2 July 2019
During a routine inspection
Rusthall Respite is a small residential care home providing personal and nursing care to two adults with learning disabilities at the time of the inspection. The service can support up to five adults with dementia, learning disabilities or autistic spectrum disorder, physical disabilities or sensory impairments.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
People enjoyed having a respite stay at Rusthall Respite. This was evidenced by observations of people staying and through photographs of people smiling and having fun. A relative told us their loved one, “Is always happy about going there and chats about it when he comes back.”
People had access to a wide range of different activities throughout their stay both inside and outside of the service.
People’s care centred around their needs and preferences. Staff treated each person with compassion and kindness, and continuously used feedback either verbally or based on their observations of people to improve the service.
People were safe staying at Rusthall Respite; accidents and incidents were minimal, and staff worked to reduce the likelihood of issues reoccurring. People had been supported to take their medicines as prescribed in order to maintain their health.
People received good care and support. Staff had the knowledge and training to protect people from abuse and avoidable harm. Risks to people were identified, and when incidents and accidents occurred they were investigated appropriately and learnt from.
People had choice over their care and support and their dignity and privacy was respected by staff. 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.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 at a comprehensive inspection which was carried out on 12 December 2016 (published 07 January 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.