1 November 2023
During a routine inspection
About the service
The Gable is a residential care home registered to provide the regulated activity of accommodation and personal care to 1 person. The service provided support to people with learning disabilities. At the time of our inspection there was 1 person living at the home.
People’s experience of the service and what we found
Right Support:
Safe care and treatment was not consistently provided, which meant risks to people were not identified and mitigated. Medicine practices were not in line with best practice guidance.
Recruitment practices were not safe to safeguard people.
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. However, the environment was not sufficiently adapted and designed to meet people’s needs. This contributed to restrictions being placed on the person.
Right Care:
Whilst training records showed staff had been trained, the provider did not ensure staff had the required skills and knowledge to ensure people received appropriate care at the point of them coming to live at the service.
People were not safeguarded from abuse to promote right care.
Sufficient staff were provided to support the person and enable them to engage in community activities. Supportive care was provided with staff having a positive relationship with the person.
Right Culture:
Good governance was not established. This resulted in the service and records not being effectively managed and monitored to promote positive outcomes for people. As a result, risks to people had not been identified and mitigated. Systems to manage staff's breaks practice and the handling and recording of accidents/ incidents did not promote a positive culture to empower people.
People, their relatives and health professionals were involved in planning and reviewing their care, to ensure people received positive outcomes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The service was registered with us on 30 March 2023, and this is the first inspection.
Why we inspected
The inspection was prompted in part due to concerns received about risk management and staff training. A decision was made for us to inspect and examine those risks.
Enforcement
We have identified breaches in relation to safe care and treatment, safeguarding, recruitment practices, auditing, and record management.
Please see the action we have told the provider to take at the end of this report.
Follow Up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.