The Gables Private Residential Home

Updated 22 June 2023

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. We checked 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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

The Gables Private Residential Home 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 we looked at both during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service and sought feedback from the local authority and commissioners. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We observed the support people received, to help us understand their experience of receiving care and spoke with 4 people who lived at the home and 3 people's visitors. We spoke with 9 members of staff including the manager, deputy manager, care coordinator, 4 care staff, the housekeeper and cook. We reviewed a range of records. This included care records and medicine records. We looked at 3 staff files in relation to recruitment and training.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at a variety of records relating to the management of the service, including audits and feedback from staff, people using the service and relatives.

Updated 22 June 2023

About the service

The Gables Private Residential Home is a residential care home providing personal care and accommodation to people aged 65 and over. The service can support up to 28 people. At the time of our inspection 24 people were using the service.

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

Areas for improvement identified at our last inspection had been addressed. Improvements in the governance and oversight of the home were seen. People were protected from the risk of harm as assessments were undertaken and followed and staff knew the procedure to follow.

People were supported safely by staff as records were up to date and completed. This meant staff had guidance to support people safely. The home was cleaned to a good standard and free from environmental risks.

People were supported by trained staff that were recruited safely and their practice monitored by the management team. People were supported to take their medicines as prescribed.

People were supported to follow their dietary requirements and preferences. Where people were at risk of malnutrition and dehydration this was monitored, and referrals made to the relevant healthcare professionals. People were supported to access health care services. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People, relatives, and staff were encouraged to feedback into the running of the service. Audits were undertaken on a regular basis to monitor the quality of the service and make improvements where needed. The management team worked alongside partner agencies to enhance the support provided to people.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 5 May 2022).

At our last inspection we found breaches of the regulations in relation to safe care and treatment, need for consent and good governance. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was now meeting these regulations.

Why we inspected

We carried out this inspection to follow up on action we told the provider to take at the last inspection. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.