We carried out a review of the data available to us about The Gables Rest Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Gables Rest Home, you can give feedback on this service.
The Gables Rest Home is a residential care home providing accommodation and personal care to up to 24 people. The service provides support to older people who may live with dementia, physical disability, sensory or mental health support needs. At the time of our inspection there were 21 people using the service.
The Gables Rest Home accommodates people in one adapted building.
People’s experience of using this service and what we found
People were supported by staff who understood what action to take if they had any concerns for their safety. Staff were provided with the guidance required so they could support people to manage their risks. There were enough staff to care for people. The registered manager undertook checks before new staff worked at the home, so they could be assured new staff were suitable to work with people.
People were supported to have the medicines they needed by staff who had been trained to do this. The registered manager planned to review how they checked medication management, so they could be assured staff consistently had the guidance they required to administer “when required” medicines, and to fully evidence on-going checks on staff competency.
Systems were in place to reduce the likelihood of the spread of infections. The registered manager had worked with people and their visitors to ensure people continued to receive visits safely. Accidents and incidents were regularly reviewed so any lesson would be learnt.
People’s needs were assessed and informed through work with their relatives and other health and social care professionals. Relatives were complimentary about how staff used their skills and knowledge to support people. This included how staff monitored people’s health needs and advocated for them so they would enjoy the best health outcomes possible. Where staff had any concerns for people’s fluid or nutritional intake plans were developed to support them.
The home was undergoing a programme of refurbishment at the time of the inspection, but relatives gave us examples of creative ways staff used the premises to meet people’s needs.
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 had built good relationships with the staff who cared for them. Relatives were complimentary about the caring approach taken by staff. Staff gave us examples showing how they promoted people’s dignity, independence and involved them and their relatives in decisions about their care.
People’s care plans and risk assessments provided staff with the guidance they needed to provide personalised care to people. People were supported to keep in touch with other who were important to them and to do interesting things which they enjoyed.
Systems were in place to manage and take learning from complaints and concerns received. Other health and social care providers were complimentary about the care provided to people at the end of their lives.
Relatives, staff and other health and social care professionals told us the culture at the home was open and focused on the needs of the people living at the home. This helped to ensure people had good outcomes. The registered manager and provider undertook checks on the quality and safety of the care provided and planned to develop these further.
Rating at last inspection
The last rating for the service under the previous provider was good, published on 28 March 2019.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Gables Rest 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.