Background to this inspection
Updated
16 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Rearsby Home Ltd is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they, and the provider, are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The inspection visit took place on 4 September 2019 and was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and one relative about their experience of the care provided. We spoke with two healthcare professionals who were visiting the care home at the time of the inspection. We spoke with five members of staff including the registered manager, deputy manager, senior care staff, care assistant and cook. We observed care staff interactions with people throughout the inspection.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training data and quality assurance records were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at the provider’s policies and procedures.
Updated
16 October 2019
About the service
Rearsby Home Ltd is a residential care home providing personal care to 23 people at the time of the inspection. The service operates within a purpose-built building and can support up to 27 people.
People’s experience of using this service and what we found
People were protected from the risk of abuse. Care staff had received safeguarding training and the provider had safeguarding policies and procedures in place.
People lived in an environment which was regularly checked, by the provider, to ensure that it was safe. The registered manager told us they would arrange for some minor repairs to be carried out in some bedrooms and would ensure shower hot water temperatures were controlled to remove any potential for scalding.
People were supported by enough care staff to meet their care and support needs. The provider carried out checks to ensure that the care staff employed were safe to work with vulnerable people.
People were given their prescribed medications safely, by senior care staff who had been appropriately trained.
People lived in an environment that was clean and tidy. Care staff understood how to reduce the potential for infections and wore disposable gloves and aprons when carrying out personal care tasks with people.
People had care plans in place which care staff followed to ensure people’s support needs were met.
People were supported by care staff who had received the necessary training. Arrangements were in place to ensure that effective handovers took place between care staff shifts.
People told us they enjoyed the food, and people were supported to eat and drink enough to maintain a balanced diet.
People were supported to access healthcare when they needed it, and the care staff worked in partnership with health care professionals to ensure people were appropriately supported.
The care home was purpose-built and met the needs of the people living there. There were different rooms available for people to spend time in during the day, so they could follow their interests.
People were treated with kindness and compassion by the care staff. The provider ensured that people’s equality and diversity needs were met.
People were involved in creating their own care plans, where they were able to.
People’s privacy, dignity and independence were respected and maintained by the care staff.
People’s communication needs were understood, and the registered manager ensured information was provided in ways that people could understand.
People were supported to maintain links with their families and friends. The provider encouraged people to avoid visiting the care home during meal times and after 8pm due to people’s support needs.
People were enabled to plan for the end of their life, where they chose to, and were supported with kindness by care staff.
The registered manager ensured that the person’s relatives were informed when any incidents occurred. The registered manager understood their responsibility to be open and honest with people when something goes wrong.
People were supported by managers and care staff who understood their roles and the need to provide a quality service.
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
The last rating for this service was good (published 18 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 re-inspection programme. If we receive any concerning information we may inspect sooner.