Updated 16 November 2021
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 Care Act 2014.
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 an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
The Gables Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Notice of inspection
We gave the service 24 hours’ notice of the inspection. This was because we needed to be sure that the registered manager would be at the location to support the inspection. We visited the location on 30 September 2021.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, local safeguarding team and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We observed the delivery of care and support in communal areas to help us understand the experience of people who were unable to talk with us. We reviewed a range of records both during and after our visit to the home. This included three people's care records and multiple medication administration records (MAR). We also spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager. We also spoke to one visiting professional.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.