Rawlyn House

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Arrangements were in place to formally assess, review and monitor the quality of care provided at the service. This included regular audits of accidents and incidents, safeguarding, care plans and statutory responsibilities. Where shortfalls were identified, the registered manager took prompt action to address any shortfalls. The Registered Manager and Leadership Team were capable, compassionate and inclusive.

This service scored 89 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The registered manager described the measures that were in place to support staff to speak up and raise concerns if they had them. Staff told us they felt confident in speaking up and raising concerns. Comments included “Registered manager is very good. If you ever need to chat she is there and very receptive to new ideas and thoughts from the staff and any questions.”, “Registered manager is easy to talk to”, “I think registered manager is approachable. No one is scared to talk to her”, “I feel I can go to her with anything”, “(Registered manager) is an amazing person and she gives me time and will listen and she has been supporting me from the very start” and “(Provider) is approachable and listens”.

We observed and there was a system in place to support staff to speak up and raise concerns relating to the care of people and the running of the service.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

From speaking to the registered manager and the providers quality assurance leads, it was evident they were committed in ensuring, oversight and governance was well-embedded into the service. The leadership team understood their roles and regulatory responsibilities. The leadership were able to articulate how they continuously reviewed their governance and systems to further improve the good high-quality care that people received. The registered manager told us “We are constantly encouraged to test and probe the systems to ensure they work the way we need them to”.

Arrangements were in place to formally assess, review and monitor the quality of care provided at the home. This included regular audits of accidents and incidents, safeguarding, care plans and medicines. The management and staff structure provided clear lines of accountability and responsibility, which helped ensure staff at the right level made decisions about the day-to-day running of the service. People's personal records were kept secured and confidential. Staff understood the need to respect people's privacy including information held about them in accordance with their human rights.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The quality assurance leads described how they were continuously looking to improve the quality of care people received. In addition to the auditing process, the registered manager and providers quality assurance leads told us they held regular meetings to discuss the findings from their audits to identify any concerns and agree actions.

The registered manager and provider had implemented a service improvement plan, which was driven by findings and feedback from people, relatives and partners. For example, the providers own review of their quality assurance system identified shortfalls, this resulted in an overall of the system. The registered manager told us “We needed to be assured that nothing could be missed”.