Updated 10 January 2025
Date of assessment 22 May 2025 – 05 June 2025
Gables Care Home is a care home with nursing registered for accommodation for people who require nursing or personal care. It is also registered for treatment of disease, disorder or injury however at the time of the inspection the home was not providing nursing care. The home provides care for older and younger adults, some of whom may be living with a dementia. It is registered to accommodate up to 64 people. At the time of the inspection 21 people were resident.
At the last inspection in June 2024, we rated the home inadequate with 6 breaches of legal regulation in relation to governance and oversight, including care records and medicines, the need for consent, safeguarding, person centred care, duty of candour and failure to notify CQC of incidents set out in the regulations. Whilst sufficient improvements had been made to meet 5 of the breaches, there remained a breach in relation to good governance as the provider had not made sufficient progress in relation to assessing, monitoring and improving the quality of the service. This related to maintaining accurate and complete records for people. In addition, until the new home manager joined the service there was limited evidence action had been taken by the provider in relation to staff support and appraisal. We have asked the provider for an action plan in response to some of the concerns found at this assessment.
The service is no longer in special measures.
There had not been a registered manager in post since April 2024. A new manager had been in post since 14 April 2025 and was in the process of registering with CQC. They were working with the staff team, people and relatives to improve the safety and quality of the service.
The staff team were knowledgeable about people and worked well together to ensure their needs were met. There were enough staff however the provider had not followed their own policy in relation to the supervision and appraisal of staff.
There were gaps and inconsistencies in some records relating to people’s needs, care plans and risk assessments. There was limited evidence people and appropriate others were involved in care planning and managing risks.
Infection prevention and control measures were in place.
Improvements had been made to the management of medicines however some records needed further improvement.
A staff member said, “We have had a few managers but [home manager] is the only one that delivers, if he says he will do something he does it.” This was echoed by other staff we spoke with who experienced confidence in the home manager and felt they were able to share concerns and ideas which were valued and acted upon.