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Inspection Summary


Overall summary & rating

Good

Updated 28 February 2020

About the service

Gables Care Home is a residential care home providing personal and nursing care to 47 people aged 65 and over at the time of the inspection. The service can support up to 64 people across four separate wings, each of which has separate adapted facilities. Two of the wings provide nursing care and one of these specialises in providing nursing care to people living with dementia.

People’s experience of using this service and what we found

People were receiving their medicines as prescribed but accurate medicines records were not always kept. Risk assessments were in place but did not always contain the necessary information to help staff minimise risk. Although these issues needed to be addressed, there was no evidence of negative impact on people living in the home. Everyone we spoke with felt safe in the home. There were systems and processes in place to help protect people from the risk of abuse.

People and their relatives all gave very positive feedback on the home. One person told us, “Oh I'm happy alright. I'm well looked after.”

There were enough staff on duty to meet people’s needs. Staff understood the needs of the people they supported well. Safe recruitment procedures were followed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The dining experience was relaxed and enjoyable and the quality of food was good. People were supported with eating and drinking, and any special dietary needs were met. People were supported to have access to a range of healthcare professionals to ensure they remained healthy.

There was a caring culture supported by a strong staff team who respected people and treated them with dignity. Staff encouraged independence and supported people to maintain their skills. The service had a relaxed, homely atmosphere and relatives were always welcome.

People's care was delivered around their wishes and preferences and care plans reflected this.

People had access to a variety of activities inside and outside of the home.

A range of audits and checks were carried out to monitor the quality and safety of the service. Action was taken if any issues or concerns were identified.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 22 March 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 28 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 28 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 28 February 2020

The service was well-led.

Details are in our well-led findings below.