We carried out a review of the data available to us about Robertson Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Robertson Nursing Home, you can give feedback on this service.
We found the following examples of good practice.
The premises were clean and additional cleaning schedules had been implemented since the beginning of the COVID-19 pandemic and standards of infection prevention and control (IPC) were audited regularly. High touch areas such as door handles and light switches were cleaned throughout the day by a dedicated team of cleaners.
Staff had ready access to the personal protective equipment (PPE), had attended training and were reminded of proper use at each handover. Clinical waste was safely disposed of and stored securely in a specially designed enclosure.
People who lived at the home were supported to access COVID-19 testing and to have their COVID-19 vaccinations. If people contracted COVID-19, they were supported to self-isolate in their bedrooms. Staff took part in a COVID-19 testing regime and took an LFD test before every shift. Any staff who contracted COVID-19 did not return to work until they had completed a required period of self-isolation.
Visiting was in line with government guidance. People were supported by staff to see their family members in a COVID-safe way. There was a separate visitors entrance at which point their temperature was taken and they were expected to evidence a recent negative COVID test.
The home manager was accepting of all advice and guidance offered by external agencies including the local CCG, Surrey County Council, UKHSA and CQC. The designated IPC lead shared all current government guidance updates with staff and family members and did frequent observations of staff handwashing and correct usage of PPE.
Robertson Nursing Home is a nursing home that is registered to provide accommodation and personal care for up to 41 people. At the time of our inspection there were 32 people living at the service, a number of whom were living with dementia.
People’s experience of using this service:
People were looked after and supported by a consistent, caring and well established service. People were safe because of the experienced care and effective staff. One relative told us, “I am very happy with my mum being here. The care from the staff and manager is wonderful.” There was a welcoming atmosphere throughout the home which came from the happy people living there.
People’s needs, choices and preferences were recorded in person centred care plans. The food at the service was enjoyed by people as they were able to choose what they ate from a menu with variety. The care records enabled staff to correctly provide care and support for people in a safe way. Complaints and concerns were recorded, responded to and used to consider improvements at the service.
People’s end of life care was considered and detailed to ensure that they would be comfortable remaining at the service. There were activities for people to take part in each day which involved the staff and anyone who wanted to join in.
Staff were led by a pro-active and friendly manager who consistently considered how to improve the service. A relative told us, “ As a family member you are always greeted with a smile here. This comes from the management. Both the manager and deputy manager are excellent at their jobs.”
Rating at last inspection:
At our last inspection in July 2016 the home was rated ‘Good’.
Why we inspected:
This inspection was carried out in line with our inspection methdology in that we scheduled the inspection based on our previous rating.
Robertson Nursing Home is registered to provide accommodation and nursing care for up to 41 older people, many of whom were living with dementia. On the day of our inspection there were 37 people living at the home.
The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Staff understood their role in safeguarding people and had attended training. They demonstrated understanding of how to recognise signs of abuse and who to contact if they suspect abuse.
Accidents and incidents were being reported where appropriate. Staff routinely carried out risk assessments and created plans to minimise known hazards whilst encouraging people’s independence. Policies and procedures were in place to keep people safe in the event of emergencies. Fire drills and fire alarm tests were carried out along with regular audits of emergency and contingency planning.
There were sufficient staff present to safely meet people’s needs. Staff had undergone checks to ensure that they were of good character to be working with people. Staff had appropriate training and support to meet the needs of people living at the home.
People’s medicines were administered safely. Healthcare professionals had a lot of input into people’s care and staff observed their guidance in providing care to people.
People’s legal rights were protected as staff provided care in line with the Mental Capacity Act (2005). Correct procedures were followed when depriving people of their liberty. Staff followed the guidance of healthcare professionals where appropriate and we saw evidence of staff working alongside healthcare professionals to achieve outcomes for people.
People told us that they enjoyed the food and we saw evidence of people being provided with choice and also being involved in writing menus. People had a good selection of activities to be involved in.
People’s records were kept thorough and up to date with detailed assessments when people were admitted to the home and regular reviews.
People, their relatives and health care professionals were overwhelmingly positive about the care and management provided at this home. Comments about the registered manager, the staff and the service included, ‘Fantastic’, ‘Proactive’ and ‘Exceptionally good’. Staff felt very well supported by the registered manager. People were cared for by staff that were made to feel valued. Many staff had worked at the home for a long time. Staff had many opportunities to further their development and their careers.
The registered manager found creative ways to encourage staff to reflect on their practice and to improve. There was a positive culture amongst the staff team that permeated to the people that they supported and their relatives. Staff were encouraged to make suggestions and the registered manager created an inclusive atmosphere amongst staff and people.
The registered manager had made good links with the local community and other organisations to develop good practice amongst staff as well as improving practice in social care overall through participation in studies and initiatives.
During our visit we spoke with three people who use the service, a relative and a visitor. We also spoke with five staff including the deputy manager. We spent time observing how staff interacted and supported people. We saw staff treat people in a sensitive, respectful and professional manner.
One person told us that they were 'very happy living here and that it was very nice indeed'. Other people told us that they were happy. A relative we spoke with told us that they were 'very happy with the home and had no complaints at all'. Another visitor told us that the person they visit was always presentable and that there had been an improvement in the person's health.
The care was tailored to people's needs. We spoke with a person who told us that their relative had dementia and that since they had moved to the home the quality of the care provided meant that their relative had flourished. People told us that staff had spent time with them when they moved into the home to identify their needs.
People were safeguarded against the risk of abuse because staff had received training and understood their role in the safeguarding process.
Staff received an induction when they started to work at the home and received ongoing training, support and supervision.
The provider had systems in place designed to monitor the quality of the service that they provided.