Background to this inspection
Updated
6 August 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken on the 2 July 2021. It was carried out by one adult social care inspector.
Service and service type
The Rambles is a care home. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service at the time of the inspection had a registered manager in post. This meant that they and the provider was legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since our last inspection. This included incidents the provider must notify us about. Prior to this inspection we had not requested the provider completes a provider information return. A provider information return (PIR) is when we required information from provider on key information about the service, what the service does well and improvements they plan to make. We took this into account in making our judgements in this report.
During the inspection
During the inspection we walked around the building and the garden area and observed staff interactions with people. We spoke with one person, two members of staff and the registered manager.
We reviewed a range of records. These included two people’s care records including their communication passport and medication records. We also looked at records relating to the management of the service such as two staff files relating to recruitment, incidents and accidents, training records, policies, procedures and quality assurance systems.
After the inspection
Following the inspection we spoke with two relatives and two health care professionals.
Updated
6 August 2021
About the service
The Rambles is a residential care home. People in a residential care home receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Rambles accommodates up to 6 people with a learning disability. At the time of the inspection 4 people were living there.
People’s experience of using this service and what we found
People received safe care that was person-centred. Staff had checks undertaken prior to starting their employment. People were support by enough staff who knew them well and care plans contained risk assessments and important information. People had communication and hospital passports these had information such as what people liked to do and what they liked to eat and drink.
The environment was clean and odour free. Staff and visitors had access to plenty of personal protective equipment (PPE) including hand sanitiser. Visiting procedures were in place and staff were part of regular testing each week. All staff and service users have received two vaccines and people were supported to have maximum choice and control of their lives in the least restrictive way as possible.
People received their medicines safely and records confirmed this. Incidents and accidents were monitored and reviewed for any trends and themes. Improvements had been made to the environment. This included refurbishment of the two bathrooms, a new boiler and radiators, decorating areas of the home and new outdoor seating and a vegetable patch. Relatives spoke highly of the support and care people received.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. For example, the model of care was set to maximise people’s choice and independence. Care was person - centred and people were supported by staff who valued people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection; Requires improvement (Published February 2020)
Why we inspected; This was a based on the previous rating. At this inspection we found the overall rating had changed from Requires Improvement to Good.
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.