We carried out a review of the data available to us about Mary Rush Care 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 Mary Rush Care, you can give feedback on this service.
Mary Rush Care provides personal care to people who live in supported living households. At the time of the inspection 7 people were supported with their personal care needs.
Not everyone who used the service received support with their personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Based on our review of safe and well-led, this service was able to demonstrate how they were currently meeting the underpinning principles of 'Right support, right care, right culture'.
People’s experience of using this service and what we found
Staff understood how to protect people from poor care and abuse. People’s relatives and representatives told us people felt safe being support by Mary Rush Care.
Staff understood people's needs and how to assist them to protect them from avoidable harm. Care documentation and risk assessments were in place to provide staff with guidance on how to meet people's needs and manage identified risks.
The provider was reviewing their recruitment policy to ensure a consistent approach when staff had worked both abroad and in the UK. Staff received induction, training and supervision to support them in their roles.
There was a quality assurance system in place to ensure people received the best possible service.
People were supported to receive their medicines safely and as prescribed.
The service had infection control processes and systems in place to reduce the risk of people contracting COVID-19. The homes we visited were clean and decorated in a homely style.
Right Support: Model of Care and setting that maximises people’s choice, control and independence
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.
Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.
The staff spoke positively about the leadership provided by the registered manager.
The provider and registered manager continued to improve the culture and quality of the service. The provider commissioned the support of an external consultant to support them and the registered manager to improve the service’s operational and quality monitoring systems and processes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 23 March 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service and concerns we had received about the service.
We received concerns in relations to people’s support and the management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained the same based on the findings of this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well led sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mary Rush Care 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.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
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. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People received care and support which was safe and focused on their needs and aspirations. Staff knew how to protect people from avoidable harm and abuse and where to report any concerns regarding people's safety and welfare. Safe systems were used to manage people’s medicines and support them with their finances.
People and their relatives all complimented the staff and told us their approach was consistently caring and compassionate. People were supported to make their own decisions about their care. Their rights, views and independence were promoted and respected by staff.
Staff were experienced and skilled in their role. They made prompt referrals to healthcare services when people’s needs changed and supported the person to monitor their health.
Staff practice complied with the principles of the Mental Capacity Act. 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. People were supported to move into the service at their own pace. Their decisions and views were respected at all times.
People’s care was tailored to the support requirements of each person. Detailed information and risk management plans were recorded and stored on an electronic care planning system. People were supported to continue with their interests and attend a variety of clubs and events in the local community.
The provider had a complaints policy in place which was available in an easy read format. The registered manager, provider and staff maintained good oversight of the service and completed regular checks and audits to monitor the quality of care people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 March 2019 and this is the first inspection.
Why we inspected
This was a planned inspection based on our inspection schedule.
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.