• Care Home
  • Care home

Gable Court Care Home

Overall: Good read more about inspection ratings

111 Roxy Avenue, Romford, RM6 4AZ (020) 8597 6041

Provided and run by:
Gable Court NH Ltd

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 31 August 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 an inspector, a CQC regulatory co-ordinator, a specialist advisor with a specialism in nursing care and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Gable Court 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. Gable Court Care Home is a care home with 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 was not a registered manager in post. A manager had been appointed, and they told us they were about to commence the process of applying for registration with CQC.

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 who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service, 1 relative and 1 friend of a person who were visiting on the day of inspection. We spoke with 15 staff: the manager, regional manager, quality compliance manager, maintenance person, administrator, a nurse, 2 senior health care assistants, 4 health care assistants, 2 domestics and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We observed how staff interacted with people. We reviewed a range of records. This included 7 people's care records and multiple medicine records. We looked at 6 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed, including a number of policies and procedures.

Overall inspection

Good

Updated 31 August 2023

About the service

Gable Court Care Home is a residential care home providing the regulated activities accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury to up to 50 people. The service provides support to older people, some of whom have nursing care needs and/or are living with dementia. At the time of our inspection there were 49 people using the service. This is a purpose build care home, spread over three floors. The upper 2 floors provide nursing and personal care while the ground floor provides support with personal care.

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

Systems were in place to protect people from the risk of abuse. Risk assessments had been carried out to identify the risks people faced. These included information about how to mitigate those risks. Steps had been taken to help ensure the physical environment was safe. There were enough staff working at the service to meet people's needs and the provider had robust staff recruitment practices in place. Medicines were managed in a safe way. Infection control and prevention systems were in place. Accidents and incidents were reviewed to see if any lessons could be learnt from them.

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.

Quality assurance and monitoring systems were in place to help drive improvements at the service. People and staff told us there was an open and positive culture at the service. People were supported to express their views. The provider was aware of their legal obligations, and worked with other agencies to develop best practice and share knowledge.

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

Rating at last inspection and update

The last rating for this service was good (published 23 November 2021).

Why we inspected

We received concerns in relation to infection control practices, staffing levels, moving and handling and wound care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gable Court Care Home on our website at www.cqc.org.uk.

Follow up

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