Green Gables Care Home

“The provider had systems and processes in place to support people to receive safe, effective and person-centred care. Care records were generally detailed and reflected people's individual needs, preferences and routines. Risks to people were assessed and managed appropriately, and staff were provided with clear guidance to support people safely whilst promoting their independence.”

“People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. We found that staff and management worked within the MCA. DoLS authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions they had choice, control and freedom over their lives. This was reflected in our observations throughout assessment. People were observed moving freely around the home, choosing where they wished to spend their time, whether they wanted to participate in activities and what they wanted to eat and drink. Relatives also told us people were supported to make choices about their daily lives and maintain the greatest possible level of independence.”

“The service provided a homely and welcoming environment which supported people's comfort, wellbeing and independence. People's bedrooms were personalised and appropriate equipment, environmental checks and safety arrangements were in place. Staff received the training, supervision and support required to carry out their roles and demonstrated a good understanding of people's needs and how these should be met.”

“The provider used recognised, person-centred approaches to support people's nutrition, hydration and future care needs. People's nutritional needs were well supported through detailed care planning, regular monitoring and tailored interventions where required. Staff understood how to identify and respond to risks associated with poor nutrition and hydration, and worked with people to promote good health and wellbeing. Staff were observant to changes in people's needs and took appropriate action when concerns arose.”

“A particular strength of the service was its culture. The registered manager and staff consistently promoted an ethos that Green Gables was people's home and that people should be treated with kindness, dignity and respect. Observations throughout the assessment demonstrated this approach was embedded in daily practice. People were supported by a consistent staff team who knew them well and understood their individual preferences, routines and support needs.”

“The provider also demonstrated a commitment to continuous improvement. Systems were in place to review practice, learn from feedback and drive service development. The provider engaged with external organisations and quality improvement initiatives and had implemented additional oversight through the use of external audits and staff champions.”

“Most governance systems were effective; however, some audit processes required strengthening. In particular, further development of medicines audits and…”