Updated 25 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
Our inspection was completed by one inspector.
Service and service type:
The Gables is a Nursing Home and provides residential and nursing care for up to 22 people.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection:
Our inspection was unannounced.
What we did:
Before the inspection the provider completed a Provider Information Return. This is a form that asks the provider to give some key information about the service, what it does well and any improvements they plan to make. We reviewed notifications and any other information we had received since our last inspection. A notification is information about important events which the service is required to tell us by law.
We spoke with the registered manager, the deputy manager, the owner of the service, four members of staff, and the activity coordinator. In addition, we spoke with four people who lived at the service and a visiting relative. We reviewed five care plans, and observational charts and each person’s medicine chart. We also reviewed records relating to the quality assurance and other records relating to the way the service was run. We requested information from a professional who was familiar with the service.
We observed practice throughout the service and used a Short Observational Framework for Inspecting (SOFI). SOFI is a way of observing care to help us understand the experience of people who were unable to communicate with us.