Ruby24hr Care and Revive Supported Living

Updated 30 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was undertaken by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service is a domiciliary care service. It provides personal care to children and young people, and people living in their own houses and flats. This service provides care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was to ensure the registered manager would be available in the office to support the inspection.

Inspection activity started on 29 November and ended on 5 December 2023. We visited the location’s office on 30 November 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included the provider’s action plan which set out how they would meet the regulations. We sought feedback from the local authority who work with the service and Healthwatch England. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with a person and a relative of a person who used the service. We spoke with 5 staff members, including the registered manager, a house manager and support workers. We reviewed a range of records, including 2 people's care records and medicine administration records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were also reviewed.

Following our visit we received feedback from a further 4 support workers. We continued to review information including policies and procedures, staff training, quality audits and management records as part of the inspection.

Updated 30 December 2023

About the service

Ruby24hr Care and Revive Supported Living is a domiciliary care service. They provide personal care to people living in their own homes or individual flats. The service provides support to people with a learning disability and autistic people within a supported living setting.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided. At the time of the inspection 4 people were receiving personal care.

People’s experience of using this service and what we found

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support

Staff supported people to make decisions following best practice in decision-making. Staff supported people to have the maximum possible choice and control over their own lives. Policies and systems in the service supported this practice.

Risks to people were assessed and managed. People’s support plans were comprehensive and enabled staff to provide person centred care to meet their needs. People received care and support from staff who knew them well and understood their individual needs and preferences. This included staff supporting people to maintain their own health and wellbeing. Trained staff supported people with their medicines and their dietary needs to promote the best possible health outcome.

Right Care

Staff provided personalised care and support to promote people’s wellbeing, enhance their quality of life and to achieve positive outcomes. People’s support plans reflected their range of needs and this promoted their wellbeing.

Staff were trained and understood how to protect people from poor care and abuse. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. The service worked well with other agencies to do so.

Right Culture

Risks to people were managed safely and effectively and ensured the person and their relative or advocate was involved in the planning their care.

People were supported by staff who were trained and understood best practice in relation to impairments or sensitivities to people with a learning disability and autistic people.

Staff recruitment process had been strengthened to ensure only suitable staff worked at the service. Staff turnover was very low, which supported people to receive consistent care from staff who knew them well.

People’s quality of life was enhanced by the service’s culture of continuous improvement. Improved quality assurance systems were in place to monitor the quality service and care provided. The registered manager understood their responsibilities and worked in an open and transparent way.

People’s wishes, needs and rights at the heart of everything they did. People were aware of how to approach the registered manager to raise concerns or complaints and were confident swift action would be taken. The registered manager and staff worked with external agencies and professionals. The local authority who monitors people’s package of care told us the provider was responsive to feedback and was taking action to improve the quality of service provided.

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 requires improvement (published 22 December 2022) and there were breaches of regulation.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced focused inspection of this service on 22 October 2022. Breaches of regulations were found and a warning notice was issued in relation to good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve in relation to safe care and treatment and good governance arrangements at the service.

At this inspection we found improvements had been made. The provider had met the legal requirement in relation to the warning notice. The provider was no longer in breach of regulations.

We undertook this focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ruby24hr Care and Revive Supported Living 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.