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Inspection carried out on 8 February 2017

During a routine inspection

Gables Manor is a care home providing accommodation and nursing care for up to 20 people who have learning difficulties and who require nursing care.

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

People continued to be protected from the risk of abuse and felt safe. Staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The manager shared information with the local authority when needed.

People received their medicines as prescribed and the management of medicines was safe.

People continue to be supported by sufficient numbers of staff who had received adequate training for their role.

People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported these practices.

People were protected from the risks of inadequate nutrition. Specialist diets were provided if needed. Referrals were made to health care professionals when needed.

People who used the service, or their representatives, were encouraged to contribute to the planning of their care. People were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate manner.

People received individualised person centred care from staff who had a good understanding of their needs. They were supported to take part in a range of social activities of their choice.

People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously

Further information is in the detailed findings below

Inspection carried out on 30 June 2015

During a routine inspection

Gables Manor is a care home providing accommodation and nursing care for up to 20 people who have learning difficulties and who require nursing care.

At the last inspection the service was rated Good. At this inspection we found the service remained Good.

People continued to be protected from the risk of abuse and felt safe. Staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The manager shared information with the local authority when needed.

People received their medicines as prescribed and the management of medicines was safe.

People continue to be supported by sufficient numbers of staff who had received adequate training for their role.

People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported these practices.

People were protected from the risks of inadequate nutrition. Specialist diets were provided if needed. Referrals were made to health care professionals when needed.

People who used the service, or their representatives, were encouraged to contribute to the planning of their care. People were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate manner.

People received individualised person centred care from staff who had a good understanding of their needs. They were supported to take part in a range of social activities of their choice.

People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously

Further information is in the detailed findings below

Inspection carried out on 9 October 2013

During an inspection to make sure that the improvements required had been made

We previously inspected this service on 16 July 2013 where we identified concerns with regard to the procedures that the provider had in place to ensure people's safety and wellbeing in the event that the home had to be evacuated in the event of an emergency such as fire or flood.

We received an action plan from the provider that told us the steps they would take to rectify the identified problems.

At this visit we looked at the contingency and emergency plans that the provider had put in place and we spoke to staff.

We found that the provider had in place good policies, procedures and clear instructions to staff to be followed in the event of a foreseeable emergency.

Inspection carried out on 16 July 2013

During a routine inspection

Due to the complex needs of the people who lived at Gables Manor we used a number of different methods to help us reach a judgement on the quality of service provision. These included talking with three people who used the service, the acting manager, two nurses and three care staff.

We looked at records. These included care plans and information about how the service was managed. We conducted a tour of the building and observed the interactions between the care staff and people residing at the home.

Records we looked at showed that people’s needs had been assessed and appropriate support provided to care for their needs. However the provider did not have the necessary arrangements in place to help ensure that people would be cared for and supported in the event of a foreseeable emergency such as fire or flooding.

We found that people were provided with a choice of suitable and nutritious food and drink. One person living at the home told us, “The food is alright. If I don’t like it I tell them and they get me something else. I tell the cook the way I like chicken to be cooked and she does it that way.”

We saw the building was undergoing a major project of refurbishment and extension and that the work was coming to an end.

We saw that there were sufficient numbers of suitably qualified and experienced staff to ensure good quality, safe support and care was maintained.

People were cared for in a safe environment that was well led and managed.

Inspection carried out on 30 October 2012

During an inspection to make sure that the improvements required had been made

Prior to completing our inspection of the home we reviewed the action plan that the provider had sent us in response to our concerns.

We carried out an inspection of the home and observed what changes had been made.

We spoke with a member of staff and the Business and Corporate Services Manager for the provider and discussed with them the planned improvements to the premises.

Inspection carried out on 18 April 2012

During a routine inspection

We visited the service on the 18 April 2012 and spoke with three people who live at the home.

One person told us, “I like living here, the staff are nice. I get support from the staff when I need it.”

Another person said, “I like it here. I go to drama and go out to the shops to buy things.”

We spoke with a relative who told us, “My son settled in here very quickly, he is very well looked after. The staff that are here are absolutely excellent, I can’t fault them.”

We saw that people looked well cared for and their health and social care needs had been met. Staff treated the residents with kindness, dignity and respect.

Inspection carried out on 2 July 2011

During an inspection in response to concerns

The people we spoke to told us they liked living at Gables Manor, enjoyed the food they were given and felt safe with the staff.