CQC report explained · a residential care home
What the CQC found at Three Gables Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, admissions, visiting and outbreak management. The provider also described measures to reduce the risks from COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not rated or reported on in this targeted inspection.
- Caring?
- Good
- This area was not rated or reported on in this targeted inspection.
- Responsive?
- Good
- This area was not rated or reported on in this targeted inspection.
- Well-led?
- Good
- This area was not rated or reported on in this targeted inspection.
What inspectors found, March 2022
Three Gables Residential Care Home was inspected but not rated; inspectors were assured about infection prevention and control during an outbreak.
This was an unannounced, targeted inspection on 10 March 2022. It looked mainly at infection prevention and control during a COVID-19 outbreak, and at whether staffing pressures affected care. Sixteen people were living in the home.
Inspectors were assured that the home was preventing infections, using protective equipment safely, arranging testing, managing visitors and admissions, and keeping its infection control policy up to date. They also found continuous cleaning and strong infection control procedures.
People were supported to keep in touch with relatives. The home used its garden and a visiting pod, and staff monitored people's mental health during the outbreak. The overall service was inspected but not rated, so this visit did not give a Good, Requires Improvement or Inadequate rating.
Infection control
The home had detailed infection control procedures and continuous cleaning by care and domestic staff.
“There were robust infection control policies and procedures in place and continuous cleaning by care and domestic staff.” from the report
Keeping families connected
People were supported to stay in contact with relatives during the outbreak. The home used its garden and created a visiting pod.
“People had been supported to remain in contact with their loved ones, despite the home having an outbreak of infection.” from the report
Emotional support
Staff monitored people's mental health during the outbreak and offered support to staff as well.
“People's mental health had been closely monitored during the outbreak and staff had found ways to support people” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and when were they last reviewed?
- 02How do you manage staffing pressures if there is an outbreak or COVID-19-related absence?
- 03How can relatives visit if there is an infection outbreak, and is the visiting pod still available?
- 04How do you arrange testing and provide PPE for people living here, staff and visitors?
- 05How do you monitor and support residents who become distressed or do not understand social distancing during an outbreak?
This was an unannounced, targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not provide ratings for the other areas of care. This explanation was written from the published report of 24 March 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.
What inspectors found, June 2019
Three Gables Residential Care Home was rated Good; inspectors found kind, personalised care and major improvements, but two alleged-harm incidents had not been reported to inspectors at the time.
This was an unannounced inspection by two inspectors on 23 May 2019. They reviewed care plans, staff records, medicines records, rotas, incidents, complaints and quality checks. They spoke with people living in the home, a relative, staff, the manager and health and social care professionals.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, regular risk checks and safe medicines administration. People said they felt safe, listened to and well cared for.
The report says the home had made lots of improvements since its previous Requires Improvement rating in June 2018. Care plans and audits were now better. However, inspectors found two alleged-harm incidents that had not been reported to them. These were dealt with immediately after the inspection, and inspectors said this had not affected people.
Enough staff
Inspectors found enough staff on each shift to meet people's needs and monitor communal areas.
“There were enough staff to meet people's needs.” from the report
Kind and respectful care
People and relatives consistently described staff as kind, caring and respectful. Inspectors also observed warm and supportive interactions.
“We observed that staff were kind and caring in their interactions with people.” from the report
Personalised support
Care plans included people's routines, preferences, life stories and communication needs. Staff used this information to provide individual support.
“People received personalised care that was tailored around their wishes, preferences and routines.” from the report
Improvements in records and audits
The home had improved its care documentation and introduced regular audits to check that care plans reflected current needs.
“Regular care plan audits had been implemented to ensure care plans were up to date with people's current support needs.” from the report
Good food and mealtime support
People had meal choices and staff offered alternatives. Inspectors saw a pleasant, social mealtime and support for people who needed help eating.
“The atmosphere was pleasant, with music playing and people engaging with each other and staff.” from the report
Two incidents were not reported promptly
needs fixingInspectors found two incidents of alleged harm that had not been shared with them. The incidents had been managed and were reported immediately after the inspection, but the finding shows a weakness in reporting processes.
“We did see two incidents of alleged harm against people that had not been shared with us.” from the report
- 01How do you make sure incidents involving alleged harm are reported promptly to the relevant authorities?
- 02How often are care plans audited and updated when a person's needs or preferences change?
- 03What changes are being made to the policies and records for medicines that may become over-the-counter remedies?
- 04How do you make sure there are enough staff on each shift, including when someone is absent?
- 05How are people's communication needs, food and drink risks, and personal routines explained to new staff?
This was an unannounced planned inspection that looked at all five CQC questions, including both the premises and the care provided; the previous Requires Improvement ratings were reassessed. This explanation was written from the published report of 21 June 2019 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.
Every inspection of Three Gables Residential Care Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Three Gables Residential Care Home →
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Three Gables Residential Care Home →
- June 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2016
Registered with the Care Quality Commission on 1 July 2016.
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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19 live-in carers within about an hour of East Sussex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.