Background to this inspection
Updated
28 July 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 09 April 2015 and was unannounced. The inspection team consisted of one inspector. Before our inspection we reviewed the information we held about the service including the Provider Information Return (PIR). This is a form in which we ask the registered person to give us some key information about the service, what the service does well and improvements they plan to make. We reviewed notifications of incidents that the registered person had sent us since the last inspection. In addition, we checked to see if there was any relevant information from local commissioners of the service.
We spoke with six people who used the service, two relatives, three members of care staff, the acting manager, one health professional and one person who provided activities to people in the community. We observed and spent time talking with people in the communal sitting rooms and at lunch time. We reviewed three care records, medicines documentation, staff training, and audits for the service. These included records of meetings held with people who used the service, their relatives and staff.
Updated
28 July 2015
Rutland Crescent Care Home is located in Harworth, North Nottinghamshire and provides accommodation and personal care for up to seven people with a learning disability. There were seven people living there when we visited.
The care home is based in a two-storey house in a residential area with parking available on the street in front. The garden is enclosed at the back of the property and is accessible for people who use a wheelchair.
This was an unannounced inspection and took place on 9 April 2015. The last inspection was in February 2014.
Although there was not a registered manager in place at the time of our inspection, the manager had submitted an application to register with us, the CQC. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.’
People’s rights were protected as the manager and staff understood the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and used the guidance to ensure this was followed. The DoLS is part of the MCA, which is in place to protect people who lack capacity to make certain decisions because of illness or disability. DoLS protects the rights of such people by ensuring that if there are restrictions on their freedom these are assessed by professionals who are trained to decide if the restriction is needed.
People told us they felt safe and were happy with the care they received. People were encouraged to have their say in how care was provided. They told us they were treated with respect and dignity. We saw that staff were kind and understood people’s needs well.
There were enough staff to look after people and they were trained and supported to do this properly. Staff knew who to report to and how to deal with any concerns if they arose. People knew that if they had any worries or problems they were listened to and responded to.
People’s family and community links were strengthened by developing people’s interests and activities.
We found that people’s health and care needs were regularly assessed and people were referred for additional support when needed. The provider had clear arrangements which ensured medicines were stored, ordered, administered and disposed of safely.
The manager used quality checks to develop and improve the quality of care which included consulting with people, their families and staff.