Rebecca Court

Rebecca Court is a residential care home without nursing providing personal care for older people some who may be living with dementia, mental health, sensory impairments, learning disabilities or autistic spectrum disorder. The service can support up to 38 people. At the time of our inspection there were 23 people using the service.

Rebecca Court is a purpose built care home split across two floors with access via a lift or a staircase. The service benefits from secure courtyards and gardens for people to use.

People’s experience of using this service and what we found

The care environment was visibly clean, although some areas of the home were tired and require modernisation, the service have a development plan in place for improvement of the environment.

People were supported to live meaningful lives. People worked collaboratively with staff to set personal wishes. Goals were set to support people achieve their wishes.

People were involved in planning and reviewing their support needs. Care plans were shaped around people's preferences and support needs.

Where incidents or accidents occurred, there was evidence of analysis being completed to determine what measures could be put in place to improve people's safety and reduce the risk of incidents while systems are put in place to keep people safe.

Staff had been recruited safely and the provider had a system in place to calculate the numbers of staff needed to meet people's needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 20 October 2018)

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rebecca Court on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

At the last inspection of 1 September 2015 , the service was rated Good. At this inspection, we found the service remained Good.

People received support to take their medicines safely. Staff knew how to keep people safe from the risk of harm. Actions had been taken to reduce risks to people’s safety. There was enough staff to keep people safe and meet their needs.

Staff were competent to carry out their roles effectively and had received training that supported them to do so. People were supported to eat freshly prepared meals, and their individual dietary needs were met. People were able to access and receive healthcare, with support, if needed.

A major refurbishment programme was underway at the time of our visit, works already completed had improved the environment substantially. This included decorations that enhanced the natural light in the building, and colour schemes that would help people living with dementia to navigate around the home more easily. The registered manager had worked closely with people living at the service to gain their view and ask for suggestions about the works. They increased the amount of hours activities staff were available, so that people had plenty of choice of things to do, away from areas where the works were underway.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were kind and compassionate in the way they delivered support to people. People were treated with dignity and respect. Staff ensured that people were able to have visitors, and enabled people to maintain relationships with relatives and friends who did not live nearby.

People and their relatives were confident that they could raise concerns if they needed to and that these would be addressed.

The registered manager ensured that the home was well run. Staff were committed to the welfare of people living in the home. The registered manager ensured they kept links within the local community including schools and people were part of regular events.

Further information is in the detailed findings below.

People received the care and support they required to improve their health and well-being. Care records were written in enough detail and provided clear guidance to staff members and indicated when people had received treatment or advice from a health care professional.

People said that the staff team treated everyone with dignity and respect and we saw examples of this during our inspection. The manager told us that safeguarding people from abuse was discussed during residents' meetings. People we spoke with said they felt safe at Rebecca Court but they knew what to do if they were concerned that someone was not being treated properly.

People told us that staff understood their care needs and made sure they received the support they needed. We found that staff were attentive and responded quickly to requests for assistance.

Staff received regular training and support which helped to ensure they had the knowledge and skills to understand the needs of people using the service.

People using the service had opportunities to make their views known and influence the way the service was run. The manager had put systems in place to check that people received a quality service.