Gables Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this service under the new provider. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider had made several referrals to outside professionals in relation to assessing people’s needs at the Gables. The registered manager and directors had worked together since taking over to ensure people’s needs had been continually assessed.

The provider had made improvements to care plans. They had effective processes for the assessment of needs, care planning, risk assessments and care reviews.

Staff told us the online care planning system gave them the information they needed to support people according to their needs and preferences. It included information about people's assessed needs, any identified risks to their safety and wellbeing, and instructions about individual support.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People’s care plans were person-centred and detailed what was important to people. There was some evidence of care reviews with people and relatives. However, some relatives said they had not been involved in these. The provider said reviews were completed with relatives but did not use the word reviews. We saw evidence of reviews in peoples care plans. They said they would ensure relatives were made aware this was a formal review in future.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. working with other healthcare professionals when needed. We saw evidence of working partnerships in relation to people receiving the right support and care.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People’s independence was encouraged, and they had a choice regarding what they wanted to do to support their own wellbeing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

We spoke with a visiting professional who told us the staff and provider had made real progress with people at Gables.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The service was working within the legal framework of the Mental Capacity Act (MCA) 2005. Best interest processes were followed where people lacked capacity to make decisions, and these were care planned. Deprivation of Liberty Safeguards (DoLS) were appropriately in place when required. Staff sought consent from people prior to providing support.