Archived: Rubicon Rise

Updated 7 February 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.

Inspection team: One adult social care inspector completed this inspection.

Service and service type: Rubicon Rise is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection was unannounced and we completed this from 10 to 15 January 2019.

What we did: We reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as abuse; and we sought feedback from the local authority and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During inspection: We spent time with five people who used the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with the registered manager, team leader, senior support worker and three support workers.

We reviewed a range of records. This included three people's care records, medication records and various records related to the management of the service.

Updated 7 February 2019

About the service: Rubicon Rise is a residential care home that provides support for up to six people who are living with learning and physical disabilities. At the time of this inspection six people were using the service.

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.

People’s experience of using this service: People looked very comfortable and at home in their surroundings. Staff were friendly and very skilled at working with people who used the service. Staff were making a difference to people’s wellbeing by working well as a team, in harmony with one another and by sharing the same values and principles.

Staff received a wide range of training around managing risk and ensuring people remained safe. Training included, safeguarding, first aid, fire safety and basic food hygiene. Checks were made on the ongoing competency of staff.

People's rights were upheld. The person was given choice and supported to make decisions. Where people did not have capacity to make decisions, they were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

People participated in a range of activities that met their individual choices and preferences. Staff understood the importance of this for people and provided the structured support people required. This enabled people to achieve positive outcomes and promoted a good quality of life.

Staff effectively reported any safeguarding matters. The registered manager thoroughly investigated any concerns, and resolved these matters. All incidents were critically analysed, lessons were learnt and embedded into practice.

The service was well run. Staff told us the registered manager and team leader were fair, and good at listening to people and staff thoughts about how to make the service better. The registered manager carried out lots of checks to make sure that the service was delivering a good service.

Rating at last inspection: Good (Report published on 13 June 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.