The Gables is a care home providing personal and nursing care for up to 47 people, some of whom were living with Dementia. At the time of the inspection 43 people were living there. The home is divided into two separate units one on the ground floor and one on the first floor. On the ground floor unit, the home supports people with nursing care and dementia needs and on the first floor unit the home supports people with complex needs including Dementia. The home has four allocated places which are funded by the Local Authority for people that are discharged from hospital and these are called emergency assessment beds. They also have four places which are funded by the Continuing Healthcare team for people discharged from hospital for assessment.
People’s experience of using this service and what we found
People’s privacy was not always maintained as people were seen going into each other’s bedrooms. Feedback from people and relatives told us clothing and footwear often went missing on one of the units. Observations we made supported that staff did not always maintain people’s dignity in a timely manner.
Staff were aware of their responsibilities to keep people safe from harm. People received their medicines as needed. Recruitment processes were in place to ensure staff were safely recruited. Staff wore aprons and gloves to prevent the spread of infections. Systems were in place to analyse any accidents or incidents for patterns and trends, and to enable measures to be put in place to mitigate any identified risks.
Staff knew people’s needs and preferences and had received training which provided them with the skills to support people safely and effectively. People, as much as practicably possible, had choice and control of their lives and staff were aware of how to support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People had access to food that met their cultural and dietary requirements. People were supported to maintain their health.
People and relatives we spoke with, described the staff as respectful, caring and friendly. People were supported where possible to maintain their independence.
People and relatives knew how to raise any concerns and had confidence they would be listened to. Complaints had been responded to positively. Information was available to people in an accessible format to support their communication needs.
Some people’s records had not been updated in a timely manner to support changes in their needs to ensure information was available for staff to refer to, and to reflect action that was being taken to escalate concerns about people’s needs.
People, relatives and staff thought the service was managed well and the management team were approachable, open and honest. The service worked well with partner organisations to ensure people’s needs were met. The management team monitored the standards of care provided to people during walk around on the unit and escalated any issues identified.
Rating at last inspection
The last rating for this service was requires improvement following a comprehensive inspection. (Report published 3 February 2017).
Since this rating was awarded the registered provider and the management team of the service has changed and this is the first inspection for this service under the new provider and management team.
Why we inspected
This was a planned comprehensive inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk