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Inspection Summary


Overall summary & rating

Good

Updated 10 July 2019

About the service

The Kathleen Rutland Home provides care for up to 44 older people who have a sensory impairment or are living with dementia.

People’s experience of using this service:

After the inspection we received concerns in relation to the management of safety and risk for one person living with dementia who had left the service unsupervised and walked a long way on their own. This concern was being investigated by the local authority safeguarding team and by the provider's operations director.

People felt safe and were protected from abuse and avoidable harm. Staff knew when and how to report concerns. Systems and processes were in place to identify and manage risk. Action was taken when things went wrong to reduce the risk of reoccurrence.

There were enough staff with the right skills and experience to meet people’s needs. People’s medicines were managed in a safe way. The service was clean and staff followed infection prevention and control policies to reduce the risk of infection.

People had their needs and choices assessed before they began using the service. Care and support was delivered in line with evidence based best practice guidance. Staff received the training and support they required to meet people’s needs. They had access to ongoing training and opportunities for professional development. People were supported to eat and drink enough and had a varied and balanced diet which they enjoyed. Staff recognized changes in people’s health and supported them to access the healthcare services they required.

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 received kind and compassionate care and support. They liked the staff and had developed positive relationships. Staff knew people well and understood how to meet their needs and how to provide comfort and reassurance. People were involved in making decisions about their care and support. People had their privacy and dignity protected.

Care and support was person centred and was delivered in the way people preferred and met their individual needs. Staff understood people’s needs with regards to the protected characteristics of the Equality Act 2010. Information was available to people in accessible formats and staff communicated with people effectively. People were occupied with activities and were able to pursue their interests and hobbies. People knew how to make a complaint and would feel confident doing so. Complaints were investigated and used as an opportunity to learn and improve.

Staff had received training about supporting people at the end of their lives. The service had links with a hospice service for ongoing staff support and guidance about end of life care.

People and staff had confidence in their managers and felt supported. They told us the registered manager was accessible and approachable. There was an effective quality assurance system. Checks were carried out to ensure staff were following polices and procedures and people were safe. Action plans were developed when shortfalls were found and this contributed to continual learning and improvement. The registered manager was supported by senior managers from the wider organization.

People, their relatives and staff were asked for their feedback and this was used to develop the service and ensure it was meeting people’s needs and preferences. The registered manager and staff worked closely with healthcare professionals and other agencies such as the local authority to make sure people received joined up care and support.

Rating at last inspection

The last rating for this service was requires improvement (published 28 June 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up:

We will continue to review information we receive about the service u

Inspection areas

Safe

Good

Updated 10 July 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 10 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 10 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 10 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 10 July 2019

The service was well-led.

Details are in our well-led findings below.