Inspection on 06/03/06 for White Gables Residential Home

This inspection was carried out on 6th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

White Gables Residential Home 14/03/07

White Gables Residential Home 02/06/05

White Gables Residential Home 09/12/04

White Gables Residential Home 28/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE White Gables Residential Home 16 Stanley Road Felixstowe Suffolk IP11 7DE Lead Inspector Joe Staines Unannounced Inspection 6th March 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service White Gables Residential Home Address 16 Stanley Road Felixstowe Suffolk IP11 7DE 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) 01394 282620 01394 283847 Mr. C Lewis & Mrs. J Lewis Mr Clifford Lewis Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd June 2005 Brief Description of the Service: White Gables is a private, family run care home for older persons, which has operated since 1982. The Home was first registered in 1984 for 15 service users. A conversion and extension provided a further 10 places. A further extension into the adjacent property, completed in 2004, enabled provision of a further 12 beds. The home is now registered under the provisions of the Care Standards Act 2000 to accommodate a maximum of 37 older persons.The home is located in the coastal town of Felixstowe and is within walking distance to the town centre. The local amenities include the post office, shops, community centre, doctors surgery, churches, theatre and leisure centre. The home is also close to the main bus routes that serve the town centre.The southern aspect of the home faces the promenade, gardens, lawns and sea views. All bedrooms are single accommodation. En suite toilet facilities are found in thirty-six of the rooms. There are three lounges, one is large and the daily social activities take place there. The smaller quiet lounges are used for quiet reflection and / or to receive guests. Access to the home is by a main side entrance where car parking is available. As committed Christians the proprietors are involved with the church life in Felixstowe. A bible reading takes place in the lounge daily for those who wish to participate and a service is held at the home weekly. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the morning of 6th March, over a 2hour period. The inspection supports the announced inspection undertaken in June 2005 and, together with that report, provides an assessment of all of the key standards, identified by The Commission for Social Care Inspection as needing to be inspected at least once over a 12 month period. The inspection confirmed that the home continues to work in accordance with its statement of purpose and continues to meet the needs of residents. The registered owners and manager were present during the course of the visit and provided feedback and evidence relating to the assessed standards. The inspector met with 3 residents, all of whom commented positively on their experience of receiving care at the home and of the competence of staff. What the service does well: What has improved since the last inspection? Care plans have been expanded to include the sling size in respect of residents who require the use of a hoist for transfers. Staff who administer medicines have received appropriatetraining. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed as part of this inspection. The key standards identified above were assessed as fully met or not applicable (standard 6) following the announced inspection of June 2005. EVIDENCE: White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Residents, and their representatives can be confident that the service user plans generated by the home identify the actions to be taken by the home in respect of the personal, health and social care of residents. EVIDENCE: The inspector viewed 4 care plans in respect of residents with a range of needs. The care plans had been updated and reviewed since the last inspection, and contained clear information with regard to the use of aids, such as sling sizes, which had been identified as a shortfall at the last inspection. The care plans were signed by residents, indicating their involvement in the care planning process. Further information was present in the form of assessments in relation to falls management, background information on residents, social histories, and information on all aspects of personal and healthcare needs. Residents who spoke to the inspector all stated that they were happy with the care provided by the home, and that all of their needs were being met. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed as part of this inspection. The key standards identified above were assessed as fully met or exceeded (standard 12) following the announced inspection of June 2005. EVIDENCE: White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents, and their representatives can be confident that the home’s complaints procedure ensures that complaints are received promptly, listened to, taken seriously and acted upon if necessary. EVIDENCE: The inspector viewed the written complaints procedure, and confirmed that all the information identified in the National Minimum Standards was contained within the documents. Residents stated to the inspector that they felt sure that they could and would inform any senior member of staff if they were unhappy, and would be listened to. The registered manager confirmed that no complaints had been received by the home since the last inspection, and the records held by The Commission for Social Care Inspection also confirm that no complaints had been received in the same time period by the commission. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed as part of this inspection. The key standards identified above were assessed as fully met following the announced inspection of June 2005. EVIDENCE: White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Residents and their representatives can be confident that the staff employed at the home are suitably trained, and competent to do their jobs. EVIDENCE: A staff training record, in the form of a spreadsheet, was provided by the home, confirming the training undertaken by all staff over the last 3 years. These records confirmed that the home had responded positively to the requirement made following the last inspection, that all senior staff who administered medication had undertaken relevant training. Other areas covered in the home’s training programme included food hygiene, moving and handling, fire safety awareness, first aid, dispelling the myths of the funeral profession and infection control. The records confirmed that all staff received an in-house induction. Covering riddor, coshh, fire safety and the home’s policies. Staff were referred for formal inductions, provided by the local authority training department within 6 weeks of commencing work at the home. The manager reported that a new induction pack, covering the new common induction standards, had been ordered as was due to be implemented well before the formal start date of September 2006. Residents who spoke to the inspector stated that, in their opinion, the staff they had contact with were sufficiently competent to do their jobs. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 36 & 37 Residents, and their representatives can be confident that the staff employed at the home are themselves, suitably supervised. Residents can be confident that the home maintains all the records required by legislation, although more detail in daily recording is recommended. EVIDENCE: The registered manager provided a supervision record, which confirmed that all staff receive supervision in accordance with the timescales identified in the National Minimum Standards. Daily care notes were completed on a daily basis, and in some cases these were found to be somewhat overly simple, for example with numerous entries of “quiet night” or “all needs met”. A recommendation has been made in this White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 15 report in relation to staff being provided with guidance about positive recording of the daily activities of residents. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 3 2 X White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 37 Good Practice Recommendations The registered persons should provide guidance to staff, to ensure that daily care records provide a detailed description of the residents daily activities and presenting needs. White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 White Gables Residential Home DS0000024525.V286527.R01.S.doc Version 5.1 Page 19 - 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. 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