Care Home: Five Gables Care Home

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What the care home does well We found that the home makes sure they only admit people for residential care through thorough assessment of prospective residents` needs prior to being offered a placement at the home. Once a person has been admitted, further assessments are carried out, from which a care plan is developed with the resident concerned. We saw that the care plans were up to date and fully informed staff of how to care for each resident. The health and social care needs of the residents we tracked through the inspection were being met. Medication was being administered safely by trained members of staff and that there were suitable storage facilities for non-controlled medications within the home. The premises were clean, in good decorative order and furniture and fittings in good repair. There were no hazards identified during our inspection. We found that the home complied with all Regulations and standards for the recruitmentof new members of staff. Generally we found the home to be well-managed and run in the interests of the residents. Accidents were being recorded and trends analyzed. The Commission has been notified as required of events, incidents and accidents that have occurred in the home. What the care home could do better: Photographs of residents should be placed at the front of their care plan and medication administration records as soon as possible after admission to the home. As agreed, the home should liaise with their pharmacist concerning the storage facilities for controlled drugs. Random inspection report Care homes for older people Name: Address: Five Gables Care Home 268 Station Road West Moors Ferndown Dorset BH22 0JF two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Martin Bayne Date: 0 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Five Gables Care Home 268 Station Road West Moors Ferndown Dorset BH22 0JF 01202875130 01202861174 mail@fivegablescarehome.com www.fivegablescarehome.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Julie Hawkins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Brian Hawkins,Mrs Julie Hawkins care home 13 Number of places (if applicable): Under 65 Over 65 13 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Five Gables is a small family run care home registered with the Commission for social care Inspection to accommodate a maximum of 13 older people for whom personal care may be provided. Mrs and Mrs Hawkins own and manage the home and live in the adjoining premises. The building is a converted family house on a corner plot. It is situated close to shops and other amenities including library and churches in the village of West Moors. A local bus service operates from outside the home into the centres of Poole, Bournemouth and Ferndown. A ramp provides easy access to the Care Homes for Older People Page 2 of 9 Brief description of the care home front door. The accommodation is provided on the ground and first floor, which are linked by a stair lift on the main staircase. There are seven single bedrooms on the ground floor along with the communal lounge/dining room, lounge and separate quiet room. The remaining 5 bedrooms including one double are on the first floor. Each floor has a conventional bathroom most bedrooms are en-suite. To the front of the property is a small well maintained garden with a pleasant patio to the rear. Care Homes for Older People Page 3 of 9 What we found: At this random inspection we reviewed the records and had a discussion with the last two people admitted to the home. As part of this review we also looked at how their medication was administered and managed. We reviewed the recruitment records for the last two members of staff to be appointed to work at the home. We also carried out a tour of the premises and reviewed accidents and notices sent to the Commission. We were assisted throughout the inspection by the Registered Providers, Mr & Mrs Hawkins. We spoke with one of the residents we tracked through the inspection, (the other being in hospital at the time of our visit), another resident and one of the members of staff whose recruitment files we looked at. Both residents we tracked through the inspection had had their needs assessed before a decision was made to offer a placement at the home. One of the residents was able to visit the home prior to their admission, when a pre-admission assessment of their needs was carried out. The other person was admitted as an emergency placement, however, Mrs Hawkins had been to see them at their home before their admission to complete a pre-admission assessment. These procedures ensure that the home only admits those people whose needs can be met at the home. We saw that the pre-admission assessments had been recorded on a template that covered all of the topics within the National Minimum Standards and had been signed and dated. We saw that once it had been determined that prospective residents needs could be met at the home, a letter was sent to the resident or their relatives informing that their needs could be met at the home. We saw that on admission, further in-depth risk and other assessments were completed and from these care plans had been developed to inform staff of how to support each resident. We saw that the care plans were being reviewed each month or when care needs changed. The care files were well-ordered and the care plans themselves reflected needs of residents, concisely informing staff on how to support each person. We saw that generally a photograph of the resident concerned was placed at the front of their care plan, however, for the two newly admitted residents, their photograph had yet to be taken. We recommend that photographs are taken as soon as possible when a person is admitted and placed at the front of their care plan and medication administration records. The residents we spoke with told us that their needs were met by a friendly supportive staff team. We were told that call bells were answered promptly. Concerning the newly admitted resident who was in hospital at the time of our inspection, we found that a notification had been sent to the Commission as required. We looked at the accident book where we found accidents were being recorded appropriately. We also saw that there was a regular review of all accidents that occur in the home, seeking to find trends that could reduce the risk of accidents in the home. We were told of occasions where this had lead to residents being referred to the Falls Clinic. We looked at how medication was managed within the home by looking at the medication administration records, storage facilities and procedures for medication administration. The medication administration records for the two residents we tracked through the inspection were completed with no gaps within the recording. We saw that staff who Care Homes for Older People Page 4 of 9 administer medication had received training in safe administration. We saw good practice of any known allergy from which a resident suffers, being recorded at the front of their medication administration records. We saw that the home had suitable storage facilities for non controlled medications held in the home, however the cabinet for storing controlled medication did not appear to comply with new Regulations. It was agreed with Mr & Mrs Hawkins that they would liaise with their pharmacist to check as to whether the cabinet conformed to current legislation and that action would be taken if the cabinet did not conform. At the time of our inspection controlled drugs were not being prescribed to any resident. We looked around the premises, which were clean and free from adverse odours. Furniture and fittings were in good repair and the home in good decorative order. We saw that residents were able to bring their own possessions and furniture to personalise their rooms. All radiators in the home have been covered to eliminate the risk of residents receiving burns from hot surfaces. Thermostatic mixer valves have been fitted to hot water outlets to also protect residents from scalding water. Windows above ground level have had window restrictors fitted to eliminate potential falls from windows. We saw that the home had a laundry room separate from food preparation areas, equipped with machines capable of meeting the laundry needs of the home. There were hand washing facilities available and the walls and floor surfaces easily cleanable. The home has well maintained gardens for the enjoyment of residents and also an enclosed patio area. We looked at the recruitment records for the last two members of staff recruited to the staff team. We found that all of the recruitment checks had been carried out and the required records in place; such as, the taking up of appropriate references, criminal record bureau check and a check against the register of adults deemed unsuitable to work with vulnerable adults, a health declaration, full employment history with gaps explained and the reason why staff left positions of care. We were able to speak with one of these staff, who told us that they enjoyed working at the home, which they thought was well managed with a good staff team, training and supervision. What the care home does well: We found that the home makes sure they only admit people for residential care through thorough assessment of prospective residents needs prior to being offered a placement at the home. Once a person has been admitted, further assessments are carried out, from which a care plan is developed with the resident concerned. We saw that the care plans were up to date and fully informed staff of how to care for each resident. The health and social care needs of the residents we tracked through the inspection were being met. Medication was being administered safely by trained members of staff and that there were suitable storage facilities for non-controlled medications within the home. The premises were clean, in good decorative order and furniture and fittings in good repair. There were no hazards identified during our inspection. We found that the home complied with all Regulations and standards for the recruitment Care Homes for Older People Page 5 of 9 of new members of staff. Generally we found the home to be well-managed and run in the interests of the residents. Accidents were being recorded and trends analyzed. The Commission has been notified as required of events, incidents and accidents that have occurred in the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 We recommend that photographs are taken as soon as possible when a person is admitted to the home and that the photograph is placed at the front of their care plan and medication administration records. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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