Archived: Reuben Manor Care Home

Updated 13 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection which took place on 6 November 2018.

The inspection team consisted of one inspector, a specialist advisor, in this case a nurse, and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed the information we held about the service. This included the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally required to let us know about.

We also contacted the local authority commissioners for the service and the local Healthwatch to gain their views of the service provided. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

On this occasion we did not request a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spent time with people living at the service. We spoke with eleven people who used the service, five relatives and one visiting health professional. The registered manager was not present on the day of our visit but we spoke with deputy manager, five care staff, a member of the kitchen staff and the activities co-ordinator. The deputy manager was supported during the inspection by a manager from one of the provider’s other locations. We also spoke with the provider’s quality assurance manager and a regional manager.

We reviewed seven people's care records and five staff files including recruitment, supervision and training information. We reviewed medicine administration records for people as well as records relating to the management of the service.

Updated 13 December 2018

Reuben Manor is a residential care home for 83 people. Reuben Manor provides care and accommodation to younger adults and older people, including those living with a dementia. Accommodation is spread across three floors and the middle floor provides support to people with dementia.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good.

Staff knew how to keep people safe and reduce the risks of harm from occurring. Staff had completed training in safeguarding vulnerable adults and understood their responsibilities to report any concerns. Thorough recruitment and selection procedures ensured suitable staff were employed. Risk assessments relating to people's individual care needs and the environment were reviewed regularly. Medicines were managed safely and administered by staff trained for this role.

Staff received appropriate training and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to have enough to eat and drink and had access to healthcare professionals as and when this was needed.

Staff provided care and support with kindness and compassion. There were positive interactions between people and staff. People could make choices about how they wanted to be supported and staff treated them with dignity and respect. People's independence was promoted and encouraged. There was a welcoming and homely atmosphere at the service.

People received support which was person-centred and responsive to their needs. Detailed care plans were in place which guided staff how people wished to be supported with daily living. People were involved in writing and reviewing their care plans and in decisions about their care. There was a varied programme of activities and entertainment available to prevent people from being socially isolated.

People spoke positively about the registered manager and the wider management team. There was an effective quality assurance system in place to ensure the quality of the service and drive improvement. There were good systems in place for communicating with staff, people who used the service and their relatives to ensure they were fully informed of what was going on in Reuben Manor.

Further information is in the detailed findings below.