Care Home: Gables (The)

Annual service review Name of Service: Gables (The) The quality rating for this care home is: The rating was made on: two star good service 0 6 1 2 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Patricia Collins Date of this annual service review: 0 3 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: The Gables Pembroke Road Woking Surrey GU22 7DY 01483828792 Telephone number: Fax number: Email address: Provider web address:   thegables22@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable): Mrs Deoranee Boodia,Mr Jugmohan Boodia The registered provider is responsible for running the service Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users to be accommodated is 16 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability (LD) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Gables is a family owned and managed care home providing personal care for up to 16 adults with learning difficulties from the age of forty five. This large detached house is situated in a residential area and is accessible by public transport. Facilities include two large communal sitting rooms, two dining rooms and an activities room on Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 16 0 Categories of registration. 0 6 1 2 2 0 0 8 the ground floor and one lounge on the first floor. Bedroom accommodation is for single occupancy and includes three bedrooms on the first floor with en-suite facilities. Car parking space is available at the front of the house and a garden is at the rear. Weekly fees range from 329 to 800 pounds. Additional charges include hairdressing, chiropody, holidays and shared cost of transport when engaging in community leisure activities. People using services fund their own toiletries and clothing. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information we have received or asked for since the last key inspection. This included: An annual quality assurance assessment (AQAA) sent to us by the registered provider/manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It provides quantitative and some numerical information about services. It requires assessment of services against the National Minimum Standards (NMS) outcome areas,demonstrating both areas of strength and where improvements can be made. Surveys were sent to the home for distribution to people using services, staff, the general practitioner and care managers. Information about how the service has managed any complaints or allegations received since the last inspection. What the homes management has told us about things that have happened in the service; these are called notifications and it is legal requirement to inform us of these events. The last key inspection report. What other people have told us about the service. Telephone contact with the registered provider/manager. The report will say what we found as it is written on behalf of the Care Quality Commission (CQC). What has this told us about the service? The completed AQAA was received on time. Discussion took place with the provider/ manager regarding the quality and details of the responses in this document and how these could be further developed to validate information with more evidence. No responses were received from any of the stake holders surveyed to inform judgements about the quality of the homes services. The AQAA is therefore the sole evidence on which the Annual Service Review outcomes are based. We are informed by the AQAA that there has been full compliance with the repeat requirement at the time of last key inspection for staff to receive all mandatory training and refresher training. The AQAA indicates the social model of disability is wellunderstood by staff. They empower people using services to be as independent as they can be and to have choice in their daily lives. This includes choice of food and what to wear, of holiday venues and type of social and leisure activities they engage in, inside Annual Service Review Page 4 of 6 and outside of the home. Best practice principles underpin the homes daily operation, achieving positive outcomes for people using services and embracing their diversity. Equality and diversity policies and procedures underpin admission decisions, staff recruitment and training, needs assessment and care planning. The homes population is ageing and changes in needs and health status are closely monitored. There are links with health and other professionals. Developments include implementation of improved assessment and care planning documentation and assessments have been updated. A major refurbishment and building programme has upgraded facilities providing eight en-suite bedrooms and an additional communal lounge. A new fire escape and additional fire exits have enhanced fire safety arrangements and the garden fence has been replaced. Policies and procedures have also been updated. The homes quality assurance methodologies are inclusive, involving people using services and other stakeholders. There is a stable staff team and the home exceeds the NMS for numbers of support workers with national vocational level qualifications (NVQ) in health and social care. We have not been informed of any concerns about the home in the last twelve months. The home has a clear complaint policy and procedure and has not received any complaints since the last inspection. Appropriate policies are in place for safeguarding people using services from harm and abuse. Staff are trained to recognise and appropriately respond to indicators of abuse. The home has not been involved in any safeguarding incidents since the last inspection. Service protocols and procedures on deprivation of liberty are stated to be in place under the Mental Capacity Act 2005 (MCA). The registered provider/manager confirmed she attended related training organised by the Local Authority. Also the staff training programme has raised their awareness to how the MCA deprivation of liberty safeguards affect their work. Currently one person using services is subject to an application for authorisation under the MCA. We do not have record of receipt of a missing person notification in respect of this type of incident earlier this year. We are informed by the registered provider/manager written notification was sent. It was agreed a copy of the original notification will be sent again. The incident was fully discussed at the time of this review and the home appears to have met its obligations in this matter. A service is no longer provided to this individual. What are we going to do as a result of this annual service review? It is our judgement, based on all available information, that the home continues to provide good quality outcomes for people using services. We are not going to change our inspection plan and will carry out a key inspection by 6th December 2010. However we can inspect the service at any time if we have concerns about the quality of the service or safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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