The Rubens

The following is CQC's published account of its assessment, published 20 June 2024. References to “we” mean CQC. It describes findings at that time.

Date of assessment 6 March to 12 March 2024. We completed this assessment due to concerns we had around managing safeguarding incidents and staff recruitment. We also followed up on breaches we had found at our previous inspection. These breaches had been in relation to the governance of the service and consent. The service had improved. People’s capacity to consent to specific decisions were now assessed and, where required, applications to legally deprive them of their liberty (DoLS) were now completed. Systems to monitor the quality and safety of the service were now effective and identified where improvement was needed. Risks to people’s health, safety and wellbeing were now effectively monitored and recorded. Staff training and care records were now kept up to date. Not all staff had a Disclosure and Barring Service (DBS) check completed. However, the registered manager applied for these checks immediately and we saw evidence when these were completed, with no impact on people. All other required recruitment checks were completed which helped to ensure staff who worked at The Rubens were recruited safely for the benefit of people. People were kept safe, and concerns were shared appropriately. Staff assessed and worked to reduce risks to people. Care plans guided staff towards safe practice. The provider had enough staff to ensure people’s safety and meet their needs. The environment people lived in was safe, and equipment and utilities were checked regularly. Infection prevention and control (IPC) practices helped to keep people safe from the risk of infection. People were supported to have choice and control and were involved in planning their care. Staff used best practice guidance to help ensure effective care was delivered. Leadership within the home promoted a positive culture and ensured people had positive experiences.