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Gables Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 21 March 2019

About the service: Gables Care Home is a care home that was providing personal and nursing care to 51 older people and people living with a dementia at the time of the inspection.

People’s experience of using this service:

• The premises, infection control processes and governance processes had improved but continued and sustained improvement was needed.

• People received their medicines when needed. Staff safeguarded people from abuse. Risks to people were assessed and action taken to address them. The provider ensured there were enough suitable staff working to support people safely.

• Staff were supported with regular training, supervision and appraisal. People received support with food and nutrition, and staff helped them access a wide range of healthcare professionals. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

• People and their relatives spoke positively about the support they received from staff, who they described as caring and kind. People were treated with dignity and respect.

• People received person-centred support based on their assessed needs and preferences, and were involved in designing and reviewing this. Clear complaints procedures were in place to address issues at the service.

• Since our last inspection a new management team was in place, and staff spoke positively about their leadership. Systems were in place to ensure the voices of people, relatives and staff were heard. The service worked with other organisations and agencies to promote people’s health and wellbeing.

Rating at last inspection: Requires improvement (Report published 4 October 2018).

Why we inspected: We received information of concern from local authority commissioners and other professionals visiting the service. This inspection was brought forward due to the information we received.

Follow up: We will work with the provider following this report being published to understand and monitor how they will make changes to ensure the service improves their rating to at least Good.

Inspection areas

Safe

Requires improvement

Updated 21 March 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 21 March 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 21 March 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 21 March 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 21 March 2019

The service was not always well-led.

Details are in our Well-Led findings below.