We carried out a review of the data available to us about The Gables Residential Home Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Gables Residential Home Limited, you can give feedback on this service.
People's experience of using this service and what we found
People were protected from the risk of abuse and harm. Risks to people's health and safety were identified and safely managed. The cleanliness and hygiene of the premises was maintained to a good standard. There was the right amount of suitably skilled and experienced staff to meet people's needs and keep them safe. Medicines were managed well, safely administered and recorded accurately. There were systems in place for reporting accidents and incidents and learning from them.
On the arrival to the home we found that staff were not wearing face masks. The registered manager told us they thought that face masks were no longer needed. They explained the rationale as to why they had not been wearing masks. They showed us the risk assessments they had in place.
The registered manager understood their role and responsibilities and promoted a culture of learning and improvement. Feedback was consistently positive about the way the home was run. The registered manager, supervisor and operations manager were described as friendly, caring and supportive. Regular audits and checks were used effectively to measure and improve the quality and safety of the service. The views of people and others were encouraged, listened to and used to improve the service people received. There was good partnership working across the staff team and with other professionals leading to people receiving good outcomes.
Rating at last inspection
The last rating for this service was good (published 19 June 2019). At this inspection we found the home remained good.
Why we inspected
This inspection was carried out as the home had not been inspected since the 22 May 2019. We undertook this focused inspection to check the service was Safe and Well-Led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains Good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Gables Residential Home Limited on our website at www.cqc.org.uk.
There was a clear criteria on the people the home could support. The service provided care and support to people who were mobile and fairly independent who may need support with personal care.
People’s experience of using this service:
People and their relatives spoke very highly about the home, the management and the staff. The Gables was very much seen as each person’s home. They were fully involved in decisions about their care and the running of the home.
People received care, which met their needs. Guidance was in place to support people consistently and in the way, they wanted. Care plans were informative. People had access to other health care professionals when they needed it.
People were supported to pursue their interests and hobbies. Regular social activities were organised for the enjoyment of the people living at the home. These were kept under review. People were provided with sufficient home cooked food and drink to maintain their health and wellbeing.
Staff knew people extremely well. They were extremely caring and showed compassion in their approach. People and their relatives expressed a high level of satisfaction with the care. People were very much listened too and provided with the care and support that they needed and wanted. People felt confident to talk about any concerns that they may have. Where people had made suggestions for improvements these had been acted upon very promptly.
Staff had received ongoing training and support to enable them to provide care that was effective. There had been very little turnover of staff with many working in the home in excess of 10 to 15 years. Staff were valued and enjoyed supporting the people living at The Gables.
The service was well led. There were suitable quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.
Rating at last inspection: Rating at last inspection: Good (report published December 2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection. We found the home continued to meet the characteristics of good with the caring domain being outstanding.
Follow up: We will continue to monitor intelligence we receive about the home until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
The Gables Residential Home provides accommodation and personal care for up to 20 people. At the time of our visit there were 20 people living at the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The registered manager and staff understood their role and responsibilities to protect people from harm. Risks had been assessed and appropriate assessments were in place to reduce or eliminate the risk. Staffing numbers on each shift were sufficient to ensure people were kept safe.
All medicines were stored, administered and disposed of safely. The home had policies and procedures for dealing with medicines and these were adhered to.
The home was meeting the requirements of the Deprivation of Liberty Safeguards. Staff had received appropriate training, and had a good understanding of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.
People were supported with their dietary and nutritional needs. People had access to a range of healthcare professionals when they required specialist help. Care records showed advice had been sought from a range of health and social care professionals.
The registered manager assessed and monitored the quality of the service provided for people. Systems were in place to check on the standards within the home. These included regular audits of care records, medicine management, health and safety, infection control and staff training and supervision.
There was an open culture at the home which was promoted by the registered manager who was visible and approachable. People and staff spoke positively about the registered manager.
We returned to follow up the action plan sent to us, setting out how people were to be protected from the risks associated with the administration of medicines. We found improvements had been made in the way medicines were managed, with safer arrangements in place to help ensure people were kept safe.
People we spoke with told us that they were happy living at the Gables. Comments included 'Exceedingly good', 'can't fault', 'glorious food', "people friendly' and 'The best place I could possibly be in'. People told us they felt safe and comfortable.
We were given a tour of the home and found the home to be fit for purpose, fresh and clean through out and had been well maintained.
Staff understood how people should be protected from harm and knew how to report incidents of abuse. However, people had not always been supported safely with their medicines.
There were clear processes in place that monitored the quality of care people received. These included asking people and their families for their views about the service. All aspects of the management of the home had been monitored on a regular basis. People we spoke with told us they knew who to complain to if they were unhappy about any aspect of their care.
People we spoke with told us that they were happy with the service and said that they were involved in their care. Everyone was complimentary. One person told us it was 'Five star' there, whilst another said 'You can't fault it'. People told us that they felt safe and were able to talk to staff if they had any concerns.
People who used this service received a good quality of care and support. People were encouraged to express their views and were involved in their care. One person told us 'staff ask me what I need all the time and explain if I don't understand'.
We saw that staff were respectful and caring. People's wishes were promoted at all times and staff were knowledgable about people's support needs.
Care plans clearly reflected each person's needs and preferences. Families were encouraged to be involved as much as possible.
All complaints and concerns were listened to and acted upon straight away.
"The home is very good"
"Before I came here my relative took me to some other homes but they were not as good"
"I came here and stayed two weeks before I finally decided to stay".
"The home is one of the best. "
"Staff listen and respect my opinion. I could not fault them"
"I am lucky to be here."
"I don't want to go any where else.
"I am very happy here"
"I do a lot of reading in my room. I am happy doing that"
People said that they had a choice of when to get up and retire. They told us that staff always asked them before assisting them with personal care. They said that they always had a choice to agree to have any type of treatment. We observed staff knocking on the door and waiting for an answer before going to assist people with personal care. The said that they were never under pressure to do anything that they did not want to do.
People told us that they knew about their care plan and that they signed it. They told us that they were registered with a General Practitioner (GP) and that the doctor came to see them when they felt unwell.
People told us that they had a choice of what to eat, where to eat and when to eat. They said that they had a variety of meals every day. They described the food as 'excellent'.
People told us that staff would always inform them before their information was shared with anybody. They said that they felt safe at the home. They said that staff were very good and polite. People told us that they knew who to talk to if they had any concerns
People told us that staff give them their medication at the right time. They said that staff were polite and explained the medication before giving it to them. People said that the doctor told them about a new medication before giving it to them.
People told us that they were happy with their rooms. They said their rooms were always clean and comfortable and no unpleasant odours.
People told us said that there was adequate supply of equipments to meet their needs. they were supported to use the equipments for their own safety and to maintain their independence. They said that they were satisfied with the services provided, they would complain to the manager if the had any complaints.
They said that they had confidence that their records were stored securely. They said that they had access to their records whenever they wanted to.