Rebe

Updated 2 March 2019

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Prior to the inspection we looked at information about the service including notifications and any other information received from other agencies. Notifications are information about specific important events the service is legally required to report to us. We reviewed the Provider Information Record (PIR). The PIR was information given to us by the provider. This is a form that asks the provider to give some key information about the service, tells us what the service does well and the improvements they plan to make.

This inspection took place on 28 January 2019 and was unannounced. It included looking at records, speaking with people who use the service, talking with staff and phone calls with relatives. The inspection was completed by one adult social care inspection manager.

We spoke with the registered manager of the service and four members of care staff. We spoke with two people living at Rebe. We spoke with two relatives of people living at the service.

Updated 2 March 2019

This inspection was completed on 28 January 2019 and was unannounced.

Rebe is a ‘care 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.

Rebe provides accommodation for up to three men or women over the age of 18. People may have a learning disability and/or a mental health diagnosis. There were three people living at Rebe at the time of the 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.

There was a registered manager in post at the home. 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The previous comprehensive inspection was completed in July 2016 and the service was rated ‘Good’ overall. At this inspection, the service was rated ‘Good’.

The service was safe. People’s medicines were managed safely. People were protected from the risk of abuse. Staff had a good awareness of safeguarding policies and procedures and felt confident to raise any issues of concerns with the management team. Risk assessments were in place and accurately reflected the current level of risk to people. There were sufficient staffing levels to meet people’s needs. Robust recruitment processes to ensure the suitability of staff were in place however could be further improved. A recommendation was made to consider current legislation around staff recruitment.

People were receiving effective care and support. Staff received the training they needed to support the people living at Rebe. Staff felt supported and received regular supervisions and appraisals. Where required, the service was adhering to the principles of the Mental Capacity Act 2005 (MCA) or Deprivation of Liberty Safeguards (DoLS).

The service was caring. People and their relatives spoke very positively about the staff. The people appeared happy and relaxed. Staff demonstrated a good understanding of respect and dignity and knew people well.

The service was responsive. Care plans were person centred and reviewed regularly. People were involved in the planning of their care. People took part in a range of activities of their choosing. There was evidence of ongoing improvements in people’s ability to be as independent as possible. There was a robust complaints procedure in place.

The service was well-led. There was a strong leadership presence. Staff lived the values of the home. Quality assurance checks and audits were occurring regularly. Staff, people and their relatives spoke positively about management.