Five Gables Care Home

Updated 2 October 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team:

The inspection was conducted by two inspectors on the first day of inspection and one inspector on day two.

Service and service type:

Five Gables Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. One of the registered managers was also the nominated individual for the provider organisation, so in our report we have referred to this person as the nominated individual.

Notice of inspection:

This inspection was unannounced.

What we did before the inspection:

We looked at information we held about the service. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan the inspection.

During the inspection:

We spoke with seven people who used the service about their experience of the care provided. We spoke with five members of staff including the registered manager, the nominated individual, cook and two care workers.

We looked at records related to people’s care and the management of the service. We viewed three people's care records, medication records, three staff recruitment and induction files, training and supervision information, staff rotas and records used to monitor the quality and safety of the service.

After the inspection:

We continued to review evidence from the inspection.

Updated 2 October 2019

About the service:

Five Gables Care Home is a care home that was providing personal care to 16 people at the time of the inspection. The service can support up to 16 older people and people living with dementia.

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

People received care from staff who were caring and appropriately trained. Risks to people’s safety and wellbeing were assessed and minimised, but improvement was required to ensure all equipment was working effectively. We discussed with the provider about reviewing the deployment of staff to ensure people’s needs were consistently responded to in a timely manner, particularly at busy times of the day. We have also made a recommendation about record-keeping in respect of recruitment practices.

Staff were aware how to identify and report any signs of abuse and there were systems in place to ensure people received their medicines in line with their prescription. People had access to healthcare services and professionals and were supported with their nutritional needs.

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

Staff were kind, knew people well and treated them with respect. Activities were available and care plans were in place to guide staff about how to meet people’s needs.

Systems were in place to check the quality and safety of the service, including regular audits. We received positive feedback about the management of the service and staff told us they enjoyed their work. Relatives were involved where they wished to be. People, staff and relatives felt that any concerns they raised would be listened to and dealt with.

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

Rating at last inspection:

At the last inspection the service was rated Good overall (published 23 February 2017).

Why we inspected:

This was a scheduled inspection based on the service’s 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.