Gables Care Home

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Requires improvement

• Responsive

  Inadequate

• Well-led

  Inadequate

Our view of the service

Date of assessment 20 May 2024 to 6 June 2024. The inspection was undertaken in response to ongoing concerns from the local authority commissioning and safeguarding adults team, relating to care and treatment, the management of safety and risk, and management oversight and monitoring of the service. We found six 6 breaches. Improvements had not been made since the last inspection. Governance and oversight was not effective in identifying or addressing areas for improvement. The need for consent was not consistently applied and care plans did not have sufficient detail to ensure safe care was being provided to people. The provider did not consistently act to protect people from abuse and improper treatment. Medicine care plans, and guidance documents for ‘when required’ medicines were not always up to date or sufficiently detailed. Notifiable safety incidents were not managed in line with regulations and the provider had failed to inform the Commission of all notifiable events. People were not at the centre of their care and treatment options and were not involved in decision making. Staff knew people well and there were enough staff to support people’s care and their immediate needs were met. In instances where CQC have decided to take civil or criminal enforcement action, we will publish this information on our website after any representations and/or appeals have been concluded. We have asked the provider for an action plan in response to some of the concerns found at this assessment. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

While the people we spoke to expressed they were generally happy with their care, our assessment found the care and support provided did not meet the expected standards. People’s needs had not always been assessed and reviewed. Care records did not accurately reflect their needs and there was no indication people and their relatives had been involved in the assessment and management of risks, the development of care plans or in reviews of their care. A resident survey completed in January 2024 included areas for improvement such as people knowing about their care plan and being involved in decisions around their care, but no action had been taken. People had mixed views about staffing, with some people commenting they did not feel they were a priority to staff. We observed there to be enough staff to meet people’s day to day needs, they were respectful, kind, and compassionate in their approach and seemed to know people well. People said they had choice and control, however the lack of inclusion in care records meant people’s control over their care and well-being was limited.