Background to this inspection
Updated
12 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 03 February 2022 and was announced. We gave the service two hours’ notice of the inspection.
Updated
12 February 2022
About the service
Rushwell House is a residential care home for up to eight people with learning disabilities. There were seven people using the service at the time of our inspection.
The care service has been developed and designed in line with the values that underpin the 'Registering the Right Support' and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People’s experience of using this service and what we found
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
There was a registered manager who had been the manager of the service since 27 September 2019.
Staff understood their roles and responsibilities to safeguard people from the risk of harm.
People’s medicines were managed in a safe way. Staff followed care plans which guided staff how to keep people safe. People’s risk assessments were reviewed regularly or as people’s needs changed.
There were enough staff deployed to meet people’s needs, further recruitment was taking place to increase people’s support for activities. Staff were recruited using safe recruitment practices. Staff received training to enable them to meet people’s needs and were supported to carry out their roles.
People received care from staff they knew. Staff had a good understanding of people's needs, choices and preferences. People were encouraged to make decisions about how their care was provided and their privacy and dignity were protected and promoted. Staff gained people's consent before providing personal care.
People were involved in the planning of their care which was person centred and updated regularly. People were supported to express themselves, their views were acknowledged and acted upon. The registered manager responded to complaints using the providers policies.
The registered manager and provider were aware the building required improvements to ensure the building continued to meet people’s needs as their needs changed.
The registered manager continually monitored the quality of the service, identifying issues and making changes to improve the care. Staff were involved in making improvements following incidents and lessons learnt were clearly communicated. The registered manager promoted a staff culture which was open and honest.
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 14 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.