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Inspection Summary


Overall summary & rating

Good

Updated 14 April 2018

Rathmore House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Rathmore House can accommodate up to twenty older people and specifically those who are living with dementia. At the time of our inspection there were nineteen people using the service.

This unannounced inspection took place on 2 and 5 February 2018. At the last inspection on 4 February 2016 the provider was in breach of regulation 11 in respect of gaining consent and the use of deprivation of liberty safeguards. At the subsequent focused inspection on 19 May 2016 the provider had rectified the previous breach of regulation and had met all of the legal requirements. The service was at that time rated as good.

At this inspection we found the service remained Good.

The service had a 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 and associated Regulations about how the service is run.

People were supported to consent to care and the service operated in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards, consulting with people and their relatives about their wishes and needs.

Staff we spoke with understood their duty to protect the people in their care. Staff knew how to protect people from abuse, how to identify abuse and how to respond if any concerns arose. Staff also knew how to minimise potential risks to people’s health and welfare. Medicines were managed safely and administered in the correct way.

There was a suitable number of staff available to meet people’s needs. No one made any comments to suggest that they did not feel safe in the care of staff.

Care staff were well trained and the training covered the topics they needed to carry out their work and support people. The supervision and appraisal system supported them to carry out their work.

People were supported to maintain good health. The staff team obtained appropriate advice from healthcare professionals when needed.. People received a nutritionally balanced diet to maintain their health and wellbeing.

The service carried out assessments of people’s needs before they moved in. The provider took the appropriate decisions about the suitability of people to use the service. Care plans were person centred and were tailored to each person’s unique needs. Care plans were regularly reviewed and any changes to people’s needs were recognised and action was taken to respond.

The service had a clear management structure in place. The service had a range of quality assurance, consultation and monitoring systems in place. The provider listened and responded to the views of people who used the service, relatives and other health and social care professionals.

Inspection areas

Safe

Good

Updated 14 April 2018

The service remains good.

Effective

Good

Updated 14 April 2018

The service remains good.

Caring

Good

Updated 14 April 2018

The service remains good.

Responsive

Good

Updated 14 April 2018

The service remains good.

Well-led

Good

Updated 14 April 2018

The service remains good.