7 May 2020
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.
This inspection was carried out by two inspectors.
Service and service type
Rush Court 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and five relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, unit lead, physiotherapist, care staff, activity staff, administrator and chef.
We reviewed a range of records. This included nine 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 policies and procedures were reviewed.
7 May 2020
About the service
Rush Court is residential care home providing personal and nursing care for up to 40 people aged 65 and over. At the time of the inspection there were 39 people using the service.
Rush Court provides support to people over two floors. One floor specialises in nursing care.
People’s experience of using this service and what we found
People felt safe living at Rush Court. People were supported by sufficient staff who knew how to report all concerns relating to harm and abuse. There were effective systems in place to assess and manage risks. Medicines were managed safely and people received their medicines as prescribed.
Staff had the skills and knowledge to meet people’s needs and were supported in their role. People were supported to access health care professionals when required. People were complimentary about the food and were supported to ensure their dietary needs were met.
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 told us staff were kind and caring. Staff treated people with dignity and respect, valuing them as individuals. People were involved in all decisions about their care and choices were respected.
Care plans were not always person-centred. This had been identified by the registered manager and there were plans in place to update and improve care plans. People were confident to raise concerns. All concerns were investigated, and action taken to resolve any identified areas of improvement. People were supported to remain at Rush Court for end of life care if this was their wish and were treated with dignity.
There was a person-centred culture that ensured people were at the centre of all the service did. There was a new registered manager in post who had identified areas for improvement. There were clear plans in place to ensure the improvements were achieved. Staff enjoyed working at the service and were committed to providing high-quality care.
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 outstanding (published 23 August 2017).
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.