We carried out a review of the data available to us about Ruby-Rose Supported Living Services on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Ruby-Rose Supported Living Services, you can give feedback on this service.
About the service
Ruby-Rose Supported Living provides twenty-four hour care and support to one person living with a learning disability. This is a single tenancy and staff were present at all times of the day and night.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. The person using the service received planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The outcomes for the person using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. Their support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff provided safe care and support. They had received training in how to protect people from abuse and avoidable harm. The registered manager was aware of their responsibilities to act on any safeguarding concerns. Staff had guidance of action required to mitigate any risks. There were enough staff employed and recruitment checks were completed before staff commenced their employment. Checks were completed to ensure health and safety and infection control and prevention were followed. Medicines were managed and administered safely. Whilst accidents and incidents were minimal, action was taken when concerns were identified and lessons were learnt.
Staff received ongoing training and support, checks were completed on their competency and there was a lone working policy and procedure. Ongoing assessment and monitoring ensured the person’s health needs were met effectively. The person was fully involved and supported with menu planning, shopping and cooking. The person was supported to have maximum choice and control of their life 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.
Staff were kind, caring and respectful. They fully involved the person in their care and support and acted upon, and respected their wishes. Independence was promoted and the person led an active and fulfilling life. They were active citizens of their community and participated in social activities, followed interest and hobbies and worked a few hours a week for which they got paid. Information had been made accessible to meet the person’s communication needs, including how to make a complaint. End of life care wishes had been considered.
There were systems and processes in place that monitored quality and safety. The registered manager regularly visited the person, supported the staff team effectively and had good oversight of the service. The registered manager provided good leadership and continued to meet their registration regulation requirements.
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 4 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.
The service was run by the provider who was also the registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
Systems and processes were in place to ensure the safe recruitment of staff with sufficient numbers of staff employed to safely meet people's needs.
The registered manager and staff understood their responsibilities in terms of safeguarding people from abuse and managing risk. People were supported with their medicines by staff who were trained and assessed as competent to give medicines safely.
Staff understood the principles of the Mental Capacity Act 2005 and people were supported to make their own decisions wherever possible. Staff asked for people’s consent before supporting them in ways they were comfortable with.
Staff were supported to carry out their role effectively. There was a regular programme of training with opportunities for specialist training relevant to meeting the needs of the people using the service.
People were supported to have enough to eat and drink to maintain their health whilst respecting their preferences. They had access to health professionals when needed and were supported to attend health appointments.
Care was personalised and met people's individual needs and preferences. Staff treated people with dignity and respect, promoted their independence and positive relationships with people who used the service had been formed and maintained.
Relatives told us they felt able to raise any concerns with the registered manager. Staff told us that the registered manager was approachable and accessible.
There were systems in place to monitor the quality of the service and the registered manager was committed to improving the service and comments and concerns were used constructively to drive improvements.