Background to this inspection
Updated
13 August 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:
The first day of the inspection was carried out by one inspector and an assistant inspector. The second day was carried out by one inspector.
Service and service type:
The service is a residential home providing accommodation, personal care and nursing for up to 45 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:
The inspection was unannounced on the first day and planned on the second day.
What we did:
We reviewed information we had received about the service since the last inspection.
We asked the service to complete a Provider Information Return. This is information we require providers to send us at least annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed this prior to our visit.
We asked for feedback from the local authority and commissioning teams in Bradford.
We spoke with the registered manager, general manager and deputy manager.
We spoke with the clinical lead nurse, two registered nurses, five care staff, activity coordinator and the cook.
We spoke with five service users and four relatives.
We spoke with two health care professionals.
We reviewed five people’s care records and other records and audits relating to the management of the service.
We asked the registered manager to send us further documents after the inspection. They were received and considered as part of the inspection.
Updated
13 August 2019
About the service: The Gables is a residential nursing home situated in Silsden. The home provides accommodation, personal care and nursing care for up to 45 older people and people living with dementia. At the time of this inspection there were 44 people living at the home.
People’s experience of using this service:
People and their relatives universally praised the standard of the care at home. People said they felt safe and were supported by a consistent and experienced team. People said staff were kind and caring.
People’s care needs were assessed, and they received good quality person-centred care from staff who understood their needs well.
Staff were knowledgeable and received training, supervision and support to carry out their roles effectively. Staff were committed to providing person centred care and fulfilling opportunities for people. We saw a strong emphasis on people being offered individualised support. There were a very wide range of positive one to one and group activities available to people who lived in the home.
Some improvements were needed to the safety of the service. We identified security issues on the first day of the inspection. The entrance door was not secure, and a medicines trolley was open. This was addressed by the second day of the inspection. We were re-assured this was an isolated incident and we had confidence in the registered managers response to this issue. We have made a recommendation about improving systems to monitor safety and security.
The service had been accredited with the Gold Standard Framework (GSF) for their approach to end of life care. This is a framework used to ensure the highest standard of care is provided for people who are near the end of their life. We saw the home had assessed the needs of people living at the home and worked very closely with people and their families to discuss their preferences and plan their care.
The home and the grounds were accessible and well maintained. Some areas had recently been refurbished.
Medicines were generally safely managed. There were very close links with health professionals and other agencies to ensure people’s health needs were met and changes responded to promptly.
The registered manager provided people with leadership and promoted a supportive and inclusive team culture. The home was family run and there was universal praise from staff, relatives and people about the quality of the service. There was a warm and welcoming atmosphere throughout. One health professional said. “There is a family feel all the way down. Very good management. You can tell it is family run because there is such a vested interest in people and staff.”
More information is in the full report.
Rating at last inspection:
At the last inspection on 21 September 2016 the service was rated good.
Why we inspected:
The inspection was part of our scheduled plan of visits.
Follow up:
We will continue to monitor the service to ensure people receive safe, high quality care. Further inspections will be planned for future dates.
For more details, please see the full report, which is on the CQC website, www.cqc.org.uk