Rouse

Updated 6 December 2018

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 14 October 2018 and was announced. We gave the service short notice of the inspection visit because the location was a small care home for younger adults who are often out during the day. We needed to be sure that they would be in.

The inspection was carried out by one adult care inspector.

Before the inspection, we looked at information we held about the provider and home. This included their Provider Information Return (PIR). This 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 also looked at ¿notifications we had received. A notification is information about important events which the ¿service is required to send us by law.

We spoke with the registered manager and two members of staff. We requested feedback from commissioners.

We met with two people living at Rouse. Due to their complex needs they were unable to tell us about their experience of living at Rouse. We used observations of how staff interacted with people and provided support.

We looked at two people’s care records and their medicine records. We also looked at records that ¿related to how the service was managed, such as staff rotas, staff training records, three staff personnel files and quality ¿assurance audits.

Updated 6 December 2018

Rouse is a residential care home for up to three people who have learning disabilities or an autistic spectrum disorder. At the time of the inspection there were two people living at the 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.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good.

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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.

The service had a registered manager in place. 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.

The service had a safe, friendly and homely atmosphere. The service benefited from a well-established stable staff team who know the people living there extremely well. This had allowed them to develop professional effective and caring relationships with people..

People were supported to be as independent as possible and the service continued to work with people to develop their independence further. This was done in the service and on regular activities in the community.

People were supported in a person centred way. It is clear the staff valued the people living at Rouse and treated them as individuals. They allowed them to make decisions about their care and support. It was also clear that the staff thought of Rouse as the people’s home and not just their work place.

The service supported people to access health services effectively. Not only when they were ill but also in a preventative manner. For example, people attended their GP on an annual basis for 'well woman' and 'well man' checks which screen for particular diseases and check their general health. This is important as the people living in Rouse have communication difficulties and would not be able to say if anything was wrong.

The people living in Rouse were encouraged to develop and maintain relationships with other people living in the community and their relatives.