Quality Reliable Care Limited is a residential care home providing personal care and support for up to 12 people. The home accommodates people in one adapted building in a rural setting and is registered to support people with physical disabilities. At the time of the inspection there were 11 people living at the home. People were living with a range of needs including acquired brain injuries, autism and mental health needs.People’s experience of using this service and what we found
People continued to be supported by kind and caring staff who knew them well. Staff understood people’s needs and respected their preferences and choices. Staff treated people with respect and supported them to remain as independent as possible, protecting their dignity and privacy.
Risks to people were assessed and managed, and staff understood their responsibility to safeguard people from abuse. There were enough suitable staff to care for people safely and there were safe systems in place for managing people’s medicines. Incidents and accidents were monitored and analysed to ensure that lessons were learned. A person told us, “It’s a safe place, we can feel relaxed here.”
Staff had received the training and support they needed, and people told us they had confidence in the staff. One person said, “The know what they are doing.” 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 policies and systems in the service supported this practice.
People had enough to eat and drink and were receiving the support they needed. They told us they enjoyed the food on offer and their food choices were respected. Staff supported people to access healthcare services when they needed them and worked effectively with staff from other organisations.
People were receiving personalised care and were involved in developing their care and support plans. One person told us, “We wrote the care plan together.” Staff took account of people’s diverse needs and preferences and their views were reflected within their care plans. Staff knew people well and provided support in a personalised way. People were supported to retain links with the people and communities that were important to them. Communication needs were assessed, and information was provided in accessible formats. People were supported and encouraged to maintain their interests and activities reflected people’s individual preferences.
Management systems were effective in managing risks to the quality of the service. Leadership was clear and visible. Staff understood their roles and spoke highly of the support they received. People and staff were engaged with developments at the service and their views were welcomed and encouraged. There was a complaints system in place and people told us they knew how to complain and would raise any concerns with staff. The registered manager used quality assurances systems to identify shortfalls and to drive improvements. People and staff described a homely atmosphere. One person told us, “It’s brilliant here, we are very well looked after, and it feels like home.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 7 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.