Background to this inspection
Updated
21 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was undertaken by one inspector.
Service and service type
Rutland Villa is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We sought feedback from the local authority. We used all of this information to plan our inspection.
During the inspection
We spoke with one person and spent time in the communal areas to understand how people spent their day and how staff interacted with people. We spoke with two support workers, and the registered manager.
We reviewed a range of records. This included aspects of three people’s care records and medication records. Along with a variety of records relating to the management of the service, including policies and procedures were also reviewed.
After the inspection
We spoke with one relative. We received written feedback from two external health care professionals.
Updated
21 February 2020
About the service
Rutland Villa is a residential care home providing personal for up to three people who may have a learning disability and/or autism. At the time of our inspection three people were living in the home.
Rutland Villa accommodates three people in one adapted building over two floors. People have access to a lounge, dining room and kitchen along with freely available access to a garden.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The service consistently apply the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
People’s experience of using this service and what we found
People looked relaxed and comfortable in their home environment. A relative felt their family member was safe from harm. Staff had a good understanding of how they protected people from harm and recognised different types of abuse and how to report them.
Potential risks to people continued to be identified and staff had consistent knowledge in how to reduce the risk of harm. There were enough staff on duty to keep people safe and meet their needs. People’s medicines were managed and stored in a safe way. Safe practice was carried out to reduce the risk of infection.
People’s care continued to be assessed and reviewed with the person and their family member involved throughout. People were supported to have a healthy balanced diet which reflected their individual dietary requirements. Where able, people were supported to prepare their own meals and drinks. Staff engaged and worked well with external health and social care professionals and followed their guidance and advice about how to support people following best practice.
Staff cared for people in a kind and considerate manner. People were treated with respect and their dignity and privacy was maintained. Staff helped people to make choices about their care and the views and decisions they had made about their care were listened to and acted upon.
People’s care was delivered in a timely way, with any changes in care being communicated clearly to the staff team. People were supported and encouraged to maintain their hobbies and interests. People and relatives had access to information about how to raise a complaint.
The registered manager worked between Rutland Villa and the providers other service. Staff felt this did not impact on the support offered by the registered manager and felt able to contact them for advice if required. The culture of the service was open and transparent. People, relatives and staff were listened to and had the opportunity to raise their suggestions and ideas about how the service was run. Staff worked well as a team and were supported by the provider to carry out their roles and responsibilities effectively, through training and regular contact with the registered managers and providers. The checks made by the management team ensured the service was meeting people’s needs and focused upon people’s experiences.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
This was a planned inspection based on the previous rating.
Rating at last inspection
The last rating for this service was Good. The last report was published 15 August 2017.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.