About the service The Rambles is a residential care home. People in a residential care home receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Rambles accommodates up to 6 people with a learning disability. At the time of the inspection 4 people were living there.
People’s experience of using this service and what we found
People received safe care that was person-centred. Staff had checks undertaken prior to starting their employment. People were support by enough staff who knew them well and care plans contained risk assessments and important information. People had communication and hospital passports these had information such as what people liked to do and what they liked to eat and drink.
The environment was clean and odour free. Staff and visitors had access to plenty of personal protective equipment (PPE) including hand sanitiser. Visiting procedures were in place and staff were part of regular testing each week. All staff and service users have received two vaccines and people were supported to have maximum choice and control of their lives in the least restrictive way as possible.
People received their medicines safely and records confirmed this. Incidents and accidents were monitored and reviewed for any trends and themes. Improvements had been made to the environment. This included refurbishment of the two bathrooms, a new boiler and radiators, decorating areas of the home and new outdoor seating and a vegetable patch. Relatives spoke highly of the support and care people received.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. For example, the model of care was set to maximise people’s choice and independence. Care was person - centred and people were supported by staff who valued people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection; Requires improvement (Published February 2020)
Why we inspected; This was a based on the previous rating. At this inspection we found the overall rating had changed from Requires Improvement to Good.
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.