The Gables

Updated 5 June 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:

This inspection was carried out by one adult social care inspector.

Service and service type:

The Gables is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The Gables can accommodate up to three people, one person was living in the service at the time of our inspection.

The service had a manager registered with the Care Quality Commission. The registered manager was also the provider. 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:

We gave the service 48 hours’ notice of the inspection visit because it is small and the manager and the people living in the service are often out. We needed to be sure that they would be in.

What we did:

Before the inspection we reviewed the information that we held about the service and registered provider. This included any notifications and safeguarding information that the service had told us about. Statutory notifications are information that the service is legally required to tell us about and include significant events such as accidents, injuries and safeguarding notifications. We also assessed the information included on the provider information return.

During the inspection we looked at one person’s care file, three staff recruitment files and a range of documents relating to the day to day running of the service. We also spoke with one person who lived in the service, the registered manager and one member of staff.

Updated 5 June 2019

About the service: The Gables is a care home service. It is registered to provide personal and nursing care for up to three younger adults who are living with a learning disability. At the time of our inspection one person was living in the service.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include choice, control, and independence. People using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

Staff had not completed all of the mandatory training set by the provider.

We received positive comments about the care provided in the service. People were involved in the planning of their care and their care records reflected their personal needs and wishes.

People were made to feel safe by staff who understood how to safeguard people from abuse.

Individual risks to people’s health and wellbeing had been identified and plans put in place to manage known risks.

People were supported to maintain their independence and were given choice and control about their care and treatment.

Staff adhered to the principles of the Mental Capacity Act 2005 and best interest decisions were clearly documented.

Medicines were managed safely by staff who had received ongoing assessments in relation to the safe management of medicines.

People’ were encouraged to maintain their interests and partake in activities and courses in the local community.

There were regular meetings for people who used the service and staff.

There were systems in place to monitor and assess the quality of service being delivered.

Rating at last inspection: Good (report published 30 September 2016).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to inspect as per our re-inspection programme. If any concerning information is received we may inspect sooner.

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