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CQC report explained · a residential care home

What the CQC found at The Gables

Goodpublished 28 January 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, visiting, testing, protective equipment, cleaning and COVID-19 vaccination requirements.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection, although people told inspectors they felt safe and well cared for.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection, although inspectors found that infection control policies and governance arrangements supported the required procedures.
The latest report, explained

What inspectors found, January 2022

Inspected but not rated; inspectors were assured about infection control and visiting arrangements during COVID-19.

This was a targeted inspection on 14 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and any staffing pressures linked to COVID-19. The visit was announced one day beforehand.

Inspectors were assured that visitors were checked, protective equipment was used safely, testing was available and the home was clean. They also found that infection control policies were up to date and that vaccination requirements were being met.

People said they felt safe and well cared for. The home kept relatives informed about visiting, testing and vaccination arrangements.

The home was inspected but not rated. This means the report does not give a new overall quality rating or a full rating for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors found that staff were trained in infection prevention and control, used protective equipment appropriately and had regular competency checks.

    “People were cared for by staff trained in safe infection, prevention and control, (IPC), practices who had their competencies regularly checked.” from the report
  • Clean premises

    The home was visibly clean and in good order. Staff were seen cleaning frequently touched areas.

    “The premises and equipment were visibly clean and in good order.” from the report
  • Communication with families

    The home kept relatives informed about government guidance and helped people understand testing and vaccination decisions.

    “The service communicated well with relatives so they were aware of what was expected as per current Government guidelines.” from the report
  • Safe visiting arrangements

    Visitors were screened, asked to test and provided with suitable protective equipment. Risk assessments were used for visits and outings.

    “Family, friends and professionals visiting the service were required to carry out a rapid lateral flow devise test on the day and were issued appropriate PPE.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01Are visitors still asked to complete health checks, testing or other screening before entering the home?
  2. 02How do you currently manage COVID-19 or other infection risks among residents, staff and visitors?
  3. 03How is protective equipment supplied and checked to make sure staff use it safely?
  4. 04How do you keep relatives informed when visiting rules or infection control arrangements change?
  5. 05What are the home's current staffing arrangements when staff are absent because of illness or other COVID-19 pressures?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 28 January 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, January 2020

The Gables was rated Good overall; inspectors found safe, kind and personalised care, with some work still in progress.

This was a planned inspection on 8 and 9 January 2020. One inspector visited the home, spoke with people, relatives, managers and staff, and observed care. They also checked care plans, medicines records, staffing, training, maintenance and quality checks.

The home supported eight people with autistic spectrum disorders and learning disabilities. Inspectors found people felt safe and were treated with patience, kindness, dignity and respect. Staff knew people well and supported their choices, health needs, communication, activities and independence.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found good standards across the areas they checked. The overall rating was unchanged from the previous inspection, published on 24 May 2017.

What inspectors praised
  • Kind and respectful staff

    People and relatives spoke positively about staff. Inspectors observed warmth, patience and respect, and found that staff knew people's preferences and histories.

    “People were relaxed and happy with staff, who knew them very well.” from the report
  • Personalised support

    Care plans described people's needs, communication methods, preferences and goals. Staff supported people to make choices and develop independence.

    “The service and staff demonstrated an individual, person-centred approach which was reflected in the care and support plans people received.” from the report
  • Safe medicines and safeguarding

    Medicines were managed safely and staff had current training and competency checks. Staff understood how to recognise and report abuse.

    “Medicines were safely managed, stored and administered. People received their medicines when they needed them.” from the report
  • Activities and independence

    People took part in activities at home and in the community, including trips, hobbies, meals out and life-skill tasks.

    “Where possible people led active lives and were encouraged and enabled to pursue hobbies and a wide range of activities both in the home and in the wider community.” from the report
  • Good oversight

    The home had audits, staff meetings and processes for reviewing incidents and improving care. Staff said they felt supported and able to raise concerns.

    “There was a process of continual improvement and quality assurance with a variety of audits completed to ensure the quality of the provision was maintained.” from the report
What inspectors were concerned about
  • Recruitment was continuing

    needs fixing

    The home was recruiting more staff, and inspectors observed staff working at full capacity. The report says extra staff were brought in when additional support was needed.

    “The registered manager was in the process of recruiting further staff. During our inspection we observed staff were working at full capacity.” from the report
  • Water safety testing was pending

    minor

    Legionella testing was due immediately after the inspection. The report does not say that people were harmed, but families may wish to ask whether this was completed.

    “Legionella testing was scheduled to be completed immediately following the inspection.” from the report
  • Advance care plans were being developed

    minor

    The home was putting advance care plans in place for people who wanted them. No one was receiving end of life care during the inspection.

    “The registered manager was in the process of putting advance care plans in place for people who wished to have them completed.” from the report
Questions to ask them, based on this report
  1. 01What is the current staffing level, and has recruitment been completed since the inspection?
  2. 02How do you increase staffing when people have health appointments or other visits?
  3. 03Was the planned legionella testing completed, and were any actions needed?
  4. 04Have advance care plans now been discussed and completed for people who want them?
  5. 05How will you support my relative's preferred communication method, activities and independence?

This was a planned comprehensive inspection of the care home, including the premises and care provided, and all five CQC questions were rated Good. This explanation was written from the published report of 28 January 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of The Gables

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. January 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Gables →

  2. January 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Gables →

  3. June 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. October 2015

    Registered with the Care Quality Commission on 2 October 2015.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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