30 October 2023
During an inspection looking at part of the service
The Rathbone Centre (Outreach Service) is a domiciliary care and supported living service providing personal care to people in their own homes and in supported living settings. At the time of the inspection there were 7 people receiving personal care support.
People’s experience of the service and what we found:
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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
Right Support: Risks to people's health and wellbeing were managed well and people were included in the risk management processes. The provider supported people to take their medicines safely. There were infection control processes in place. Staffing levels were sufficient to maintain people's safety and ensure their health and social needs were met.
Right Care: People were treated with kindness and compassion and they received person-centred care from well trained staff that knew them well. People were supported to identify and attend activities in line with their personal preferences and interests. People’s independence was promoted.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people lead confident, inclusive and empowered lives. The provider worked in partnership with other health and social care professionals to review people's care and support. There were processes in place to gather feedback from people, their relatives and professionals. We received positive comments from relatives of people receiving care about how the registered manager led the team to provide person-centred care.
Despite many positive examples of person-centred care, we could not be assured people were always supported to have maximum choice and control in all aspects of their lives as people’s housing and support were not completely separate. We raised our concerns with the provider and they have taken the necessary action to resolve the issues we found.
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 (report published 1 November 2018).
Why we inspected
We undertook a focused inspection to review the key questions of safe, responsive and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for The Rathbone Centre (Outreach Service) 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.