Rons Place

Updated 29 December 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 visit took place on 2 November 2017. It was a comprehensive, unannounced inspection and was undertaken by one inspector.

We reviewed the information we held about the service and we looked at the statutory notifications the provider had sent us. A statutory notification is information about important events which the provider is required to send to us by law.

We reviewed the provider information return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with three people who lived at the home, but they were not all able to tell us about their care and support in detail because of their complex needs. Therefore we spent time observing how people were supported to maintain their independence and preferred lifestyle. We also spoke with two relatives via the telephone following our inspection visit to gather their views.

We looked at two people’s care records and other records including quality assurance checks, training records, observation records for people, medicines, and incident and accident records.

Updated 29 December 2017

Ron’s Place is a ‘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. Ron’s Place provides care and accommodation for up to four people with a diagnosis of a learning disability and autistic spectrum disorder. At the time of our visit there were four people living in the home.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At the last inspection, the service was rated good. At this inspection we found the service remained Good.

The provider had displayed the rating from the previous inspection clearly on the premises. The provider did not have a website.

The home had a registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People and relatives were complimentary and satisfied with the quality of care they received. People received care that enabled them to live their lives as they wanted, and were able to make choices about maintaining their independence. People were encouraged to make their own decisions about the care they received and care was given in line with their expressed wishes. People were supported to maintain relationships with people who were important to them.

Care plans contained accurate and detailed relevant information for staff to help them provide the individual care people required. People and relatives were involved in making care decisions and reviewing their care to ensure it continued to meet their needs.

For people assessed as being at risk, care records included information for staff so risks to people’s health and welfare were minimised. Whilst this information was not always up to date, staff had a good knowledge of people’s needs and abilities which meant they provided safe and effective care. Staff received training to meet people’s individual needs, and used their skills, knowledge and experience to support people effectively and develop trusting relationships.

Medicines were stored and administered safely and as prescribed.

People’s care and support was provided by a caring staff team and there were enough trained and experienced staff to be responsive to meet their needs. People told us they felt safe living at the home and relatives agreed. Staff knew how to keep people safe from the risk of abuse. Staff and the manager understood what actions they needed to take if they had any concerns for people's wellbeing or safety.

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 received a choice of meals and drinks that met their individual dietary requirements at times they wanted them.

People and relatives knew how to voice their complaints and felt confident to do so.

Checks and audits were not always completed, and the provider did not always maintain accurate and up to date records, of staff training for example. This meant the provider did not always have the information they needed to help the care and support people received improve.

People, relatives and staff were encouraged to share their views of the service through regular meetings, questionnaires and conversations.

Further information is in the detailed findings below.