White Gables Residential Care Home

Updated 11 May 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 inspection was undertaken by one inspector.

Service and service type:

¿ White Gables Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. White Gables Residential Care Home accommodates up to 37 older people in one adapted building. During our comprehensive unannounced inspection on 3 April 2019, there were 33 people using the service, some living with dementia.

¿ 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:

¿ This inspection was unannounced.

What we did:

¿ Prior to the inspection we gathered all the information we held about the service and used it to develop a plan for the inspection. We reviewed information provided to us from the Local Authority quality teams and information we received from the provider by way of notifications. Notifications are required by law and identify incidents that had happened in the service and the actions taken in response.

¿ We used the information sent to us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

¿ To gain people’s views and experiences of the service provided, we spoke with eight people who used the service, and two people’s relatives. We looked at the care records of four people who used the service, including risk assessments, care plans and records relating to medicines administration. We also observed the care and support provided and the interaction between people and staff throughout our inspection.

¿ We spoke with the registered manager and six members of staff, including the deputy manager, senior care, care, and maintenance staff.

¿ We reviewed information the service held about how they monitored the service they provided and assured themselves it was meeting the needs of the people they supported. This included audits, and staff training and recruitment records.

Updated 11 May 2019

About the service:

¿ White Gables Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. This service does not provide nursing care. White Gables Residential Care Home accommodates up to 37 older people in one adapted building. During our comprehensive unannounced inspection on 3 April 2019, there were 33 people using the service, some living with dementia.

People’s experience of using this service:

¿ People told us that they were extremely happy with the service they received. They were highly complimentary about the caring nature of the staff and management team.

¿ People were supported by highly motivated and caring staff who knew them well.

¿ The service was led by a highly motivated and compassionate registered manager who continued to strive to continuously improve the service and provide high quality care to people at all times.

¿ There was an extremely open culture in the service. People using the service, their representatives and staff were asked for their views about the service and these were valued and used in the ongoing improvement in the service.

¿ The service had systems to continuously monitor, assess and improve the service provided.

¿ People shared very positive relationships with staff. People’s privacy, independence and dignity were always respected.

¿ People were listened to in relation to their choices about how they wanted to be cared for. These choices were highly valued.

¿ People received very personalised care, which was tailored to meet their individual needs. People had access to very meaningful activities, which reduced the risks of boredom and loneliness.

¿ There were systems designed to keep people safe, including from abuse. Risks to people in their daily lives were assessed and plans in place to reduce these. People’s medicines were managed safely.

¿ There were enough trained and skilled staff to meet people’s needs. Recruitment processes continued to be safe.

¿ Infection control procedures helped to protect people from the risks of cross infection.

¿ People had access to health care professionals when needed.

¿ People were supported to maintain a healthy diet. Meal times were social occasions and people had choices of nutritious meals.

¿ People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

¿ There was a complaints procedure in place and people’s concerns were addressed and used to drive improvement.

Rating at last inspection:

¿ This is the first inspection under this provider, who was registered with The Care Quality Commission in April 2018. The service had been previously owned by another provider, which was last inspected in January 2016 and rated outstanding overall. The key questions for caring and well-led were rated outstanding and the key questions for safe, effective and responsive were rated good. The new provider had ensured that people received the high quality care they were previously provided with.

Why we inspected:

¿ This inspection took place as part of our planned programme of inspections, based on newly registered services.

Follow up:

¿ We will continue to monitor this service according to our inspection schedule.

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