The Gables Rest Home

The Gables Rest Home accommodates people in one adapted building.

People were supported to have the medicines they needed by staff who had been trained to do this. The registered manager planned to review how they checked medication management, so they could be assured staff consistently had the guidance they required to administer "when required" medicines, and to fully evidence on-going checks on staff competency.

Systems were in place to reduce the likelihood of the spread of infections. The registered manager had worked with people and their visitors to ensure people continued to receive visits safely. Accidents and incidents were regularly reviewed so any lesson would be learnt.

People's needs were assessed and informed through work with their relatives and other health and social care professionals. Relatives were complimentary about how staff used their skills and knowledge to support people. This included how staff monitored people's health needs and advocated for them so they would enjoy the best health outcomes possible. Where staff had any concerns for people's fluid or nutritional intake plans were developed to support them.

The home was undergoing a programme of refurbishment at the time of the inspection, but relatives gave us examples of creative ways staff used the premises to meet people's needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had built good relationships with the staff who cared for them. Relatives were complimentary about the caring approach taken by staff. Staff gave us examples showing how they promoted people's dignity, independence and involved them and their relatives in decisions about their care.

People's care plans and risk assessments provided staff with the guidance they needed to provide personalised care to people. People were supported to keep in touch with other who were important to them and to do interesting things which they enjoyed.

Systems were in place to manage and take learning from complaints and concerns received. Other health and social care providers were complimentary about the care provided to people at the end of their lives.

Relatives, staff and other health and social care professionals told us the culture at the home was open and focused on the needs of the people living at the home. This helped to ensure people had good outcomes. The registered manager and provider undertook checks on the quality and safety of the care provided and planned to develop these further.