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Archived: Rubery Court

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Reports


Inspection carried out on 8 August 2013

During an inspection to make sure that the improvements required had been made

We inspected Rubery Court following concerns at our last inspection in April 2013. The inspection was unannounced which meant the service did not know we were coming.

A new manager had been in place for four weeks at the time of this inspection and they supported us throughout the day. We spoke with people who used the service, observed their care, spoke with staff and a health professional.

We looked to see if people who used the service were respected and involved in the planning and delivery of their care. We found that systems were in place or being put in place to ensure that people were involved as much as they were able to be.

We found that the care and welfare needs of people who used the service were being met.

At our last inspection in April 2013 we had concerns that the service was not managing safeguarding referrals and internal investigations appropriately. At this inspection we found that the service was following the correct safeguarding procedures.

We previously had concerns that the service was not following the correct recruitment procedures. At this inspection we found that they had implemented a new system to ensure the procedures were followed.

We found that the service had sufficient trained staff to meet the needs of people who used the service.

The new manager showed us that they were working on new systems to monitor the quality of care delivery.

Rubery Court was compliant in the six outcome areas we looked at.

Inspection carried out on 9 April 2013

During a routine inspection

We inspected Rubery Court on a planned unannounced inspection which meant the service did not know we were coming.

At our last inspection in January 2013 we had concerns about the service not reporting safeguarding incidents. At this inspection we found that improvements had been made in this area although we found that the manager was not following appropriate procedures to minimise the risk of abuse to people who used the service.

Previously we had found that people's needs were not being assessed prior to admission to Rubery Court. At this inspection we found that systems were now in place to assess people's needs before agreeing to care being delivered.

We looked to see if people who used the service consented to their care treatment and support. We found the service had processes in place to support people to be involved as much as they were able to be in decisions about their care treatment and support.

We looked at the recruitment process for new members of staff and found the service was not following correct recruitment procedures.

We found that the service had a complaints procedure. We saw that the service dealt with complaints appropriately and contact numbers for the Care Quality Commission were visible within the service for people to use if necessary.

Inspection carried out on 15 January 2013

During a routine inspection

We inspected Rubery Court on a planned unannounced inspection, which meant the service did not know we were coming.

The majority of people who lived at Rubery Court had complex needs and limited communication skills. One person we spoke with told us, "It's ok here". We observed that people were being engaged in activities and one person was waiting to go out with

the support of staff.

On a previous inspection we saw that medication was not being managed appropriately. We found that improvements had been made at this inspection.

We spoke with relatives and health professionals of people who used the service who told us that they were happy with the care that people who used the service received.

Staff we spoke with told us they liked working at Rubery Court and felt supported by their manager. They felt they had sufficient training to complete their care role effectively.

Rubery Court had several vacancies within the residential and supported living areas of the service. We had concerns over the admission process into the service. New referrals into the service were not having their needs assessed prior to admission to ensure they could be cared for appropriately.

We looked at how the service safeguarded people who used the service and found the service had not informed all relevant agencies of suspected abuse.

The service had implemented several quality monitoring tools to monitor the quality of the service being delivered.

Inspection carried out on 24 February 2012

During an inspection to make sure that the improvements required had been made

We carried out this review to check on improvements that have been made since our previous review of the service.

People who live at Rubery Court have a learning disability. The majority of people have minimal verbal communication skills or understanding. We spent at least an hour during our visit observing staff supporting people during lunchtime. We spoke to one relative who was visiting the home, four staff members and two health professionals.

Staffing levels at the home have been increased since our last review of Rubery Court. We found that the increase in staffing levels have enabled staff to spend more quality time with people living at the home and without staff being rushed. Staff were seen to be caring and respectful to people. We saw that people were seen to be happy and relaxed in the presence of staff.

We found that the home was a warm and comfortable place to live. There are several communal rooms where people may choose to spend their day if they wish to. All bedrooms are single and have ensuite facilities. We saw that people are able to personalise their bedrooms as they choose.

Inspection carried out on 1 September 2011

During a routine inspection

People who live at Rubery Court told us that they were mostly happy living there.

The home is a warm and comfortable place to live. There are several communal rooms where people may choose to spend their day if they wish to. All bedrooms are single and have ensuite facilities. We saw that people are able to personalise their bedrooms as they choose.

The service has its own transport to take people out. People told us that are able to go out and enjoy going to hydrotherapy and shopping. They also told us that they had recently been on holiday. People told us that they would like to go out more but it is not always possible due to staffing levels.

People told us that Rubery Court does not have enough staff and that they do not always get the care and support they need. We were told that staff are caring and respectful although they are often rushed. People were seen to be happy and relaxed in the presence of staff.