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CQC report explained · a residential care home

What the CQC found at White Gables Care Home

Goodpublished 8 June 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Requires improvement
Medicines were not always stored, given and disposed of in line with good practice. Inspectors also found enough staff, safe recruitment, updated risk assessments and effective infection control.
Effective?
Good
Staff had relevant training, supervision and support. People received suitable food and healthcare, and staff understood consent and mental capacity requirements.
Caring?
Good
Staff were kind and attentive. Inspectors saw support that promoted people's choices, independence, privacy and dignity.
Responsive?
Good
Care plans gave staff detailed information about people's needs and preferences. The home provided activities, individual support and sensitive end of life care.
Well-led?
Good
The manager had established a positive culture and staff worked well together. Audits, surveys, complaints systems and reviews of incidents were in place.
The latest report, explained

What inspectors found, June 2018

Rated Good overall; inspectors found kind, responsive care, but medicines were not always managed safely.

Inspectors visited on 10 and 25 April 2018. The first visit was unannounced. They observed care, spoke with people, relatives and staff, and checked care files, medicines, recruitment, training and quality records.

The home was rated Good overall. Effective, caring, responsive and well-led were all rated Good. Safe was rated Requires Improvement because medicines were not consistently managed safely.

Inspectors found enough staff, safe recruitment, updated risk assessments and good infection control. They also found kind staff, suitable activities, good food and improvements to the building and care planning since the change of ownership.

What inspectors praised
  • Kind and personal care

    Staff knew people's routines and preferences and supported choice, independence, privacy and dignity.

    “Staff were kind and attentive in their approach.” from the report
  • Enough staff

    Inspectors found sufficient staff to meet people's care needs. Recruitment checks were completed correctly.

    “There were sufficient staff to meet people's care and support needs.” from the report
  • Activities and stimulation

    The home had increased activity staff and provided group activities, outings and one-to-one time for people who preferred to stay in their rooms.

    “People were provided with physical and mental stimulation appropriate to their needs.” from the report
  • Positive leadership

    The manager had been in post for about seven months and had built a supportive culture. Staff described the home as organised and friendly.

    “The registered manager had established a positive organisational culture and won the respect and loyalty of her team.” from the report
What inspectors were concerned about
  • Medicines were not consistently managed safely

    serious

    A nurse left two prescribed medicines with a person without checking that they had been taken. The person's records did not show that they had been assessed as able to take medicines without supervision.

    “People's medicines were not always managed safely.” from the report
  • Some care plans lacked life history

    minor

    Most care plans were well organised, but some did not contain enough information about people's life history. The manager said these gaps were being addressed.

    “Some people's plans lacked details of their life history.” from the report
Questions to ask them, based on this report
  1. 01What checks are now made to ensure staff stay with people until prescribed medicines have been taken?
  2. 02How do you record whether someone can safely manage their own medicines?
  3. 03Has the new medicines storage cupboard been installed, and what other medicines improvements have been completed?
  4. 04How do you make sure each person's life history is included in their care plan?
  5. 05How will you meet people's individual communication needs, including for people living with dementia?

This was a comprehensive inspection covering all five questions, with the home visited on two dates; the first visit was unannounced. This explanation was written from the published report of 8 June 2018 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 White Gables Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. June 2018Goodcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at White Gables Care Home →

  2. December 2016

    Registered with the Care Quality Commission on 22 December 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.

Next steps

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Care at home

9 live-in carers within about an hour of Lincolnshire

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.

8 can care for a couple. 10 years' experience on average.

“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Julie V., about Martin G.
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Scot H., about Magdalena B.
See live-in carers near LincolnshireProfiles, rates and reviews are free to look at.

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