Care Home: The Gables

What the care home does well This home provides a comfortable and clean environment which is homely. People are consulted so that their needs and preferences are known and care plans provide staff with relevant information so that they can provide the right support to each person. People are supported to receive appropriate health care and to follow a healthy lifestyle. People are protected by the home`s arrangements for the storage and administration of medication. People choose how they spend their days. There are suitable activities. Visitors are welcomed to the home. There is a good variety of food and menus suit the people in the home. People told us that they enjoy their meals. There are good arrangements for handling complaints and comments and for protecting people who live in the home. The Gables DS0000062346.V378273.R01.S.doc Version 5.2 The staff team is made up of people who receive ongoing training so that they are competent. One person who lives in the home told us that the staff are ‘caring and compassionate’. The manager is committed to maintaining high standards and making improvements where possible. People are pleased with the care they receive. One person told us ‘You couldn’t get a better place’. The system for assuring the quality of the care takes account of people`s comments about the service they receive. What has improved since the last inspection? The brochures have been updated to include information about equality and diversity. Care plans have been updated and the format has been changed so that they now provide better information about each person’s needs and expectations. There is now more variety in the entertainment and activities. Some areas have been decorated and repairs have been carried out. Staff are now better trained; for example they have now received training in adult protection. Policies and procedures have been reviewed and updated to promote current good practice. What the care home could do better: The provider needs to submit an application for the registration of the manager. The provider needs to undertake regular visits to the home and to report back to the manager on the findings of these visits, as required by Regulation 26 of the Care Homes Regulations 2001. The manager has plans to continue to update care plans and risk assessments, to provide additional staff training, arrange more day trips and to improve the quality assurance system.The GablesDS0000062346.V378273.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE The Gables 29/31 Ashurst Road Walmley Birmingham West Midlands B76 1JE Lead Inspector Chris Lancashire Key Unannounced Inspection 26th October 2009 10:00 DS0000062346.V378273.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. The Gables DS0000062346.V378273.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address The Gables DS0000062346.V378273.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Gables Address 29/31 Ashurst Road Walmley Birmingham West Midlands B76 1JE 0121 351 6614 0121 313 2752 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) Karamaa Ltd Acting manager Diane Killworth Care Home 24 Category(ies) of Dementia (10), Old age, not falling within any registration, with number other category (24) of places The Gables DS0000062346.V378273.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 the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 24 Dementia (DE) 10 The maximum number of service users who can be accommodated is: 24 5th November 2008 2. Date of last inspection Brief Description of the Service: The Gables is a number of post war houses that have been extensively converted to provide care and accommodation to 24 older people. The home is located in a quiet road within easy access of shopping facilities, local churches and regular public transport services. The home comprises nine single bedrooms on the ground floor and fifteen single bedrooms on the first floor. Two of the bedrooms have en-suite facilities of toilet and shower. There is one assisted shower facility and one assisted bathing facility. Several toilets are located throughout the home. The people living in the home are able to gain access to the first floor using the stairs or by passenger lift. Communal areas within the home are located on the ground floor and comprise one very large lounge/dining room which also includes a conservatory and a smaller lounge. The larger lounge overlooks a very well maintained garden. The home also has a kitchen and a large combined laundry and food store which is located in an outbuilding. There is access to the home for people with mobility difficulties by means of a ramped front entrance with handrails. The Gables DS0000062346.V378273.R01.S.doc Version 5.2 Page 5 The fees for this home are available on application to the home. The Gables DS0000062346.V378273.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 2 star. This means the people who use this service experience good quality outcomes. We visited this home on a weekday without telling anyone that we would be coming. The purpose of the visit was to see if the home had met the requirements of the last report and how the home is meeting key National Minimum Standards. Before the visit we had received information from the manager, in an Annual Quality Assurance Assessment (AQAA) form, about the running of the home and the plans for development. At the inspection we spoke to the manager, several members of the staff team and several people who live in the home. We looked round the communal areas of the building and into several bedrooms. We looked in detail at the records for three of the people in the home and at other records which the home is required to keep. These included menus, staff rotas, medication, staff recruitment and training, health and safety records, complaints and minutes of meetings. We looked in detail at three staff files. We looked at the systems which the home has for monitoring its performance and at the results of questionnaires completed by people who live there. We used this information to write this report. What the service does well: This home provides a comfortable and clean environment which is homely. People are consulted so that their needs and preferences are known and care plans provide staff with relevant information so that they can provide the right support to each person. People are supported to receive appropriate health care and to follow a healthy lifestyle. People are protected by the homes arrangements for the storage and administration of medication. People choose how they spend their days. There are suitable activities. Visitors are welcomed to the home. There is a good variety of food and menus suit the people in the home. People told us that they enjoy their meals. There are good arrangements for handling complaints and comments and for protecting people who live in the home. The Gables DS0000062346.V378273.R01.S.doc Version 5.2 Page 7 The staff team is made up of people who receive ongoing training so that they are competent. One person who lives in the home told us that the staff are ‘caring and compassionate’. The manager is committed to maintaining high standards and making improvements where possible. People are pleased with the care they receive. One person told us ‘You couldn’t get a better place’. The system for assuring the quality of the care takes account of peoples comments about the service they receive. What has improved since the last inspection? What they could do better: The provider needs to submit an application for the registration of the manager. The provider needs to undertake regular visits to the home and to report back to the manager on the findings of these visits, as required by Regulation 26 of the Care Homes Regulations 2001. The manager has plans to continue to update care plans and risk assessments, to provide additional staff training, arrange more day trips and to improve the quality assurance system. The Gables DS0000062346.V378273.R01.S.doc Version 5.2 Page 8 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 9 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 The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 does not apply) People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into this home are provided with the necessary information to make an informed choice. Assessments and visits to the home ensure that people know, before they move in, that their needs can be met by the home. EVIDENCE: The manager told us that the home’s Statement of Purpose and service user guides have been updated to reflect the current arrangements at the home and to promote equality and diversity. These were made available at the inspection. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 11 We sampled three files for people living in the home, including those who had most recently been admitted. We found that they contained details of the assessments which had been carried out prior to moving into the home. In addition to assessments carried out by social workers or other professionals, the manager or deputy carries out an assessment, which takes into account the ability of the home to meet the person’s needs. The manager told us that people are encouraged to visit the home prior to moving in to see if it will suit their needs. We saw evidence of people and their relatives making such visits. This home does not provide intermediate care. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 12 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health, personal and social needs are set out in a care plan so that they can be confident that their needs will be met. People are treated with respect and their privacy and dignity are maintained. People are protected by the home’s practices in relation to the storage and administration of medication. EVIDENCE: The manager told us that she is in the process of changing the format of people’s care plans to make them more personal. The new plans are being prepared on the computer and are clearer, with a common format. We sampled the care plans and found that they contained good detail, gathered The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 13 during the assessment and through observations and talking to people and their relatives. The care plans contain details of people’s needs and preferences in various areas such as their physical needs, their health and social needs. We saw clear instructions for staff such as ‘please take time to understand what I am trying to say’. We saw evidence that the plans are updated when necessary and reviewed on a regular basis. We also saw risk assessments which are clear and easy to understand. These cover different areas of each person’s life and the activities in which they engage. For example, they cover nutrition, tissue viability and manual handling. We saw evidence that these are updated at regular intervals and when conditions change. We saw that the care plans contain details of people’s health needs. There are letter on file which detail appointments with a range of health professionals such as doctors, specialists, opticians and chiropodists. The daily notes contain evidence that staff are able to recognize signs and symptoms of health problems which may need further attention and that the home makes appropriate contact with relevant services. We saw that the daily records provide evidence that people receive a good level of care, with their needs being met in their preferred way. Staff who we spoke to clearly knew the people in the home well. We saw examples of good care practice, such as when a person who was eating breakfast left the table for a few minutes, staff replaced his breakfast and drink with fresh ones when he returned. We spoke to some people who prefer to spend most of their time in their rooms and they confirmed that they do not feel isolated as staff call in to provide company. Several people who had chosen to eat in their rooms were provided with their meals on a tray. People told us that they are pleased with the high standard of care which they receive. One person told us, ‘You couldn’t get better care.’ This shows that staff are aware of the need to promote people’s dignity and respect their privacy. The home has secure storage for medication and we saw that medication is logged in and out of the home. Staff who administer medication are trained to do so. The records which we sampled show that all doses have been signed for and the records showed no gaps. Where there are specific requirements concerning the administration of certain types of medication, we saw clear details for staff to follow. We saw records of GP consent where ‘over the counter’ medication may be administered from time to time. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples lifestyles in the home match their preferences and suitable activities are arranged. People are encouraged to maintain significant relationships with people in the community and they have their dietary and nutrition needs met. EVIDENCE: The manager told us that the home now offers a wider variety of activities and entertainment. We saw records and photographs of people enjoying a range of events such as parties and outings. People were looking forward to a Halloween party the week of the visit. We saw games, films and books in the home. The plans for the week included skittles, karaoke and bingo. There is a table which has items to help people to remember the past and to prompt discussion. This had items and photographs relating to school days in the past. Staff told us that the next subject would be ‘the corner shop’. We saw posters inviting people to the home’s Halloween party shortly after the inspection. Some people told us that they prefer to spend time in their rooms where we The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 15 saw televisions, music equipment and a computer. Staff respect this choice. There are religious services in the home for those who wish to attend. We were told that visitors are welcome in the home, but it is preferred that they avoid mealtimes. The records show that there are many visitors. One person told us that her relatives were bringing an old friend to see her. Others told us that they have visits from family members. The manager told us that all people have a nutritional assessment at the time of their admission. We saw records of people’s needs and preferences in terms of food on their files. The menus show a variety of traditional meals, which appear to be well balanced in terms of nutrition. In addition to the main meal each day there is a wide variety of alternatives which are listed. People told us that they enjoy their meals. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements to ensure that people are protected, including the arrangements for handling complaints. EVIDENCE: There is a complaints procedure and details of how to complain are included in the Statement of Purpose and service user guide. All people in the home are provided with copies of these. People are also reminded at regular intervals on an individual basis and at residents meetings about how to make a complaint. People who live in the home confirmed that they would know how to make a complaint should they need to do so. There is a record of complaints received by the home which shows details of the complaint and the action taken as well as the time taken to respond. There have been no complaints during the past year. There are procedures for protecting people from abuse and whistleblowing. The manager told us that these have been updated and expanded recently, to provide additional protection to people in the home. We saw that staff have The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 17 been trained in this area. These measures help to make sure that people in this home are kept safe. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a very clean, homely and safe environment which meets their needs. EVIDENCE: We looked at the communal areas of the building and visited several bedrooms. All areas looked clean and tidy and in a good state of repair. There were no unpleasant odours. The communal areas were generally well furnished and homely. Several people who live in the home told us that they are pleased with their surroundings. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 19 The manager told us that several areas have been cleaned and new carpets have been fitted since the last inspection. Bedrooms vary in size and layout. Most people only use their rooms for sleeping, but some prefer to spend time in their rooms during the day. Each room contains personal items which people have brought with them, including televisions, computers, ornaments and pictures. Where people prefer to have their door open at night time, electronic closures which are linked to the fire alarm system have been fitted to reduce the danger. The manager told us that as rooms are decorated, the people using them are encouraged to choose the colours. People have the choice of a bath or shower and both facilities have room for staff to provide assistance. There are aids and adaptations throughout the home, including a passenger lift, and grab rails, an emergency call system and a free standing hoist. The lock on one WC, identified to the manager, is in need of repair. We saw that the garden was well maintained. There is a patio area where people can sit out. The lawn is raised and accessed by means of steps. We discussed this with the manager who told us that there are plans to install a ramp. There are procedures for controlling the spread of infection and staff are trained in these. Liquid soap and disposable towels are available in communal facilities. There is a mechanical commode pot washer and appropriate systems for the disposal of clinical waste. Staff have access to equipment such as protective gloves and aprons and we saw them using these. Staff have received training in relation to the recent flu pandemic. These measures help to make sure that people in the home are kept safe. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home are cared for by sufficient numbers of staff who are well trained and competent to do their jobs. They are protected by the home’s recruitment practices. EVIDENCE: We saw from the rota that there is an adequate level of staff cover at all times. The manager told us that there has been an improvement in the retention of staff recently, but three members of the team have left in the past 12 months. The staff team is mixed in terms of age, ethnic origin and gender. This means that people can be provided with choice in relation to who provides their personal care. We sampled the records for three members of the staff team and saw that they had been recruited through a standard process, which includes taking up references and obtaining a check through the Criminal Records Bureau. The manager told us that all new staff are provided with an induction and are not left to practice unsupervised before they have been assessed as competent. People living in the home told us that the staff are ‘kind’ and ‘caring’. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 21 The manager told us that 80 per cent of care staff have completed NVQ level 2 and 25 per cent have achieved level 3. We looked at the records and saw that staff have also received training in areas relating to their role. This training includes manual handling, first aid, adult protection and infection control. Dementia awareness training was planned for later in the week of the inspection. There are separate audit checklists for each member of staff so that they can monitor their training. We saw records of staff meetings and staff supervision. This means that staff are appropriately trained and supported to carry out their roles. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home which is run in their best interests and where there are good systems for maintaining the quality of care. Their financial interests are safeguarded and their health, safety and welfare is promoted and protected. There are generally good arrangements for making sure that the standards are maintained, but the provider needs to carry out visits and complete reports as required. EVIDENCE: The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 23 The manager is experienced and suitably qualified to undertake her role. She demonstrated a good level of awareness about the areas in which further development could be undertaken to raise further the standards of care. However, there is no registered manager for this home. The provider needs to submit an application for the registration of the manager. The manager has made sure that the requirements made in the last report have been met and that recommendations have been implemented. The home is starting to make good use of the new computers to improve care planning and quality assurance, so that people in the home receive a better service. In order to monitor the quality of the care provided, the home sends questionnaires to people living there and to their relatives. We saw that records have been monitored by the manager on a regular basis. The manager provided us with examples of improvements which have been made as a result on monitoring the standards at the home. The manager is working to compete a more formal system for quality monitoring. However, the provider should undertake visits to the home on a regular basis and report back on the findings of the visit. This is required under Regulation 26 of the Care Homes Regulations 2001. Whilst staff and the manager told us that the provider does visit the home, there was only one report of such a visit in the past 12 months. The provider should undertake these visits and provide the required reports. The manager provided us with details of the dates for the servicing of equipment and fire checks. We sampled the records of these and found that they were consistent with the information which we had been sent. We saw risk assessments for the home and for people and tasks which they undertake. This shows that there are suitable systems for making sure that the home is safe for people living there and other people using the building. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 24 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 25 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 2 Refer to Standard OP31 OP33 Good Practice Recommendations The provider should submit an application for the registration of the manager. The provider should undertake regular visits to the home and to report back to the manager on the findings of these visits, as required by Regulation 26 of the Care Homes Regulations 2001. The Gables DS0000062346.V378273.R01.S.doc Version 5.3 Page 26 Care Quality Commission Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: 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. 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. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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