Archived: Rachel House Residential Care Home

People that used the service told us that they were happy with the service provided and felt involved in the planning of their care.

Medication practices had improved since our last inspection in October 2012 but needed further development to ensure people were sufficiently protected.

We were unable to test compliance with the provider's recruitment practices as no new staff had been employed since our last inspection.

The provider had introduced a new policy and procedure file which covered all relevant areas but most of these needed adapting to be more service specific.

The provider was able to demonstrate that some monitoring of systems had been undertaken since our last inspection but the new quality assurance system in place had not been introduced for sufficient time to make the required changes.

Although there are only three people who use the service, staff support is often limited to home based activities.This is because there is usually only one member of staff on duty at any one time. The deputy manager lives at Rachel House and the rota evidenced that they worked most of the shifts by themselves. The provider/manager told us that they worked two or three evenings a week and at weekends during the day.