The Gables

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the service met people’s needs.

At our last assessment we rated this key question good. At this assessment, the rating has remained good. This meant people’s needs were met through good organisation and delivery.

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 service made sure people were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

People had care plans which reflected their physical, mental, emotional and social needs. Including those related to their protected characteristics under the Equality Act. People’s care plans detailed any needs related to their age, disability or religion for example.

Staff described to us how they provided person centred care. They appreciated the needs of each person. Staff understood people may have different dietary needs and preferences, related to their religion or culture and told us how these were met.

We saw staff provided people with person centred care. We observed staff gave a person living with dementia a ‘fiddle cushion,’ which they enjoyed using. Fiddle products are designed to provide people living with dementia, sensory activities to focus on and enjoy.

The service understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

Staff had a good understanding of the needs of the people they supported. Staff had completed dementia training and those spoken with understood the individual needs of those people living with dementia and how these were met.

People were happy with the care they received, there was now a stable staff team. People told us, “There have been a lot of changes but the new staff are good.”

The service supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

People's communication needs were identified and assessed during their pre-admission assessment. People were then provided with information in different formats according to their needs. People living with dementia were provided with pictorial information to enable them to orientate themselves around the home. Staff told us how there were pictorial menus for each meal, which people were shown, to enable them to make their choice.

The service made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. They involved people in decisions about their care and told them what had changed as a result.

People were provided with information about how to raise any concerns in the resident’s guide to the service. People and relatives spoken with felt able to raise issues and concerns.

We saw the provider had responded promptly to a concern which had recently been raised. The interim manager had also responded to people's other requests, for example for a more varied menu and a bigger TV. The provider had processes in place to provide feedback on the outcome of complaints.

The service made sure that people could access the care, support and treatment they needed when they needed it.

People’s care plans considered their needs and any reasonable adjustments required. The building was physically accessible to people and equipped with any equipment people required. Staff told us how they always prepared an alternative seating arrangement for a person who found this more comfortable due to their disability.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People all told us they were treated well by staff. The interim manager understood the barriers people living with dementia may experience in accessing care. They had completed an audit, in order to assess the suitability of the service for people living with dementia and as a result had made changes to the environment.

We heard a person comment that their knife was lighter. Staff confirmed they had changed this for them as the person had found the previous cutlery heavy to manage.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

People’s care plans documented their wishes for their future care. A relative confirmed they had been consulted about their loved one’s preferences. People had the opportunity to express their wishes about cardiopulmonary resuscitation. Staff had access to end-of-life training and felt supported in providing this care.