Gable Lodge

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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 provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People, and others involved in their care, had been involved in assessments and reviews of their care and support needs. People’s choices and preferences had been used to plan their care and support needs. Staff understood people’s individual needs and how these should be met. The registered manager told us they worked alongside the staff team daily which helped them check staff were delivering the planned care and support needs of people using the service. Information about people’s care and support needs was assessed, monitored and reviewed at regular intervals to ensure people’s care plans remained up to date with information about their current needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People were involved in planning their care and support. The care and support planned for them was individualised and specific to their needs. Staff were supported through training and supervision to deliver care and support to people in line with legislation, good practice and standards. The registered manager assessed, monitored and reviewed people’s needs at regular intervals which helped them make sure care and support was planned and delivered in line with people’s individual preferences.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People were supported by staff that worked well together and with other services. This helped to ensure a joined up, consistent approach to delivering safe and effective care to people in line with their individual needs. One person told us, “I have a speech therapist that they organise.” The registered manager said, “We work with the GP and the Care Home Support Team. We get occupational therapists and physiotherapists from them. We have very good relationships with all the professionals and they really do help me.” Systems were in place to make sure information was shared in a timely way by everyone involved in people’s care. This helped to ensure care and support was planned for people that met their individual needs and preferences, safely and effectively.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The provider had made improvements since our last inspection and were no longer in breach of regulations. There was better information in people’s records, about their individual healthcare needs and how these should be met. This helped staff support people to stay healthy and well in line with their needs and wishes. Staff made sure people ate and drank enough to meet their needs. People looked forward to mealtimes and enjoyed the meals they ate. One person told us, “The food is very nice.” Another person said about meals, “More than enough, always being offered more.” Staff knew people well and how to identify quickly when people were unwell or in pain. They sought prompt support for people in these instances. One person told us, “They are quick to get help.” A relative said, “[Registered manager] is an open book and she will tell you straight away if [family member] isn’t right. [Family member] has had recurrent infections and [registered manager] has told me that she is still coughing so she will make sure she is still under review from the GP. [Registered manager] is always looking out for all of them.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People experienced positive outcomes from the care and support provided by staff. A relative told us, “Before [family member] moved here she used to be agitated a lot. Get really anxious. Since she’s been here she’s not like that anymore. That’s why I think this place is good.” Staff understood how to support people to help them achieve positive outcomes in relation to their care and support needs. Records were maintained by staff of the care and support provided to people and their current health and wellbeing. The registered manager reviewed these records to inform their ongoing assessment, monitoring and review of people’s care and support needs to check these were continuing to meet their needs.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were asked for their consent before any care and support was provided by staff. People could refuse to receive care and support and staff respected their decisions about this. A staff member told us, “We ask people if they would like their care. If they refused we would leave it for a bit and change the topic and then we try again later.” The service was working within the principles of the Mental Capacity Act (MCA). Appropriate legal authorisations were in place to deprive people of their liberty where this was deemed necessary to ensure their safety.