We carried out a review of the data available to us about Rayleigh House 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 Rayleigh House, you can give feedback on this service.
Rayleigh House provides personal care and accommodation to up to 15 older people across two floors in one converted residential terrace. There were 13 people living at the service at the time of our inspection, some of whom were living with dementia.
People’s experience of using this service and what we found
Care plans had been reordered to ensure they were more accessible for staff. The content of care plans and risks assessments was in need of review to ensure they were detailed with person-centred information. Staff demonstrated an excellent and up to date awareness of people’s needs.
People enjoyed activities on offer but felt more could be done to offer a wider range of activities relevant to their interests.
Medicines were managed safely, in line with best practice.
The premises were well maintained, and appropriate health and safety checks were in place. Emergency procedures and contingency plans were in place. Risk assessments were in place and well understood by staff.
The registered manager worked proactively with external healthcare professionals. They ensured people had access to primary healthcare services.
The home felt welcoming, personalised and vibrant. Feedback was positive regarding the compassionate, affectionate and sensitive approach of staff.
The registered manager ensured people were involved in the planning of their care. They used a variety of meetings, one to one time and surveys to involve people in how the service was run.
People ate well and had a choice of meals and snacks.
People’s rooms were clean, well decorated and highly personalised; refurbishment of communal spaces continued and was to a high standard.
Staff received training relevant to people’s needs. They demonstrated a comprehensive knowledge of people’s health, physical and emotional needs.
Staff received end of life care training. The registered manager ensured external accreditation and links with external healthcare professionals were in place. End of life care was regarded as a key strength by external professionals.
The registered manager worked well with staff and there was a strong team ethic. The registered manager was open and supportive with staff. They were appreciative of the support of a dedicated staff team.
People’s capacity was assumed unless there were reasons to consider otherwise, and staff acted in line with the Mental Capacity Act 2005. 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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 22 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.
We inspected Rayleigh House on 22 February 2017. The inspection was unannounced. On the day of our inspection 13 people were living at the home and one of the people was temporarily receiving care in hospital.
This was our first inspection of the home since the provider changed their registration status to a limited company on 7 September 2016.
The provider had an established registered manager in place. 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.
People were supported by staff who knew how to recognise abuse and how to respond to concerns. Risks in relation to people’s daily life were assessed and planned for to protect them from harm.
People were supported by enough staff to ensure they received care and support at the times they needed it. Medicines were managed safely and people received their medicines as prescribed.
People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support.
People’s rights were respected and they were supported to make decisions and choices for themselves wherever possible. Staff understood how to support people to make decisions and choices in line with legal guidance. CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves. At the time of the inspection two people were subject to a DoLS authorisation and we saw that the conditions of the authorisations were being met.
People were supported to maintain their nutrition and staff were monitoring and responding to people’s health conditions.
People’s emotional needs were recognised and responded to by a staff team who cared about the individuals they were supporting. People were able to enjoy a social life and they lived in a home where staff listened to them.
People were involved in giving their views on how the service was run and there were systems in place to monitor and improve the quality of the service provided.