Rutland House

Updated 19 February 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.

This unannounced inspection visit took place on 14 January 2019. The inspection team consisted of one inspector.

As part of the inspection, we reviewed the information we held about the service, including notifications. A notification is information about events that by law the registered persons should tell us about. We asked for feedback from the commissioners of people's care to find out their views on the quality of the service. We used information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection, we spoke with three people who used the service. We also spoke with the registered manager, the unit coordinator, a senior support worker and three support workers.

We observed the delivery of care and support provided to people living at the service and their interactions with staff. We reviewed the care records of two people and looked at a further two more to check aspects of individual plans. We looked at other records relating to the management of the service including, accident reports, monthly audits, and medicine administration records.

Updated 19 February 2019

At our last inspection in December 2015 we rated the service 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 service has not changed since our last inspection.

Rutland House is a Residential 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.

Rutland House accommodates up to seven people in one adapted building, where people had access to communal areas along with their own individual flats. At the time of the inspection there were seven people using the service.

Registering the Right Support has values which include choice, promotion of independence and inclusion. This is to ensure people with learning disabilities and autism using the service can live as ordinary a life as any citizen. The home was meeting the principles of this policy.

People were kept safe from abuse and had their risks were assessed and planned for. People were supported by sufficient staff. Medicines were administered safely. People were protected from the risk of cross infection. The provider had systems in place to learn when things went wrong.

People’s needs were assessed and care plans were in place to meet them. Staff had training which supported them in their role. People were supported to receive consistent care in an environment that was designed meet their needs. People were supported to choose their meals and eat and drink safely. People had their health needs met.

People had choice and control of their lives and staff were aware of how to support them in the least restrictive way possible; the policies and systems in the service were supportive of this practice.

People received support from staff who were caring. People could make choices and were supported to maintain their independence. People had their communication needs assessed and their privacy and dignity was protected by staff.

People received support which was person centred care and staff understood their preferences. People understood how to make a complaint about the service.

The registered manager submitted notifications as required and understood their responsibilities. The rating from the last inspection was on display.

People were involved in the service and there were regular checks on the quality. There were audits in place and action plans which were used to drive improvement.