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The Gables Nursing Home Good

All reports

Inspection report

Date of Inspection: 29 November 2012
Date of Publication: 10 January 2013
Inspection Report published 10 January 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, reviewed information sent to us by other organisations, carried out a visit on 29 November 2012 and observed how people were being cared for. We talked with people who use the service, talked with carers and / or family members, talked with staff and talked with stakeholders.

Our judgement

People experienced care, treatment and support that did not meet their needs or protected their rights.

Reasons for our judgement

We looked at care plans for six people. Care and treatment was not always planned and delivered in a way that was intended to ensure people’s safety and welfare. Some care records had information that showed risks to people had not been assessed properly, and some care plans and assessments had not been updated when people’s needs had changed or significant events had occurred. For example, one person was known to be at risk of falls; however there were no fall risk assessment in place. Accidents and significant changes in people’s health were not always recorded.

Care plans were not person centred and did not provide the care workers with sufficient information to provide personalised care. We found that care plans did not always give staff sufficient information about how to meet people’s needs.

One person’s care record showed that they had lost weight over a period of time. Although the person had been seen by the GP we did not see any evidence that staff had alerted them to the weight loss. Food and fluids charts were not available to ensure the person had adequate nutrition and hydration.

We did not see evidence that people or their relatives signed the care plans to demonstrate their involvement in the decisions contained within the care plans. Files were disorganised and some information were out of date, unnecessary, or incomplete.

The provider told us the manager had started reviewing the care plans and they were looking at engaging an outside consultation group to help make improvement to the care records.