We carried out a review of the data available to us about Five Gables Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Five Gables Care Home, you can give feedback on this 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.
On the day of our inspection there were two registered managers in place. 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.
During our previous inspection on the 4 August 2015, we identified areas of concern in relation to how people’s medicines were managed. This was in relation to people’s medicine administration records (MAR) not always being fully completed and missing protocols for people who required ‘as needed’ medicines. During this inspection we checked to see whether improvements had been made and we found they had, in both of these areas. People’s medicines were now safely managed.
Staff could identify the potential signs of abuse and knew who to report any concerns to. Risks to people’s safety were continually assessed and reviewed. There were enough staff to keep people safe although some people and staff felt more staff may be needed during the morning. Action was being taken to address this.
People were supported by staff who completed an induction prior to commencing their role. They had the skills and training needed and their performance regularly reviewed to enable them to support people effectively.
The principles of the Mental Capacity Act (2005), including Deprivation of Liberty Safeguards, had been followed when decisions were made about people’s care. People were supported to maintain good health in relation to their food and drink. People’s day to day health needs were met by staff with referrals to relevant health services were made where needed.
Staff were kind, caring and compassionate, understood people’s needs and listened to and acted upon their views. People’s privacy and dignity were maintained. Staff treated people with respect, although a small number felt staff could be a little impatient at times. People were involved with decisions made about their care and were encouraged to lead as independent a life as possible. People were provided with information about how they could access independent advocates. People’s friends and relatives were able to visit whenever they wanted to.
People were supported to take part in activities if they wished to. People’s care records were person centred and focused on providing them with care and support in the way in which they wanted. People’s care records were regularly reviewed. People were provided with the information they needed if they wished to make a complaint.
The registered managers led the service well, were a visible presence throughout the inspection and were respected and well-liked by all the people we spoke with. People were encouraged and supported to maintain links with their local community. People were encouraged to provide feedback about the quality of the service and this information was used to make improvements. Quality assurance processes were in place to ensure people and others were safe in the home.