Background to this inspection
Updated
9 August 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 26 January 2016 and was unannounced. The inspection team consisted of two inspectors and one expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Prior to our visit we looked at information we held about the service which included notifications. Notifications are information the registered provider is required to send to us to inform us of significant events.
During the inspection we talked with and received feedback from 13 people living at the service, 10 people’s relatives, three health professionals, nine staff and the registered manager and deputy manager. We looked at five people’s care records, four people’s medication records, four staff recruitment files, maintenance files and a selection of records used to monitor the safety and quality of the service.
Updated
9 August 2016
White Gables Care Home provides accommodation and personal care for 37 older people, some living with dementia.
There were 37 people living in the service when we inspected on 26 January 2016. This was an unannounced inspection.
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 in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People told us and our observations showed outstanding and extremely compassionate carers who consistently demonstrated empathy, understanding and warmth in their interactions with people. Staff had an enhanced knowledge about the people they cared for and understood how to meet their needs. Meaningful relationships had been established between people and all the staff. Feedback from people and their relatives about the care they received was exceptionally complimentary acknowledging the exemplary approach of staff.
Staff were highly motivated and spoke passionately about their job and understood the importance of providing excellent care to the people living in the service. People spoke about the positive impact this has on the way they are cared for, and this was reflected in the feedback we received from people living in the service.
Robust systems were in place which safeguarded the people who used the service from the potential risk of abuse. Staff understood their roles and responsibilities in keeping people safe and actions were taken when they were concerned about people’s safety. Individual care records had risk assessments to ensure the safety of people using the service.
Appropriate systems ensured people received their medication safely.
Staff understood the importance of gaining people’s consent to the care they were providing to enable people to be cared for in the way they wished. The service was up to date with the Deprivation of Liberty Safeguards (DoLS).
Staff were trained and supported to care for people and had the necessary skills to do this. Recruitment processes were in place to ensure that people employed in the service were suitable for the role.
The service had dynamic management and leadership. There was an open and inclusive culture within the service. Staff spoke highly of the management team, and told us they felt supported in their roles.
An effective complaints procedure was in place. Complaints received were responded to in a timely manner with lessons learned and an action plan developed to lessen the likelihood of a reoccurrence.
The service had robust quality assurance systems to drive continual improvement in the service and referred to national guidance on best practice when required.