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

This inspection was carried out on 8th June 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 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 05/06/08

The Gables, Truro 28/06/07

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 09/07/2008.

CARE HOME ADULTS 18-65 The Gables Newquay Road Goonhavern Truro Cornwall TR4 9QD Lead Inspector Diana Penrose Key Unannounced Inspection 8th June 2006 09:30 The Gables DS0000008970.V296292.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.V296292.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.V296292.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 John Aubrey Nicholls Care Home 10 Category(ies) of Learning disability (10), Physical disability (4) registration, with number of places The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Residents to include up to 9 adults with a learning disability (LD) Residents to include up to 4 adults with a physical disability (PD) To accommodate one named resident with a Learning Disability who is over 65 years of age Total number of residents not to exceed a maximum of 10 Date of last inspection 19th January 2006 Brief Description of the Service: The Gables is registered to provide care for ten residents with learning disabilities (four of whom may have a physical disability). At present there are five residents living in the home. Respite care and holidays for people with a learning disability are also provided. As well as this the home offers day care for up to fifteen people. The home is situated in the village of Goonhavern, between Truro and Perranporth on the main Newquay road. The home sits in well-attended grounds but there is no parking space. The home is a cottage that has been extended and developed into the present building. The premises consists of a two storey detached building that includes accommodation for the registered provider. The other registered provider lives in a bungalow at the back of the home. An additional bedroom in the grounds has been converted for semi-independent living. This includes en suite facilities, and a kitchenette All bedrooms in the home provide single accommodation. There are adequate bathing and shower facilities and two lounges; one is for those residents who wish to smoke. Meals are prepared in a reasonable sized kitchen and served in a dining room that has a facility for use a home cinema. There are two workshops situated at the rear of the home where activities, including pottery, take place. Personal care is provided within a relaxed, friendly atmosphere. Information about the home is available in the form of a residents’ guide, which can be supplied to enquirers on request. A copy of most recent inspection report is available in the home. Fees range from £290 to £520 per week according to information supplied prior to this inspection. Additional charges are made in respect of private healthcare provision, hairdressing and personal items such as newspapers, confectionary and toiletries. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An inspector visited The Gables Care Home on the 08 June 2006 and spent six and quarter hours at the home. This was a key inspection and an unannounced visit. The purpose of the inspection was to ensure that residents’ needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that residents’ 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 19/01/06. All of the key standards were inspected. On the day of inspection 8 residents were living in the home, 3 of these were on holiday. The methods used to undertake the inspection were to meet with two residents, the registered providers and deputy manager to gain their views on the services offered by the home. Records, policies and procedures were examined and the inspector toured the building. Prior to the inspection discussion took place with the previous inspector, the home’s file was reviewed and information provided in the pre inspection questionnaire read. This report summarises the findings of this inspection. Residents expressed satisfaction with the care and services provided at the home. Overall the home is providing an adequate quality of care to the residents placed there. What the service does well: The home provides a comfortable relaxed environment for permanent and holiday residents and those spoken with are very happy living in the home. The grounds are tidy and residents can access them easily. Residents said the registered providers and staff are kind and caring and their health needs are met. Residents are able to make decisions on how they live and maintain their independence. They said the daily routines are flexible to meet their individual needs and wishes. Contact with family and friends is encouraged and visiting is open. 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 range of day trips and outings. All documentation and records are stored confidentially and in line with data protection requirements. Recruitment procedures are robust with relevant checks undertaken. Health and safety precautions are good and appropriate maintenance; equipment and service checks are undertaken. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Although individual daily records are maintained for permanent residents this must be extended to include the holiday residents as well. Care profiles are supplied for holiday residents but as these people visit the home regularly it is recommended that full care plans be produced and reviewed regularly. There needs to be more opportunities for residents to participate in community life within a risk management framework. Further choices and options for consultation on the running of the home should be available to residents. Policies have recently been reviewed but some adjustments are required to the medicines policy to ensure staff know exactly what is expected and the adult protection policy to be in line with local authority procedures. Staff training must be maintained with evidence that issues pertaining to the client group are included. Staff would benefit from attending local Social Services adult protection training sessions. Staff supervision also needs to be addressed as this has lapsed over the past year. One of the registered providers’ must obtain an NVQ 4 in both management and care or a registered manager must be employed who either has these qualifications or is willing to work towards them within a specified period. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 7 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 Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 8 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.V296292.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. 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. Residents are only admitted to the home following an assessment of their needs to ensure the home can provide adequate care. EVIDENCE: Evidence was provided in the form of documents, records and discussion with the management team. The registered providers have developed a suitable statement of purpose and resident guide. The deputy manager said the resident guide has been issued to residents and their next of kin / representative. There is a policy for the assessment of prospective residents, this needs to include that all prospective residents are assessed by the home prior to admission irrespective of whether a Social Services assessment has been received. There is an appropriate form used for the initial assessment of residents. A profile is completed by the home referring a resident for a holiday stay. This gives information about the resident and their care needs. It is recommended that details of any telephone conversation or other contact with a person referring a holiday resident be recorded and included in the residents file. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,& 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individual care plans are generated for each permanent resident that inform and direct staff in the care provision it would be beneficial to produce care plans for the holiday residents. Residents make decisions about their lives; assistance and support is given where necessary. Risks are assessed but more could be done in this area with appropriate support given to enable residents to lead a more independent lifestyle. EVIDENCE: Evidence was provided in the form of three resident’s care records, interviews with residents, and discussion with the management team. Residents who live permanently 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 including diversity, although the plans refer to problems rather than needs. Information must be recorded for each area of need rather than recording no problems. All of the documents in the file should be completed; inserting ‘not applicable’ is more appropriate than leaving sections blank. Review of care plans takes place every six months or earlier if there is a The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 11 change in care needs but there is no evidence that residents or their representatives are involved in these reviews. Daily records are informative and held individually for permanent residents. The daily records for holiday residents should also be held individually. Residents on holiday have a profile that is used to inform staff on the care to be provided. As many of the holiday residents have been visiting the home for sometime it may be more appropriate to produce full care plans and review them on each visit. There is some evidence that residents are involved in making decisions about their lives from the records maintained. Residents spoken with said they decide what they want to do each day and how they wish to live their lives. Discussion regarding life in the home tends to be carried out informally. 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 their pocket money to spend as they wish. Records are maintained and receipts are kept for all expenditure on behalf of residents. Two staff act as appointees for two residents’ benefits. There is evidence that residents are encouraged to take reasonable risks and there are risk assessments included with the care plans. One resident said he goes out to the shop and to the pub on his own. As in the previous report it is recommended the registered provider explore further possibilities for providing residents with further choices and opportunities for consultation on the running of the home. Opportunities for further participation in community life, within a risk assessment framework, should also be explored. All records are stored confidentially in the owners’ accommodation or in a locked cupboard in the home. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is adequate to good. This judgement has been made using available evidence including a visit to this service. The residents attend day centres and some opportunities are available for education; the home aims to offer a lifestyle that meets individual residents needs. Links with the local community seem limited and more could be done to allow residents the opportunity to socialise. Visiting and contact arrangements are open and residents know they can see their visitors in private. Daily routines are flexible but residents are expected to fulfil household tasks and participate together in the home. Dietary needs of residents are catered for with a varied selection of food available that aims to meet their taste and preference. EVIDENCE: Evidence was provided in the form of documentation, records, and interviews with residents, and discussion with the management team. Residents participate in a variety of activities. Two residents said they make pots in the home’s workshop and one resident showed the inspector a pot he had made. A resident also said he enjoys using the computer in the workshop. Other activities include art and crafts and a home cinema. They have The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 13 unrestricted access to the garden. The deputy manager said that residents attend day centres and sheltered work placements. One is undertaking a horticultural NVQ and voluntary work is available through the day centres. Residents can go out in the local community according to their assessed ability but this seems limited. They go to the local pub for lunch on Sundays. The home has its own transport, which enables residents to go out on a range of day trips; some went to Lands End on the day of the inspection. Residents said routines are flexible, and tailored to their individual needs. The deputy manager said that residents have contact with their families as they wish, by visits to the home, days out and by telephone. One resident said his family and friends visit him frequently. The deputy manager said that residents undertake household tasks in the home, for example all residents clean their rooms, they also help to lay and clear the dining tables. Bedroom doors are fitted with locks and residents can have a key to their room in accordance with their individual risk assessment. A varied menu is on offer that includes fresh fruit and vegetables. Some residents have meals at the day centres and so on. Residents said they enjoy the food provided and can have an alternative to the menu if they wish. Drinks and snacks are on offer at any time, drinks were offered to the one resident in the home during the afternoon. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 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 ensuring their individual preference is respected. Residents have access to health care services as necessary to ensure their physical and emotional needs are met. There are suitable systems and policies in place for dealing with resident’s medicines some minor adjustments to the policy and completion of staff training will further and assure residents safety. EVIDENCE: Evidence was provided in the form of observation, documentation, records, and interviews with residents and discussion with the management team. Daily care records show that personal care support is provided although limited, as residents are quite independent. Daily routines are flexible unless residents are going to the day centres when they have to get up in time. Residents said they go to bed when they like and they choose the clothes they are going to wear each day. They said they go shopping with the owners of the home when they need new clothes and so on. The management said that residents are all registered with a GP and their health is monitored. Visits to the dentist and optician for example take place The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 15 when needed. One resident had a hospital appointment on the day following the inspection and preparation was in progress during the inspection. Medicines are supplied by a local pharmacy. Storage, administration and disposal records are maintained appropriately. Staff write the medication administration record charts by hand. Two signatures had not been recorded for handwritten instructions on these charts but this was rectified during the inspection. The medicines policy needs updating to include this and the signing of medicines administered. It should also be written in the same tense throughout. Patient information leaflets for medicines administered should be held in the home. All staff administering medicines have received appropriate training. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that ensures complaints are listened to and acted upon. Arrangements are in place to protect residents from possible risk of harm or abuse, improvements to the policy and further staff training must take place to ensure these are robust. EVIDENCE: Evidence was provided in the form of documentation and discussion with the deputy manager. There is a suitable complaints procedure in place. A summary of this is included in the resident guide. There have been no complaints since the last inspection. Thank you letters and cards are kept in a file. Residents said they would talk to a member of staff if they had any concerns. The home has an adult protection policy but it does not make the referral of incidents to Social Services clear. The policy must be reviewed in line with the local authority procedures. The registered provider said that two staff have attended the Social Services No Secrets training, it is recommended that all staff receive this training. New staff are required to read the adult protection policy as part of their induction to the home. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home and grounds are well maintained providing a safe environment for residents, staff and visitors. There is sufficient indoor and outdoor communal space for residents to be comfortable and choose where they would like to be. The home is clean and free from odours making it an acceptable place to live in. EVIDENCE: Evidence was provided in the form of a tour of the building, observation and discussion with the management team. The home provides a suitable environment for the present residents but is not suitable for wheelchair users; the registered providers acknowledge this. The home is well decorated, comfortably furbished, clean and well maintained. Bedrooms are personalised with resident’s belongings and fitted with Yale locks, keys are provided according to individual risk assessments. Bathing and toilet facilities are suitable. Communal rooms include two lounges, one where residents can smoke. The dining room has a home cinema facility The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 18 with a screen and speakers. The kitchen is satisfactory and being refurbished at the time of inspection. Laundry facilities are suitable. The grounds are tidy with lawns and beds of flowers. There are workshops at the back of the home for the provision of day-care and activities. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are experienced in the work they do and are working towards qualifications to improve their knowledge and skills. Staffing levels are good with a suitable skill mix to meet resident’s needs. Recruitment procedures are robust and offer protection to the residents. Staff receive some training relevant to their roles, which needs increasing to ensure that they are up to date with current thinking, and able to meet resident’s needs appropriately. The supervision of staff is not suitable and does not assure residents safety. EVIDENCE: Evidence was provided in the form of documentation, records, and interviews with residents, and discussion with the management team. The registered providers work as part of the care team with nine care workers. There are a suitable number of staff on duty at all times. Two carers are qualified to NVQ level 2 in care and five others have commenced the course. All staff are experienced in working with the present client group. Some training relevant to caring for residents with learning disabilities has been undertaken. Residents said that staff are kind and look after them very well. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 20 Recruitment procedures are appropriate with all relevant checks undertaken. Induction training records were seen on one staff file but not on the file for the most recent recruit. The deputy manager stated that she has been given a pack to work through; this will be inspected at the next inspection. A blank pack was inspected and found to be very comprehensive. The deputy manager said that all new staff start on a three-month probationary period and they are issued with a contract after six months employment. There is a training policy in place. Statutory training for staff has generally improved and records are maintained. Copies of training certificates are also held on file. Some training in specialist subjects linked to the client group have been attended, for example epilepsy. This area could be further improved; evidence that staff read relevant care magazines, for example would show they are improving their knowledge. Mr Farnan and Mr Nicholls have commenced the safe handling of medicines training and Mrs Nicholls has enrolled on a first aid course commencing in June 2006. These courses must be completed by the end of August 2006. This will comply with the training required under the Statutory Requirement Notice (Enforcement) served in June 2005. This notice remains in force indefinitely and failure to comply could result in legal action being taken. A list of projected training for staff has been compiled to ensure staff are kept up to date. Formal staff supervision has lapsed. There is no evidence of how staff are supervised or appraised. Supervision should re-commence in line with the home’s policy. The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered providers are experienced and they are working towards the requirements made at the last inspection to ensure that residents benefit from a well managed home. The home is run in the best interest of the residents but they would they benefit from a Quality Assurance system being in place. Appropriate training and safety checks are undertaken and when training is completed it will ensure the health safety and welfare of residents and staff. EVIDENCE: Evidence was provided in the form of observation, documentation, records, interviews with residents, and discussion with the management team. The registered providers are responsible for the day to day running of the home along with the deputy manager. They have a great deal of experience in running the home. Mrs Warren is progressing with the Registered Managers’ Award and Mr Farnan the deputy manager has completed the award. Mrs Warren must complete the RMA and an NVQ level 4 in care or appoint a The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 22 registered manager with, or working toward these qualifications by 31/12/06, as required in the previous report. Residents said the registered providers are kind and caring and they can talk freely to them at any time. The registered providers interacted well with residents and staff during the inspection. Documentation and policies have been produced to a good standard. The policies were updated in February 2006. Quality assurance questionnaires are given to residents or their representative to complete following respite care or a holiday stay. Those completed are very positive, however they are not dated so there is no evidence of recent returns. Letters of thanks are kept. The Commission for Social Care Inspection has carried out a survey of residents, their representatives and professionals involved with the home in the past and the results were positive. To date the registered providers have not surveyed the permanent residents, their representatives, staff or stakeholders. The deputy manager said that feedback is obtained informally from the residents and their families. Quality assurance systems must be in place and the results published and made available to the residents, their representatives and other interested parties including the Commission for Social Care Inspection. Residents spoken with were very happy with the home and the care they receive. The fire risk assessment was completed in 2005. All relevant fire checks are carried out appropriately. All service and equipment checks are up to date. The 5-year electrical wire test is due in September 2006. Accidents are recorded and reported appropriately, the home has minimal accidents. Downstairs windows are not required to have restricted opening, however there must be risk assessments in place to evidence how risks are managed. One restrictor had become detached on an upstairs window, this must be fixed or advice sought from the health and safety officer as soon as possible and evidenced in the home. Staff receive statutory training as required and there is a matrix to plan training updates. The Gables DS0000008970.V296292.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 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 3 2 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 2 32 3 33 X 34 3 35 2 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 2 X X 2 X The Gables DS0000008970.V296292.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 YA6 YA20 Regulation 15 13(2) Requirement Individual daily records must be kept for each holiday resident accommodated. The medicines policy must be updated and written in the same tense throughout to fully detail what the home actually does. The adult protection policy must be reviewed and updated in line with local authority procedures. First aid and medication training must be completed There must be evidence that management and staff keep up to date with issues relevant to the client group One of the registered providers’ must obtain an NVQ 4 in both management and care or a registered manager must be employed who either has these qualifications or is willing to work towards them within a specified period. Timescale for action 31/08/06 30/09/06 3 4 5 YA23 YA35 YA35 10, 12, 13, 37 18 (1) (a) (c) (i) 18 30/09/06 31/08/06 31/12/06 6 YA37 9, 10 31/12/06 The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 25 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 Refer to Standard YA2 Good Practice Recommendations The assessment policy needs to include that all prospective residents are assessed by the home prior to admission irrespective of whether a Social Services assessment has been received. Details of any telephone conversation or other contact with a person referring a holiday resident should be recorded and included in the residents file. Each holiday resident should have an individual care plan that is regularly reviewed and updated. The registered provider should explore possibilities for providing residents with further choices and opportunities for consultation within the home. Opportunities for further participation in community life, within a risk assessment framework, should also be explored. Patient information leaflets for medicines administered should be held in the home All staff should attend the Social Services adult protection training Staff should receive regular formal, documented supervision in line with the home’s policy 2 3 4 YA2 YA6 YA11 5 6 7 YA20 YA23 YA36 The Gables DS0000008970.V296292.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 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.V296292.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. 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