The Gable, a residential care home based in Aylesbury, has been rated ‘requires improvement’ following an inspection by the Care Quality Commission (CQC).

The Gable provides accommodation and personal care to one person with a learning disability.

What inspectors found

The CQC expects health and social care providers to guarantee people with a learning disability and autistic people:

  • Respect
  • Equality
  • Dignity
  • Choices
  • Independence
  • Good access to local communities that most people take for granted.

‘Right support, right care, right culture’ is the guidance the CQC follows to make assessments about the services that support people.

Right support

Inspectors found that The Gable did not provide consistently safe care and treatment, which meant that risks to the person being cared for could not be identified and mitigated.

Medicine practices were not in line with best practice guidance, and the CQC reported that recruitment practices might not adequately safeguard people.

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 place at The Gable supported
this practice.

However, the environment was not sufficiently adapted and designed to meet people’s needs. This contributed to restrictions being placed on the person being cared for.

Right care

Inspectors found records that showed staff had been trained. However, The Gable did not ensure staff had the required skills and knowledge to make sure people received appropriate care.

In addition, the CQC reported that people were not safeguarded from abuse.

Sufficient staff were provided to support the person being cared for, enabling them to engage in community activities. Supportive care was provided, and staff had a positive relationship with the person.

Right culture

Inspectors found that good governance had not been established at The Gable. This meant that the service was not effectively managed or monitored to promote positive outcomes for people. As a result, risks to people had not been identified or mitigated.

People, their relatives and health professionals were involved in planning and reviewing their care. However, the systems in place for managing staff breaks and the handling and recording of accidents / incidents did not promote a positive culture to empower people.

Five key questions

The CQC also uses five key questions to help it form judgements about how well services are caring for people.

They are:

  • Is the service safe?
  • Is it effective?
  • Is it caring?
  • Is it responsive?
  • Is it well led?

The Gable was rated ‘good’ against the key questions of caring and responsiveness, but ‘requires improvement’ for both leadership and effectiveness. It was rated ‘inadequate’ for safety.

The Gable therefore received a rating of ‘requires improvement’ overall.

The CQC’s full report on The Gable is available to read on its website.

Have your say

Don’t forget – if you or a loved one has experience of care from The Gable, you can rate and review the service right here on our website.

Feed back now

Published on 20 Dec, 2023 (updated 9 Jan, 2024)

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