The Gables Nursing Home

People's experience of using this service: People and their relatives universally praised the standard of the care at home. People said they felt safe and were supported by a consistent and experienced team. People said staff were kind and caring.

People's care needs were assessed, and they received good quality person-centred care from staff who understood their needs well.

Staff were knowledgeable and received training, supervision and support to carry out their roles effectively. Staff were committed to providing person centred care and fulfilling opportunities for people. We saw a strong emphasis on people being offered individualised support. There were a very wide range of positive one to one and group activities available to people who lived in the home.

Some improvements were needed to the safety of the service. We identified security issues on the first day of the inspection. The entrance door was not secure, and a medicines trolley was open. This was addressed by the second day of the inspection. We were re-assured this was an isolated incident and we had confidence in the registered managers response to this issue. We have made a recommendation about improving systems to monitor safety and security.

The service had been accredited with the Gold Standard Framework (GSF) for their approach to end of life care. This is a framework used to ensure the highest standard of care is provided for people who are near the end of their life. We saw the home had assessed the needs of people living at the home and worked very closely with people and their families to discuss their preferences and plan their care.

The home and the grounds were accessible and well maintained. Some areas had recently been refurbished.

Medicines were generally safely managed. There were very close links with health professionals and other agencies to ensure people's health needs were met and changes responded to promptly.

The registered manager provided people with leadership and promoted a supportive and inclusive team culture. The home was family run and there was universal praise from staff, relatives and people about the quality of the service. There was a warm and welcoming atmosphere throughout. One health professional said. "There is a family feel all the way down. Very good management. You can tell it is family run because there is such a vested interest in people and staff."

More information is in the full report.