• Care Home
  • Care home

Rush Court

Overall: Good read more about inspection ratings

Shillingford Road, Wallingford, Oxfordshire, OX10 8LL (01491) 837223

Provided and run by:
Elizabeth Finn Homes Limited

All Inspections

10 March 2020

During a routine inspection

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).

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.

4 July 2017

During a routine inspection

We carried out an inspection on 4 and 13 July 2017. Rush Court is a care home registered to provide personal and nursing care for up to 50 people. At the time of our inspection there were 49 people using the service.

At our inspection in June 2015 we found that medicines were not always managed safely. At this inspection we found improvements had been made and people received their medicines safely.

There was a strong caring culture that created a family feel to the service. The registered manager promoted a person-centred culture that ensured everything the service did benefited the people who lived there. People and relatives were complimentary about the responsiveness and approachability of the registered manager. Staff were passionate about their work and were supported by the management team within the service.

Without exception people and their relatives were extremely positive about the quality of care people received and described many examples of staff going the extra mile when supporting people. People received compassionate care that put them at the centre of everything the service did. People developed relationships with staff based on mutual respect and kindness. There were many caring interactions where staff showed they knew people well and valued people as individuals.

People had the opportunity to engage in activities that took into account their individual interests. People were encouraged to continue to enjoy past interests and to re-establish skills they had not used for sometime. People had close links with the community and enjoyed regular outings to local places of interests. When people's needs changed the service took immediate action to ensure their needs were met.

The service supported people at the end of their life and did so with empathy, ensuring people experienced a dignified, pain free death. Staff supported bereaved families with compassion and carried out acts of kindness to reduce their distress.

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 support this practice.

There were effective systems in place that ensured the registered manager had an overview of the quality of the service and enabled continuous improvement.

The registered manager looked for innovative ways to improve the service. The service benefitted from membership of nationally recognised schemes that promoted high quality care and respected people as individuals. People were involved in the development of the service. The registered manager ensured learning from complaints and feedback from people was used to improve the service.

The registered manager ensured they kept their skills and knowledge up to date and looked for ways to share learning throughout the organisation.

9 June 2015

During a routine inspection

We inspected Rush Court on 9 June 2015. Rush Court provides residential and nursing care for people with a range of conditions. The home offers a service for up to 50 people. At the time of our visit 47 people were using the service. This was an unannounced inspection.

At our previous inspection in August 2013, the provider was meeting all the standards inspected.

People's medicines were not always managed safely. Medicine records were not always accurate and systems in place to monitor medicines coming into the home were not effective. This put people at risk of not receiving medicines as prescribed.

There was 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.

People received caring and compassionate support. People were extremely complimentary about the care they received and about the care staff. There was a caring culture throughout the home, shared by all staff. People's needs were at the centre of all activity and people valued their relationships with staff. Care staff provided personalised care and knew people's needs, likes and dislikes. Care staff were committed to providing personalised care and found innovative ways to engage with people.  

People had access to a wide range of activities to meet their individual needs. People were involved in deciding activities they would like organised and those they would like to attend. The social engagement leads used innovative ideas to ensure people had access to activities that interested them.

People and their relatives were complimentary about the approachability of the registered manager. A scheme called 'Ladder to the moon' had been introduced which promoted the participation of everyone involved in the home to ensure the whole service was about the people living in the home. People and their relatives were encouraged to give feedback on the service and their views were valued.   

Staff felt well supported and had access to development opportunities to improve their skills and knowledge. Staff received regular supervision and were encouraged to have input into improving the quality of service.

The provider was adhering to the principles of the Mental Capacity Act 2005 Code of Practice. The Mental Capacity Act 2005 ensures that where people lack the capacity to make decisions, any decisions made on the person's behalf are made in their best interest.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of this report.

30 August 2013

During a routine inspection

We saw evidence in individual care plans and notes of group meetings the provider was respecting and involving people. We observed people being treated with respect and their views being sought. We were told by a family member that "people are treated with dignity and respect at Rush Court".

We were told by one person that "we do lots of lovely things" and we saw the provider made a variety of activities available for people. We found the provider was providing personalised care, treatment and support and that peoples individual needs were

assessed with appropriate plans being drawn up and implemented.

There was guidance in the home on safeguarding people from abuse. Staff members spoken to knew how to report any concerns regarding abuse. People we spoke told told us they would be able to speak up if they were unhappy with the way they were cared for. We found the provider was protecting people from the risk of abuse.

We found by looking at staff rotas and training records and speaking with the provider that there was sufficient qualified, skilled and experienced staff to provide care and support for people.

There was an improvement plan in place and we saw the provider was seeking the views of family representatives and making changes as a result. We found the provider was investigating comments and complaints and accidents and incidents and was learning from these in order to improve the care, treatment and support provided to people.

26 February 2013

During a routine inspection

The people we spoke with were happy they were consulted about and involved in their care. We saw that care plans included references to people's wishes and preferences although documented consents were not always in place. People's privacy and dignity were supported by staff.

People had access to a range of social activities, events, outings, and their spiritual needs were also provided for.

Appropriate arrangements were in place to manage people's medication and people who were able, could choose to manage this for themselves.

Appropriate recruitment checks were carried out before new staff began work at the home, although induction records could be better documented.

The home had an appropriate complaints procedure and all complaints were investigated. Not all complaints in the previous 12 months had been resolved to people's satisfaction and some aspects of complaints recording were not sufficiently detailed. We saw that people had a range of other opportunities to discuss their opinions about the home and the care provided.

15 March 2012

During a routine inspection

People told us that care was given in a dignified manner in the privacy of their own room. People told us they liked the food and the variety. People were asked what they wanted to eat on a daily basis. There was always a choice. Relatives and friends were made welcome and there were no set visiting times. People told us they had access to health services and could either go to the surgery or see the doctor in the home. People told us there was plenty to keep them occupied. Activities were available both within the home and outside. The home had a minibus to take people on regular outings.