The Gables

Updated 4 February 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of the Care Quality Commission’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the IPC practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 20 January 2021 and was announced.

Updated 4 February 2021

This inspection took place on 21 August 2018 and was announced.

The Gables is registered to provide residential, personal and social care for up to eight people with learning disabilities and an associated sensory impairment. The Gables is a large detached building on a main road between Knaresborough and Harrogate. The immediate local area is Starbeck; which has a number of services and amenities. The registered provider is Homes Together Limited. At the time of this inspection there were seven people using the service.

The Gables is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The care service has been developed and designed in line with the values that underpin the 'Registering the Right Support' and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection we rated the service 'good'. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Staff had received safeguarding training and were aware of how to recognise and respond to risk. Individualised risk assessments were in place and people were supported with positive risk-taking to maintain their independence, choice and control.

We found that the management of medication was safely carried out.

Staff had been employed following robust recruitment and selection processes. There were sufficient numbers of staff who were deployed appropriately in the service to meet people's needs and support people to live safely and as they had chosen to.

Communication was effective, 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.

People enjoyed good food. Their health needs were identified and staff worked with other professionals, to ensure these needs were met.

People’s independence was promoted. The service provided people with care that met their wishes and choices, whilst protecting their privacy and dignity.

Staff were knowledgeable about people’s individual care needs and care plans were person-centred and detailed. People participated in a wide range of activities within the service and in the community, they also enjoyed the company of others in the service.

People were able to see their families as they wanted. There were no restrictions on when people could visit the service. People were supplied with the information they needed at the right time, were involved in all aspects of their care and were always asked for their consent before staff undertook support tasks.

The service was well-led; systems were in place to assess and improve the quality of the service and complaints were responded to thoroughly. There was an open culture and learning was encouraged to drive improvement.

Further information is in the detailed findings below