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Inspection Summary


Overall summary & rating

Good

Updated 20 September 2018

This unannounced inspection took place on 15 and 20 August 2018. The Rise is a residential care home on the outskirts of Dawlish. It is registered to provide accommodation and personal care for up to 26 older people. At the time of our inspection there were 24 people living at the home.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At our last inspection we rated the home good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the home has not changed since our last inspection.

The home continued to provide safe care to people. The registered manager and staff understood their role and responsibilities to keep people safe from harm and ensure people's rights were protected. Risks had been appropriately assessed and staff had been provided with information on how to support people safely. There were enough staff to meet people's needs and checks were carried out on staff before they started work to assess their suitability.

People received effective care because staff had the skills and knowledge required to support them. People’s health and wellbeing were promoted and protected as the home recognised the importance of seeking advice from community health and social care professionals. People were supported to eat a healthy balanced diet. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible. However, not all records we saw were clear or reflected the same level of understanding.

We have made a recommendation in relation to how the home records people’s consent.

People received a service that was caring and they were supported by staff who knew them well. People were actively involved in making decisions about their care and support. Staff were passionate about their role and treated people with dignity and respect.

The home was responsive to people's needs. Care and support was personalised and people were supported to take part in meaningful activities. People were confident any complaint they might have would be responded to promptly. No one we spoke with had any complaints about the home.

People benefitted from a home that was well led. People, relatives and staff were positive about the leadership of the home and told us the home was well managed. The provider had systems in place to review, monitor and improve the quality of service provided. This included a programme of audits and checks, reviewing medicines management, quality of care records, support to staff and environmental health and safety checks. Regular meetings provided the opportunity to share information, review how well the service was supporting people and discuss how the service could be improved.

The registered manager was aware of their responsibilities in relation to duty of candour, that is, their duty to be honest and open about any accident or incident that had caused, or placed a person at risk of harm. They had notified the Care Quality Commission of all significant events, which had occurred in line with their legal responsibilities. We found the provider had displayed their rating in the home and on their web site.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 20 September 2018

The home remains Good

Effective

Good

Updated 20 September 2018

The home remains Good

Caring

Good

Updated 20 September 2018

The home remains Good

Responsive

Good

Updated 20 September 2018

The home remains Good

Well-led

Good

Updated 20 September 2018

The home remains Good