CQC report explained · a residential care home
What the CQC found at Rouse
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable staffing, risk assessments, recruitment checks, safe medicines systems and a clean environment. Guidance about signs of pain and as-needed medicines had not yet been added to the electronic system.
- Effective?
- Good
- Staff had suitable training, knew people well and supported access to health checks and a balanced diet. The home followed the Mental Capacity Act and had appropriate liberty safeguards in place.
- Caring?
- Good
- Staff treated people as individuals, respected their decisions and supported their dignity. People were helped to maintain relationships with relatives, friends and the local community.
- Responsive?
- Good
- Care plans reflected people's needs and views, and activities were suited to their abilities. Communication needs were recorded and supported, and relatives knew how to make a complaint.
- Well-led?
- Good
- The home had a registered manager, a settled staff team and regular quality checks. Audits led to action plans, and the service worked with health professionals and commissioners.
What inspectors found, December 2018
Rated Good; inspectors found safe, kind and person-centred care, with one medicines-record improvement identified.
The inspection took place on 14 October 2018 and was announced at short notice. One inspector spoke with the manager and staff, met the two people living there, and reviewed care, medicines, staffing and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was described as safe, friendly and homely, with a stable staff team who knew people well.
People were supported to make choices, build independence, access health checks and take part in community activities. Because the people could not explain their experience directly, inspectors relied on observations and records as well as discussions with staff and a relative.
The overall Good rating means the inspectors found the service met the relevant standards at this inspection. It had also been rated Good at the previous inspection, and this rating was maintained.
Stable, knowledgeable staff
The staff team was experienced and had a strong understanding of the people they supported. This helped create familiar and caring relationships.
“The service benefited from a well-established stable staff team who know the people living there extremely well.” from the report
Safe environment
The home was clean and well maintained. Equipment, fire safety and infection control were checked.
“The home was clean, tidy and free from unpleasant odours.” from the report
Health support
People received regular support to access health professionals, including preventative health checks. Their hospital information was kept up to date.
“The home was also proactive when it came to people's health and we saw 'well man' and 'well woman' checks were carried out by the GP on an annual basis.” from the report
Respectful care
Staff supported people in a person-centred way and respected their choices, dignity and individual preferences.
“It was clear they treated them as individuals and respected their decisions.” from the report
Community involvement
People were offered a wide range of activities and were supported to take part in local community life.
“Activities offered to people were suitable to their needs and abilities.” from the report
Electronic medicines guidance
needs fixingInformation about signs and symptoms that could show a person was in pain had not yet been added to the electronic system for as-needed medicines. Staff knew the guidance, and the manager said it would be added.
“We noted that this information had not yet been added to the electronic system” from the report
- 01Has the guidance about signs of pain and as-needed medicines now been added to the electronic system?
- 02How will staff recognise and record choices when a person cannot use formal communication?
- 03How are care plans and risk assessments reviewed when a person's needs or abilities change?
- 04Which community activities are currently available, and how are people supported to choose between them?
- 05How are relatives asked for feedback about the care and support provided?
This inspection looked at all five CQC areas and reviewed care, medicines, staffing, training and management records; the two people living there could not describe their experience directly, so inspectors also used observations. This explanation was written from the published report of 6 December 2018 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 Rouse
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 13 April 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
76 live-in carers within about two hours of Somerset
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 £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.