Archived: Rutland Villa

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.

People continued to receive care and support in ways which helped them to remain as safe as possible. Staff understood risks to people’s safety and supported people receive their medicines as prescribed. There was enough staff to provide care and support to meet people’s needs.

Staff received training which helped them develop the knowledge and skills to meet the needs of people who lived at the home. People made day to day decisions about their care and staff used their skills to make sure people were consenting to the care offered to them. People were supported by staff if they needed help making key decisions about their life. People were cared for so they had enough to eat and drink and their food preferences were met. Staff supported people to see health professionals so they would remain well.

People enjoyed spending time with the staff that cared for them and were treated with dignity and respect. Staff spoke affectionately about the people they cared for and encouraged them to make their own day to day decisions and maintain as much independence as possible.

People's care was planned in ways which reflected their preferences and wishes. There was a complaints procedure in place, although no complaints had been received in the last twelve months, people and their relatives were aware of how to raise a complaint or concern.

The registered manager, deputy manager and provider regularly checked the quality of the care people received. Where actions were identified these were undertaken to improve people’s care further.

People's needs had been assessed and care and treatment was planned and delivered in line with their individual care plan. Staff told us they were aware of each person's needs and how to give care and support to meet those needs. When asked people told us: 'Yes' they liked living there.

We saw that people appeared comfortable in their home and with the staff that supported them. We saw that staff were kind and caring in their approach to people who lived in the home.

The provider and registered manager of the home had taken steps to monitor and assess the quality of care and support provided to people who lived at the home.

We observed how staff interacted with people to support them in making decisions about their lifestyles. We saw that staff respected the decisions that people made. The body language of both people indicated that they were relaxed and comfortable with staff and happy in their environment.

The two care files that we reviewed indicated that arrangements had been made to support people in receiving their health care needs. The care files included information about people's preferences about activities and accessing the community and how they were met. From discussions held with staff we found that people were well supported in leading a varied lifestyle that suited their individual preferences.

People were encouraged and supported to do things for themselves but were given choices. We found that there were enough staff available to support people in being independent.

The home had a complaints procedure in place which had been written in a format that assisted people in understanding it. We were told that people would be supported by an external agency in making a complaint if they wanted to. We found that no complaints had been made during the last 12 months.