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The Gables Residential Home Limited Good

Reports


Inspection carried out on 22 May 2019

During a routine inspection

About the service: The Gables Residential Home Limited provides accommodation and personal care for up to 20 people. At the time of our visit there were 20 people living at the home. The home provides care and support to older people.

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

Inspection carried out on 24 November 2016

During a routine inspection

This inspection took place on 24 and 25 November 2016 and was unannounced. The previous inspection was carried out on 25 October 2013 and there had been no breaches of legal requirements at that time. We had no previous concerns prior to this inspection.

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.

Inspection carried out on 25 October 2013

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

We visited the Gables Residential Home in July 2013, when we identified that medicines had not always been kept secure and some people had been put at risk because they had not always been given their medicines at the right time with a true record of the medicines given.

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.

Inspection carried out on 26 July 2013

During a routine inspection

During our visit we spoke with four people who lived in the home, two relatives and four members of staff. People we spoke with told us that staff were respectful and caring and we observed staff to be knowledgeable about people's support needs. It was evident that staff enjoyed their role in supporting people and with the routines of the day. People had been involved in their care with care plans that reflected each person's needs and preferences.

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.

Inspection carried out on 22 January 2013

During a routine inspection

We spent time observing care practices, talking to people and looking at records.

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.