Care Home: The Gables Nursing Home

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What the care home does well Residents told us that they were happy in the home and that staff were kind to them. The activities coordinator helps people to engage in everyday activities. On the day of the unannounced visit residents were enjoying a chat in the lounge, knitting, reading and joining in a quiz. The home has good relationships with the local general practitioner who visits weekly. There was evidence in people`s care plans that they saw other healthcare professionals regularly, including a chiropodist and optician. Everyone had a care plan which described their main care needs and which had been updated regularly. A copy of the complaints procedure is displayed in the hallway. Residents told us that their concerns were listened to. Complaints records are kept. These showed that the home had received one complaint in the last six months which had been addressed by reviewing the resident`s care with the care manager and making the changes needed. All staff with the exception of two had had training in safeguarding procedures, although some staff training needed to be updated. We are not aware of any complaints or safeguarding referrals made to the local authority which is the lead agency in these matters. There is a stable management and staff team. The manager is an experienced nurse who has registered with us. There is an ongoing maintenance programme and the annual quality assurance assessment provided by the proprietor in December 2009 showed that maintenance of essential services was up to date. The Environmental Health Officer visited in January 2010 and the home was awarded 4 stars for food hygiene. A fire safety enforcement notice issued in April 2009 was addressed and a subsequent inspection in June 2009 found all matters to be satisfactory. A requirement, made at the last inspection, that people did not share hoist slings or sliding sheets to reduce the risk of cross infection has been met. A requirement was also made that the proprietor undertakes a regular quality assurance visits to the home as is required and leaves a report of her visit . This has now been met. What the care home could do better: There is a need to improve the management of medication. The medication administration records were checked and a number had gaps in the records, some handwritten entries were not signed by two people and not all had photographs of the resident. There has not been a recent internal audit of medication as part of the qualityassurance procedures or pharmacy audit. This must be addressed to ensure residents receive their medication regularly and safely. The quality assurance procedures should be developed. There are no regular audits of care plans, medication or other aspects of the service offered to ensure that the service is systematically monitored and improved. An internal quality monitoring system was in place until November 2009. The manager said that this was to be replaced but that it had not been decided how and what with as yet. This should be agreed and implemented. Random inspection report Care homes for older people Name: Address: The Gables Nursing Home The Gables Nursing Home 123 Wendover Road Aylesbury Buckinghamshire HP21 9LW 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: Chris Sidwell Date: 2 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Gables Nursing Home The Gables Nursing Home 123 Wendover Road Aylesbury Buckinghamshire HP21 9LW 01296423077 Telephone number: Fax number: Email address: Provider web address: mg_gbls@hotmail.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Kushal Zatte Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mandeville Care Services Limited care home 22 Number of places (if applicable): Under 65 Over 65 22 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 22. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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) Date of last inspection Brief description of the care home The Gables Nursing Home is an older building with character and retains some of its original features. The home is situated on a main road close to local amenities. The home provides nursing care for twenty-two service users. The staff team consists of Care Homes for Older People Page 2 of 9 Brief description of the care home qualified nurses, carers and ancillary staff with a manager, who is a suitably qualified nurse. The home has access to a large well-kept garden, which is situated approximately five minutes away at Mandeville Grange, which is also owned by the proprietors. Information about the home, in the form of a statement of purpose, which describes the services available and the terms and conditions, a service users guide and brochure can be obtained obtained from the home. Care Homes for Older People Page 3 of 9 What we found: The focus of this unannounced inspection was to ensure that the home was being well managed, that peoples health and personal care needs were being met and that the home had met the requirements of the previous inspection. We found that there was a stable management and staff team and that the home was run in the interests of the residents. In general peoples health care needs were met although some improvements were needed in the management of medication. The requirements made following the last inspection had been met. What the care home does well: What they could do better: There is a need to improve the management of medication. The medication administration records were checked and a number had gaps in the records, some handwritten entries were not signed by two people and not all had photographs of the resident. There has not been a recent internal audit of medication as part of the quality Care Homes for Older People Page 4 of 9 assurance procedures or pharmacy audit. This must be addressed to ensure residents receive their medication regularly and safely. The quality assurance procedures should be developed. There are no regular audits of care plans, medication or other aspects of the service offered to ensure that the service is systematically monitored and improved. An internal quality monitoring system was in place until November 2009. The manager said that this was to be replaced but that it had not been decided how and what with as yet. This should be agreed and implemented. 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 5 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 6 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 1 8 13 The registered manager must ensure that the medication administration records are maintained accurately. To ensure residents receive their medication reliably, as prescribed and at the correct time. 30/06/2010 2 33 24 The proprietor must ensure that there is a system in place to review and improve the quality of care, taking into account the views of service users and their families, on an ongoing basis. To ensure that standards continually improve and peoples views are incorporated into the way in which the home is run. 30/06/2010 Care Homes for Older People Page 7 of 9 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 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. 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