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Inspection Summary


Overall summary & rating

Good

Updated 23 November 2018

The inspection took place on 4 October 2018 and was unannounced. At our last inspection in November 2017 the service was rated as Requiring Improvement overall. The registered manager sent us an action plan showing how they planned to improve the service. At this inspection we found improvements had been made and we have rated the service as Good overall.

Since the last inspection, new audit tools were being used, such as for ensuring the safe management of medicines, and records were more detailed, including staff recruitment, assessing people's needs and their capacity to consent to their care. Regular audits of the quality and safety of the service were taking place and recorded.

The Gables 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 Gables accommodates up to 24 people in one adapted building. At the time of our visit 20 people were living in the home. There was an established registered manager in post. 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.

People and relatives praised the quality of care and all commented about the homely feel of the service.

Staff had a good understanding of how to keep people safe and their responsibilities for reporting accidents, incidents or concerns. Risks relating to people’s health and welfare were assessed and these were recorded along with actions identified to reduce those risks.

People were supported by staff who had received an induction into the home and appropriate training and supervision to enable them to meet people’s individual needs. There were enough staff to respond to and meet people’s needs.

There were suitable systems in place to ensure the safe storage and administration of medicines. Medicines were administered by staff who had received appropriate training and competency assessments.

The service worked well with community health and social care professionals to help ensure people received the care they needed.

Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.

People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people in a patient and friendly manner.

Staff developed caring and positive relationships with people, were sensitive to their individual needs and choices and treated them with dignity and respect. The service supported people at the end of life to remain in the home if they wished.

The managers and staff understood the importance of involving people and their relatives in their care and providing support that was personalised to their individual needs. People were supported to maintain relationships and links with the community that were important to them.

The service was responsive to people’s needs and staff listened to what people said. People were confident they could raise concerns or complaints and that these would be dealt with.

People were encouraged to provide feedback about the service they received, both informally and through a survey questionnaire.

People, their visitors and an external professional spoke positively about how the service was managed. Staff understood their roles and responsibilities and felt supported by the management to raise any issues or concerns.

Inspection areas

Safe

Good

Updated 23 November 2018

The service was safe.

Risks to people were individually assessed and action taken to minimise the likelihood of harm.

People received their medicines at the right time and in the right way to meet their needs.

People and their families felt the home was safe and staff were aware of their responsibilities to safeguard people.

There were enough staff to meet people�s needs and recruiting procedures were in place to ensure that appropriate checks were completed.

Effective

Good

Updated 23 November 2018

The service was effective.

Staff sought verbal consent from people before providing care and followed legislation designed to protect people�s rights.

People were supported to have enough to eat and drink. They had access to health professionals and other specialists if they needed them.

Staff received an appropriate induction and on-going training to enable them to meet the needs of people using the service.

Caring

Good

Updated 23 November 2018

The service was caring.

The registered manager and staff developed caring and positive relationships with people and treated them with dignity and respect.

People and relatives all commented about the homely atmosphere in the home.

Staff were kind and caring and knew people well.

Responsive

Good

Updated 23 November 2018

The service was responsive.

The service was responsive to people�s needs and any concerns they had.

Care plans and activities were personalised and focused on individual needs and preferences.

The service involved people and their representatives in planning and reviewing their care and had a process in place to deal with any complaints.

Well-led

Good

Updated 23 November 2018

The service was well-led.

The registered manager demonstrated an open and inclusive style of leadership. Staff understood their roles and responsibilities and there were clear lines of accountability within the service.

People, their families and staff had opportunities to feedback their views about the home and quality of the service being provided and this was used to drive improvements.

The quality of the care and treatment people experienced was monitored and action taken to promote people's safety and welfare.