20 October 2022
During an inspection looking at part of the service
Rother Valley View is a residential care home providing the regulated activity of accommodation and personal care to up to 6 people. The service provides support to adults with a learning disability and autistic people. At the time of our inspection there were 3 people using the service. The home consisted of 6 self-contained flats in one building. People had access to a communal kitchen, dining and living room and a large enclosed garden.
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.
People’s experience of using this service and what we found
Right Support:
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 model of care and setting maximised people's choice, control and independence. Risks to people were assessed, monitored and managed safely. Systems in place to protect people had been strengthened but needed further strengthening to ensure all incidents are reported. The provider had acted to manage infection risks. There were enough staff to safely meet people's needs. Staff had the necessary skills, knowledge or experience to know how to meet people's needs. People's medicine support was managed safely.
Right Care:
Care was person-centred or delivered in a way which promoted people's dignity, privacy and human rights. Staff offered people choices and involved them when supporting them with activities and meals. Recommendations and actions identified by partnership agencies regarding people's support needs were promptly implemented to ensure people achieved good outcomes.
Right Culture:
The internal quality assurance systems and processes to audit or review service performance and the safety and quality of care had been strengthened. These systems needed to be embedded into practice to ensure improvements were sustained. The ethos, values, attitudes and behaviours of leaders and care staff had improved to ensure all people using the service could lead confident, inclusive and empowered lives. People were now being supported to regularly identify, or review, on-going individual aspirations and life goals. Internal systems for supporting staff were now robust which led to staff feeling supported and confident in their role.
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 inadequate (published 30 May 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. At our last inspection we recommended that the provider updates their monitoring and reviewing systems for Mental Capacity Act [MCA]. At this inspection we found the provider had acted on the recommendations and had made improvements.
This service has been in Special Measures since 17 June 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from inadequate to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rother Valley View 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.