Background to this inspection
Updated
22 November 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 19 October 2017 and was unannounced. Our inspection team consisted of one inspector.
We checked the information we held about the service and provider. This included the notifications that the provider had sent to us about incidents at the service and information we had received from the public. We used this information to formulate our inspection plan.
On this occasion, we had not asked the provider to send us a Provider Information Return (PIR) before our inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. However, we offered the provider the opportunity to share information they felt was relevant.
We spoke with six people who used the service, two relatives, four members of care staff and the registered manager. We did this to gain people’s views about the care and to check that standards of care were being met. We observed how the staff interacted with people who used the service.
We looked at four people’s care records to see if their records were accurate and up to date. We also looked at records relating to the management of the service including quality checks.
Updated
22 November 2017
We inspected this service on 19 October 2017 and this was an unannounced inspection. We previously inspected this service on 24 September 2015 and rated this service as Good. At this inspection, the service remained rated as Good.
Green Gables is a care home registered to provide accommodation and personal care to 28 adults with physical and learning disabilities. At the time of our inspection 26 people lived there. It is situated on the outskirts of the market town of Alfreton, Derbyshire.
There was a registered manager in the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
The service remained safe as people’s care was planned to meet their needs and minimise risks to their safety. Recruitment practices ensured staff were suitable to work within people. Staff understood their role in protecting people from harm and people received their medicine as required.
The service remained effective and staff were trained to have the skills they needed to support people. People chose the food and drink they liked and where people needed a specialist diet, they received nutrition to keep well. People had access to healthcare services and necessary referrals were made to ensure new health concerns were reviewed. People had choice and control of their lives and staff supported them in the least restrictive way possible.
The service remained caring because staff knew people well and were interested in knowing what was important to them. People were asked how they wanted to be supported. Staff supported people to retain their independence and when support was required it was provided in a kind and reassuring manner which protected people’s dignity.
The service remained responsive because people’s care was reviewed with them to ensure it continued to meet their expectations. People were able to engage in activities that interested them and if they were unhappy, they could talk to staff about their concerns.
The service remained well led. The manager was approachable and people and relatives were given opportunities to comment on the care they received. There were quality assurance systems in place to monitor the quality of the service to drive improvements in care.