Background to this inspection
Updated
18 January 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 Residential Home Limited is a care home. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
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 since the last inspection. We used the findings from the last inspection of 22 May 2019 to help plan the inspection and inform our judgements.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with five people who lived at the home and two relatives.
We spoke with the registered manager, operations manager and three staff.
We reviewed a range of records. This included people’s care records, medication records, two staff files in relation to their recruitment, maintenance records and a variety of records relating to the management of the home.
Updated
18 January 2023
The Gables Residential Home Limited provides personal and nursing care for up to 20 people. At the time of the inspection, 14 people were living at the home.
People's experience of using this service and what we found
People were protected from the risk of abuse and harm. Risks to people's health and safety were identified and safely managed. The cleanliness and hygiene of the premises was maintained to a good standard. There was the right amount of suitably skilled and experienced staff to meet people's needs and keep them safe. Medicines were managed well, safely administered and recorded accurately. There were systems in place for reporting accidents and incidents and learning from them.
On the arrival to the home we found that staff were not wearing face masks. The registered manager told us they thought that face masks were no longer needed. They explained the rationale as to why they had not been wearing masks. They showed us the risk assessments they had in place.
The registered manager understood their role and responsibilities and promoted a culture of learning and improvement. Feedback was consistently positive about the way the home was run. The registered manager, supervisor and operations manager were described as friendly, caring and supportive. Regular audits and checks were used effectively to measure and improve the quality and safety of the service. The views of people and others were encouraged, listened to and used to improve the service people received. There was good partnership working across the staff team and with other professionals leading to people receiving good outcomes.
Rating at last inspection
The last rating for this service was good (published 19 June 2019). At this inspection we found the home remained good.
Why we inspected
This inspection was carried out as the home had not been inspected since the 22 May 2019. We undertook this focused inspection to check the service was Safe and Well-Led.
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 remains Good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Gables Residential Home Limited on our website at www.cqc.org.uk.