You are here

St Gabriel's House - Apartments Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 13 December 2019

During a routine inspection

About the service

St Gabriel’s House is a residential care home registered to provide accommodation and personal care for up to eight people. The service is based across two apartments, which are in the same building as a day service run by the provider. There were seven people living at the service at the time of this inspection. People had a range of learning disabilities. Some people were living with autism and some people required support with behaviours that challenged. Some of the people were living with hearing loss and used British Sign Language (BSL) to communicate.

The service is in a quiet road, close to local shops and the sea. Each apartment has large living and dining areas, a kitchen, four bedrooms and several bathrooms.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The building design fitted into the residential area. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People were happy and fulfilled living at St Gabriel’s House. Staff focused on people’s health and emotional wellbeing and ensured their needs were met. There was a person-centred and enabling culture at the service, which people and staff were positive about. People’s privacy and dignity was promoted.

Communication needs were clearly understood and ensured people were involved in all aspects of their care. Risks had been assessed and measures needed to positively manage these were embedded into daily practice. People were supported to develop daily living skills, independence and to achieve their goals. People were part of their local communities.

People were supported to understand their choices and had control of their life. They were supported to maintain and develop friendships through visits and technology such as video calls. There were enough staff to support people. People felt safe and were protected from abuse and avoidable harm.

Needs were fully assessed and people received the care they needed to achieve the best quality of life. Staff were experienced and competent and felt well supported by the registered manager. Where they wanted to be, people were involved with menu planning, shopping and meal preparations. People were supported to maintain their health and well-being.

Medicines were stored and managed safely. There were policies and procedures in place for safe administration of medicines. People received their medicines when they needed them from staff who had been trained and had their competency checked.

There was an extremely positive, open culture within the service, the registered manager provided strong leadership and led by example. They had a clear vision and strong values about how people were supported, which was echoed by all the staff we spoke with. Staff were proud to work for the service and felt they were an active part of an organisation where they mattered, people mattered and all voices were equal. People, relatives and staff were all engaged with the service and asked for their views.

Governance systems were well-embedded and there were effective assurance systems that ensured self-compliance. The registered manager proactively monitored the quality of the service. They reviewed risk management plans, training for staff and me

Inspection carried out on 1 February 2017

During a routine inspection

This inspection was carried out on 1 February 2017 and was announced.

St Gabriel’s House is registered to provide accommodation and personal care for up to eight people. There were six people living at the service when we visited. People had a range of learning disabilities. Some people were living with autism and some people required support with behaviours that challenged. Some of the people were living with hearing loss and all used British Sign Language (BSL) to communicate.

The service is in a quiet road, close to local shops and the sea. The service is based across two flats, which are in the same building as a day service run by the provider. Each flat has large living/dining areas, a kitchen, four bedrooms and several bathrooms.

The service is run by a registered manager who was present on the day of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager shared their time between St Gabriel’s House and another residential service for five people nearby that they also managed. They were supported to do this by two deputy managers and senior support workers.

The care plans gave staff guidance on what support people needed and how they liked staff to support them. Care plans were not always available in a format which was accessible to people. A member of staff was piloting a new person centred plan using pictures but this had not yet been completed. The registered manager agreed this was an area for improvement.

Some staff told us that they could contact the registered manager for support but other staff told us that the management team was distant and they did not feel supported. Some staff felt that their opinion was valued but others stated that they were not listened to and their ideas were dismissed. There had been a number of changes at the service and this had resulted in a period of uncertainty, long standing staff leaving and staff vacancies which appears to have led to low staff morale. The registered manager told us, after the inspection, that they were meeting with staff to try to address their concerns.

There were enough staff to support people and the number of staff available was based around people’s activities and needs. Staff had been recruited safely and had received a variety of training for their role. Staff had not always received the training required to meet people’s individual needs, especially related to supporting people whose behaviours could challenge. The registered manager had requested further training for the staff before our inspection but did not have a date for when this would happen. All staff were completing the care certificate to refresh their knowledge. The care certificate is an identified set of standards that social care workers work through based on their competency.

Staff knew people well and talked about people’s personalities and favourite things to do. People were supported to maintain relationships with family and friends, through visits and the use of technology including email. Each person had a keyworker who co-ordinated their care and support. People had keyworker meetings weekly which were recorded, this gave people a chance to discuss any worries or concerns and what had gone well in the past week.

People and staff seemed very comfortable in each other’s company. Staff adapted their way of working for each person, and treated people with dignity and respect. Family members and visitors said they always felt welcomed at the service

Risks relating to people had been assessed and plans put in place to minimise the impact of the risks. People were supported to develop new skills and to look after their home. People had weekly residents meetings