Background to this inspection
Updated
17 June 2017
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 inspection took place on 7 June 2017 and was announced. The provider was given 48 hours’ notice because the location provides a domiciliary care service for a small number of people and we needed to be sure that someone would be in.
The inspection was carried out by an inspector.
Before our visit we reviewed information we had received from and about the service since our last inspection.
During our inspection we spoke with both people who used the service and their relatives. We spoke with a social care professional who was visiting one of those people at the time of our inspection. We spoke with the registered manager, deputy manager, a team leader who was responsible for coordinating the care and support to the two people, a nurse and two care workers who regularly supported the people.
We looked at two people’s care plans and associated records. We reviewed information about support staff received through training and supervision. We reviewed records associated with the provider’s monitoring of the quality of the service. These included surveys and audits.
We contacted the local authority within which the service is located and Healthwatch Rutland, the local consumer champion for people using adult social care services, to see if they had feedback about the service.
Updated
17 June 2017
Rutland Cottages is a home care service operated from Rutland Care Village which is a residential nursing home. The service is available to people who live in 24 privately owned cottages located on the site of Rutland Care Village. People who live in the cottages have the option of having personal care as well as support with housekeeping. At the time of our visit two people were receiving support.
At our last inspection in December 2015, the service was rated ‘Good’. At this inspection we found that the service remained ‘Good’ for being safe, effective, caring, responsive and well-led.
People continued to receive safe care. Staff who supported the people using the service knew how to recognise and report any signs that people were abused or at risk of abuse.
The provider had assessed risks relating to people’s care to help them to remain safe whilst encouraging them to be as independent as they wanted to be. The provider had procedures in place for staff to report concerns and for those concerns to be investigated and acted upon.
There were enough suitably skilled and knowledgeable staff to provide care and support that met the needs of the people using the service. People were supported to receive their medicines safely.
The care that people received continued to be effective. Staff had access to the support, supervision and training that they required to work effectively in their roles. People were supported with their nutritional and health needs and were supported to access health services when they requested that support.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People developed positive relationships with the staff who were caring and treated people with respect, kindness and dignity.
People had care plans in place that were focused on them as individuals. This allowed staff to provide consistent support in line with people’s personal preferences.
People’s needs were met in line with their individual care plans and assessed needs. Staff understood people’s needs and provided care and support that was tailored to their needs.
People and their relatives felt they could raise a concern and the provider had systems to manage any complaints that they may receive.
The provider had effective arrangements for monitoring and assessing the quality of care people experienced. These included seeking and acting upon the views for people who used the service, their relatives, staff and professionals who visited the service.
Further information is in the detailed finding below.