Five Gables Care Home

Updated 8 February 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

Five Gables Care Home 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. Five Gables Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there were two registered managers 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 sought feedback from the local authority service improvement and safeguarding teams. The provider completed 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. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people who lived at Five Gables Care Home and received feedback from 3 relatives about their experience of the care provided. We spoke with and received feedback from 9 members of staff including both registered managers, operations manager, senior carer, carers and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We made observations throughout the day of interactions between people and staff.

We reviewed a range of records. This included 3 people's care records and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 8 February 2023

About the service

Five Gables Care Home is a residential care home registered to provide care and support to up to 13 people. The service provides support to older people some of whom were living with dementia. At the time of our inspection there were 12 people living at the home.

People’s experience of using this service and what we found

People, their relatives and staff told us Five Gables Care Home was a safe place to be and felt like home. We have made a recommendation about staff recruitment processes and the monitoring of safety systems within the home. The registered manager and provider immediately sought to rectify the shortfalls found during the inspection. Environment safety checks were not always carried out as planned, the registered manager immediately arranged for the necessary checks to be completed.

People’s risks were assessed, and procedures in place supported them to be safe from avoidable harm, staff knew people well. There were enough staff on duty, people told us when they pressed their call bell, staff were there. The management team and staff discussed the needs of people to work out safe staffing levels, regularly working within the home to assess first-hand if staffing numbers were adequate.

Accidents and incidents were recorded and analysed to ensure lessons were learnt and discussed. Reflective learning was used to improve practices. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People received their medicines as prescribed and there were safe practices in place. Infection prevention and control procedures were robust and additional practices were in place to protect against COVID-19 including up to date guidance and policies. The home worked well with external professionals.

Staff knew to report concerns under safeguarding and the registered manager understood their responsibilities to keep people safe from harm. Staff were confident the management team would follow up on concerns raised. Staff felt appreciated and supported and were proud to work at Five Gables Care Home. People’s views were sought and used to drive improvement within the home. The registered manager understood the importance of their role and had made all notifications to CQC as required by law.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 23 May 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.