CQC report explained · a residential care home
What the CQC found at Rebe
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People's medicines, risks and safeguarding arrangements were managed safely. There were enough staff, although inspectors recommended updating the recruitment checklist to reflect current legislation.
- Effective?
- Good
- Staff received relevant training, supervision and support. People were helped with health appointments, eating well, decision-making and maintaining their independence.
- Caring?
- Good
- Inspectors saw kind and respectful interactions. Staff understood people's preferences, privacy and dignity, and relatives spoke very positively about the care.
- Responsive?
- Good
- Care plans were personalised and people helped shape them. People were supported to choose activities, build friendships, keep in touch with family and develop their independence.
- Well-led?
- Good
- Inspectors found strong leadership, a positive culture and regular quality checks. Staff, people and relatives spoke positively about the management.
What inspectors found, March 2019
Rebe was rated Good overall, with safe, kind and personalised care; inspectors recommended updating staff recruitment checks.
Inspectors visited the home without warning on 28 January 2019. They looked at records, spoke with people and staff, and contacted relatives. Three people were living there at the time.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that medicines, staffing, risk assessments and safeguarding arrangements were managed well.
People appeared happy and relaxed. Staff knew people well, supported their choices and encouraged independence, activities and contact with family. Care plans were detailed and regularly reviewed.
The home remained Good, matching its previous overall rating from July 2016. Inspectors recommended that the home update its recruitment checklist to fully reflect current legislation.
Safe medicines and risk management
Medicines were checked and staff had training and regular competency checks. Risk assessments were detailed, current and reviewed regularly.
“People's medicines were managed safely. Medicines policies and procedures were up to date and available to ensure medicines were managed safely.” from the report
Kind and respectful staff
Staff treated people with warmth, respected their privacy and knew them well. Relatives gave very positive feedback about the care.
“We observed positive staff interactions and a genuine warmth between people and staff.” from the report
Personalised support
People helped plan their care and had individual goals. Staff supported people to make choices, try activities and become more independent.
“The care plans were detailed and personalised. Relatives informed us they were invited to participate in care plan reviews with people and felt their opinions were considered.” from the report
Strong leadership
The home had a positive culture and regular audits. Managers used records and feedback to identify patterns and make improvements.
“The home was supported by strong leadership.” from the report
Inspectors raised no specific concerns in this report.
- 01How have you updated the staff recruitment checklist since this inspection?
- 02How do you make sure current staff have the right training for my relative's specific needs?
- 03How will my relative help create and review their care plan and personal goals?
- 04How do you support people to choose activities and become more independent?
- 05How do you monitor medicines, risks and any changes in behaviour?
This was an unannounced inspection of the whole service, covering all five CQC questions and the overall rating. This explanation was written from the published report of 2 March 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, October 2016
Rated Good; inspectors found safe, kind and personalised care, with good leadership across all five areas.
This was an unannounced inspection on 19 July 2016. Inspectors spoke with people living at the home, relatives, staff, the manager and health and social care professionals. They also looked at care records, medicines, staff records, rotas, training and quality checks.
The home was rated Good overall. It was also rated Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, respectful care and detailed care plans.
People were involved in decisions about their care, food and activities. Staff knew people well and supported them to build confidence and take part in activities they enjoyed. Regular checks were being used to identify and put right issues.
The home was last inspected in January 2014, when there were no breaches of regulations. This report does not mention any breaches or enforcement action.
Safe medicines
Medicines were handled, recorded and stored safely. Staff had training and their medicine administration skills were checked regularly.
“Clear records of medicines entering and leaving the home were maintained.” from the report
Kind and respectful care
Staff were attentive and supported people without rushing them. Inspectors saw staff protect people's privacy and dignity.
“Staff treated people with understanding, kindness, respect and dignity.” from the report
Personalised support
Care plans described people's individual needs, preferences and communication. Staff had built trusting relationships and helped people make progress.
“Staff evidently knew people well and had built positive relationships.” from the report
Meaningful activities
People had activity timetables and were supported to enjoy activities such as swimming, horse riding, walks and social clubs.
“People were supported on a regular basis to participate in meaningful activities.” from the report
Quality monitoring
Regular audits identified issues and action plans were used to address them. Inspectors found examples where the actions had been completed.
“Regular audits of the service were taking place.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's risk assessments if their needs changed?
- 02How would my relative be involved in choosing their care, meals and activities?
- 03How would staff communicate with my relative if they found it difficult to communicate directly?
- 04What activities would be available that match my relative's interests and confidence?
- 05How would you involve our family in care plan reviews and respond to any concerns or complaints?
This was an unannounced inspection covering all five CQC questions, including people's care, staff records, medicines, the premises and the home's quality monitoring. This explanation was written from the published report of 18 October 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Rebe
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.