We carried out a review of the data available to us about Reuben Manor 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 Reuben Manor, you can give feedback on this service.
Reuben Manor is a residential care home providing accommodation and personal care to 50 people at the time of inspection, some of whom were living with a dementia. The service can support up to 83 people in one large adapted building.
People’s experience of using this service and what we found
People and their relatives were very happy with the care provided from staff. One relative told us about the support staff had provided to two people and their wider family whilst delivering end of life care. Their comments included, “The staff were just exceptional” and, “[person] is cared for beyond anything we could possibly hope for.”
Medicines were managed safely, and the service had improved the processes for monitoring the administration of medicines. Care records were accurate and reflected the needs of people. Risk assessments were in place to help keep people safe.
Staff followed infection prevention and control policies. Due to the pandemic, additional processes and steps were taken by staff to keep people safe. Relatives told us that the service had actively engaged with them and they were assured that people were well looked after.
There was a robust quality and assurance system in place. The registered manager worked with the provider to monitor the safety and quality of care provided to people. Staff worked with other healthcare professionals to make sure people had the correct support they needed.
Staffing levels were appropriate to support people. There continued to be a robust recruitment process in place.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; 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 and update
The last rating for this service was requires improvement (published 3 December 2019) and there was a breach of the regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 30 October 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Reuben Manor on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Reuben Manor is a residential care home providing personal care to 70 people at the time of the inspection. The service can support up to 83 people across three separate floors, each of which has separate adapted facilities. One floor specialises in providing care to people living with dementia.
People’s experience of using this service and what we found
Medicines were not always managed safely at the home. Risk assessments were not always in place or correctly completed and therefore staff did not have all the information necessary to minimise risk.
Quality checks were in place but had not identified the issues we found. The registered manager and the wider management team were very quick to respond to our feedback and took steps to make improvements straight away.
Everyone we spoke with felt safe in the home. There were systems and processes in place to help protect people from the risk of abuse.
There were enough staff on duty to meet people’s needs. Staff understood the needs of the people they supported well. Safe recruitment procedures were followed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported with eating and drinking. Special dietary needs were met, and the quality of food was good, but people told us they were not always given enough choice. There was a variety of food available and the registered manager was going to ensure staff were showing people all the options available in future. People were supported to have access to a range of healthcare professionals to ensure they remained healthy.
There was a caring culture, supported by a strong staff team who respected people and treated them with dignity and respect. Staff encouraged independence and supported people to maintain their skills. The service had a relaxed, homely atmosphere and relatives were always made to feel welcome .
People's care was delivered around their wishes, preferences and goals however care plans could be improved to reflect this. More detailed records would ensure all staff were aware of people’s preferences, likes and dislikes.
People had access to a variety of activities inside and outside of the home. We saw a rehearsal of the Reuben Manor choir and people were very proud of their involvement.
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 13 December 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
As there had been a change to the registered provider we inspected within 12 months of this change.
Enforcement
We have identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to safe management of medicines.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.