receive respite care at The Gables have an individual care plan that informs staff on the care to be provided. The format is detailed and covers all relevant areas. One care plan was inspected as the registered manager had reviewed it recently; no one else was involved in the review. All parts of the documentation were filled in but the plan lacked detail to direct staff fully on the care to be provided. As there have been several new employees recently this is important. The resident or her representative had not signed the plan. The daily records are reasonably informative and held individually. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 13 Residents on holiday have a profile completed for each visit that is used to inform staff on the care provision. Many of the holiday residents have visited the home several times. There is evidence that residents are involved in making decisions about their lives from the records maintained. Survey comments include “The service supports him to live the life he chooses” and “They assist clients with choice, individuality and self expression whilst encouraging respect for all”. Residents were moving about and doing as they wished during the inspection. Some of the permanent residents were out at day centres, this limits their choice of activities during the week but the registered manager said there is free choice at the weekends. The registered manager said that discussion regarding life in the home tends to be carried out informally, but more formal meetings are being considered. Staff manage most residents’ monies, each has a post office account and some have a bank account as well. Benefits are paid in monthly and residents receive regular money to spend as they wish. Records of transactions were seen along with receipts for expenditure on behalf of residents. The registered manager checks the records and the money held regularly and signs the books. The money held for one person was counted and there was four pence more than the total recorded in the wallet. There is evidence that people are encouraged to take reasonable risks and risk assessments are included with the care plans. One resident goes out to the shop and to the pub on his own. People’s involvement in the running of the home appears to be limited but the registered manager hopes to do more about this and will start by including them in the choice of colours for the decoration of their rooms, as they all need to be e-decorated. All records are stored confidentially in the owners’ accommodation or in a locked cupboard in the home. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people using the service are provided with plenty of activities, routines are flexible and they have contact with family, friends and the local community as they wish. EVIDENCE: Records show that people participate in a variety of activities; several people were out in the workshops during the inspection. Some of the pottery work undertaken by the people using the service is on display in the home. One survey comment was “My son does craft work, computing and painting and they take him out on trips e.g to Lands End”. Their bedrooms are personalised and various interests are evident. There is a home cinema system in the dining room. The greenhouse has flowers and tomato plants growing. One survey comment included “The garden project started in 2007 was a big hit with my son”. Residents were seen to have unrestricted access to the grounds; they went in and out of the home as they wished during the inspection. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 15 The manager said that residents attend day centres and sheltered work placements. One has undertaken a horticultural NVQ and is now doing another NVQ. Her certificates are displayed in her room. The manager said that residents could go out in the local community according to their assessed ability. They go to the local pub sometimes for lunch on Sundays. The manager said that one resident attends the local church. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is given to residents according to their needs, systems for the administration of medicines is safe and they have access to health care services as necessary ensuring their physical and emotional needs are met. EVIDENCE: All of the people using the service are quite independent and do not require much personal care support. The daily records show that support is given where necessary and staff talked about this. The registered manager said that people sometimes need reminding to shave and so on. The records show that routines are flexible and suit the people using the service. Residents are all registered with a GP and their health is monitored. The registered manager said that visits to the dentist and optician take place when needed. Medicines are supplied by a local pharmacy. Storage, administration and disposal records are maintained appropriately. The registered manager types the prescribed medicines onto the medication administration record charts and signs the chart. Having a witness to sign as well was discussed for reducing the The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 17 risk of errors. Patient information leaflets for medicines administered are held in the home and there are reference books for staff to refer to. All staff administering medicines have received training in house using the Red Crier packs. The training includes a written test that is sent away to the company for assessment. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory complaints and adult protection policies that ensure people are listened to and protected from possible risks of harm or abuse. EVIDENCE: The complaints procedure in place has not been updated to include the latest CSCI contact details. The inclusion of the department of adult social care details was discussed with the registered manager. The procedure is included in the resident guide. There has been one complaint since the last inspection, which is being investigated by the registered manager. Thank you letters and cards are kept in a file. The home has an adult protection policy that includes the referral of incidents to Social Services. The registered manager stated that all staff have attended adult protection training, some externally and some in house, the registered manager has a video for training purposes. All carers are undertaking NVQ courses and adult protection training is included as part of the course. There is one safeguarding issue ongoing at the moment. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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 adequate. This judgement has been made using available evidence including a visit to this service. The building and grounds are well maintained but some furniture and fittings are unacceptable and need replacing, attention to cleaning and further decoration will also enhance the surroundings and make the home a more pleasant place to live in. EVIDENCE: The home provides a reasonable environment for the present residents but is not suitable for wheelchair users; the registered providers acknowledge this. Re-decoration and refurbishment is taking place, the lounge that used to be for smokers has been decorated and is much brighter and fresher now. The home is a non-smoking facility and none of the present residents are smokers. Some of the furniture and fittings in the home are in need of replacement. The registered manager has undertaken an audit and made a list of the work that The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 20 needs doing. Maintenance of the home is ongoing although there is no written plan. Bedrooms are personalised with resident’s belongings and fitted with Yale locks, keys are provided according to individual risk assessments. The home is generally clean, residents are responsible for cleaning their rooms, and this needs to be checked to ensure that high places and areas such as washbasin overflows are kept clean. Some high cleaning is required to remove cobwebs and dust. The registered manager said the cleaner is on sick leave at the moment but he will address this. Laundry facilities are suitable and each person has a dedicated day for their laundry to be done. Hand washing facilities and protective clothing such as gloves and aprons are provided for staff. The grounds are tidy with lawns and beds of flowers. There are workshops and a greenhouse at the back of the home for the provision of day-care and activities. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust, staff have or are working towards NVQ qualifications and other training is on offer, there are suitable numbers of staff for the people accommodated. This ensures that people are in safe hands. EVIDENCE: The management team also work as part of the care team. Staff spoken with said there are a suitable number of people on duty at all times; extra are brought in when required. The duty rota does not include the hours worked in the home by the registered manager. It should include the care hours and administration hours worked to show an appropriate balance and that the manager is not working too many hours per week. There is an on-call section on the rota although the registered manager said he is permanently on-call even if someone else is on the list. Three care staff have an NVQ qualification in care to at least level 2, all other care staff are enrolled onto NVQ level 2 courses. There is a training policy in place. Statutory training is provided for staff and records are kept; copies of training certificates are also held on file. The registered manager is liaising with Ultra training for further moving and handling training. Some dementia training has taken place and the NVQ training will cover training specific to The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 22 learning disabilities. The registered manager should ensure that all staff and management keep up to date with issues relevant to the client group. Some external courses would be beneficial as most of the training is in house, based on training packs supplied by a company and facilitated by the manager. Resident’s comments include “I find the staff nice and helpful”, “They are friendly and support me to have a good time”, “The staff are calm and talk to me gently, I feel comfortable with them and safe. I would live there if I could instead of spending holidays there”. Relative’s comments are positive about the staff and include “Friendly staff. Home to home, not institutionalised”, “The staff are wonderful” and “Friendly home from home manner, supporting all residents and treating them with the respect they deserve”. Three staff files were inspected, all were new employees and they all had application forms and health questionnaires. All had two references and POVA and CRB checks undertaken prior to employment. All had terms and conditions of employment in their files. There were interview records for one person. Two photographs have yet to be included. There was evidence that appraisals have commenced and staff talked about this. The recruitment process has improved since the last inspection. Induction training records were seen for two people, the registered manager said the other member of staff had theirs at home. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager is competent to run the home and health and safety is promoted he needs to ensure that the requirements set are met and that quality assurance systems are in place to strive for continual improvement. EVIDENCE: Mr Farnan has now completed the Registered Managers Award and NVQ 4 in care. He is registered with CSCI and is responsible for the day-to-day running of the home. The registered providers are also very involved with the running of the home and live on the premises. Mr Farnan is competent to run the home and has attended various courses. Staff said he is very approachable as are the registered providers, they said there is a very relaxed atmosphere in the home. One resident said “I can talk to the management if I have a problem”. The registered manager must now concentrate on complying with the three requirements issued following this inspection as two have been re-notified and enforcement action may be taken. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 24 Letters of thanks are kept. Quality assurance questionnaires are given to residents or their representative to complete following respite care or a holiday stay, those seen were very positive about the care and services provided by The Gables. The registered manager said he intends to survey the permanent residents and their families later in the year. At present feedback is obtained informally from staff, residents and families. There are no minutes of meetings or audits undertaken at the moment. All relevant fire checks are carried out and service and equipment checks are up to date. Accidents are recorded and reported appropriately, the home has minimal accidents, and there have been two this year. The Gables DS0000008970.V362551.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 Adults 18-65 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 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 1 X X 3 X The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 26 Yes Are there any outstanding requirements from the last inspection? 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 YA30 Regulation 23 (2) Requirement The home must be kept clean and reasonably decorated; furniture and fittings must be kept in a good state of repair. This will ensure that people live in safe, comfortable pleasant surroundings. There must be a record of the hours worked by the registered manager to ensure that there is an appropriate mix of care work and administration. Also to ensure that a suitable level of hours are worked. 2nd notification There must be a system for evaluating the quality of the services provided at the care home to enable continual analysis and improvement 2nd notification Timescale for action 12/01/09 2 YA41 17 01/09/08 3 YA39 24 01/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 27 No. 1 Refer to Standard YA6 Good Practice Recommendations Care plans should be written in sufficient detail to inform and direct staff on the care to be provided The Gables DS0000008970.V362551.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 DS0000008970.V362551.R01.S.doc Version 5.2 Page 29 - 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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