The Gables Residential Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question as good. At this assessment the rating has remained as good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider did not have fully robust systems of accountability and good governance. This impacted on the quality-of-care people received. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

During our assessment we identified risks and concerns relating to the quality of the care provided which had not been identified by the provider. We found provider audits did not always identify peoples lived experiences and observations of their care. Night audits were not conducted so we did not know how the provider assured themselves that the care delivered was safe and effective over 24 hours.

The environment did not fully take into account people’s safety. We identified concerns such as broken radiator covers and risks associated with unlocked and open front and kitchen doors. The communal lounge was poorly laid out and there were lots of wheelchairs not in use stored in the lounge. The dining room was plain and underutilised and there was a distinct lack of atmosphere across the home. For example, across mealtime there was a lack of engagement between staff and people using the service and neither the television nor music was played across the day. The registered manager acted immediately following our feedback to rectify our concerns and to seek the views of people using the service as to how they could improve people’s experiences.

We found staff were actively encouraged to take up additional qualifications and develop themselves there appeared little scope for staff to take lead roles within the service, such as champion roles and share their ideas and promote best practice. People using the service were consulted and residents’ meetings and surveys showed actions identified but we could not see how feedback was used robustly to continuously improve the service.

Care plans and records gave a good oversight of people’s needs and risks to people’s safety were documented. Daily recording of people's needs did not always show what actions staff had taken if a person wasn't eating well or had not taken enough fluids. The registered manager explained people had access to drinks in their rooms and many people drank independently.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome, and quality of life for people. They actively contributed to safe, effective practice and research.