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Rayners Residential Care Home Good

Reports


Inspection carried out on 29 September 2017

During a routine inspection

Rayners Residential Care Home is a care home without nursing and provides care for adults, people with dementia and palliative care. The service, which first opened in June 1990, is family owned and operated and is purpose-built. There are two floors. The ground floor has some bedrooms, all of the communal spaces and ancillary areas like the kitchen, laundry and offices. The first floor has the remainder of the bedrooms. In accordance with the current registration, the care home can accommodate up to 45 people. At the time of our inspection 43 people lived at the service.

At our last inspection, the service was rated good.

At this inspection we found the service remained good.

Why the service is rated good:

People were protected from abuse and neglect. We found staff knew about risks to people and how to avoid potential harm. Risks related to people’s care were assessed, recorded and reviewed. The management of risks from the building were also satisfactorily managed. We found appropriate numbers of staff were deployed to meet people’s needs. We made a recommendation about staffing deployment. Medicines management was safe.

Staff training and support was good. Staff had the necessary knowledge, experience and skills to provide appropriate care for people who used the service. The service was compliant with the requirements of the Mental Capacity Act 2005 (MCA) and associated codes of practice. People’s nutrition and hydration was appropriate. People told us they liked the food. Appropriate access to community healthcare professionals was available. The building and grounds were very well-maintained.

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 supported this practice.

We consistently received complimentary feedback about service. People and relatives told us staff were kind and caring. People and relatives were able to participate in care planning and reviews and some decisions were made by staff in people’s best interests. People’s privacy and dignity was respected.

Care plans were person-centred and reviewed regularly. There was a satisfactory complaints system in place which included how people and others to raise concerns. People and relatives told us they had no complaints, but knew the process for alerting staff to any issues.

The service had a good track record for the quality of care provided. We found staff worked within a positive workplace environment and were well-supported by the management team. Various checks on the quality of care were completed. The information from audits was used to continuously improve the safety and care of people at the service.

Further information is in the detailed findings below.

Inspection carried out on 10 &11 November 2014

During a routine inspection

Rayners Residential Care Home provides accommodation and support for older people. The service can accommodate up to forty five older people. At the time of our inspection forty three people were using the service, with one in hospital.

Rayners Residential Care Home has two registered managers 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 2008 and associated Regulations about how the service is run.

The inspection was unannounced and undertaken by one inspector on the10 and 11 December 2014.

People living in the home, relatives and visitors to the home found the staff to be very caring, kind and compassionate. Comments included “It’s friendly, the food is great and they are very caring.” “They respect my wishes. I was asked if I would be happy for a male carer to support me with personal care. I said no I wouldn’t, they wrote it down in my care plan and they respect my wishes.’

A visiting health professional said “I feel the service is safe. They are very well organised and the home is welcoming, there’s a very nice atmosphere. I would certainly recommend this home to my mother or father.” A visitor told us “There’s always someone around if you need them. The staff are always presentable, they never grumble and they are very caring. They couldn’t be kinder. It’s a wonderful home for (named friend) to be.”

The care provided was personalised to meet people’s individual needs within a warm homely atmosphere. Staff understood the needs of the people living in the home and were committed to improving people’s quality of life. They provided care and support with kindness and compassion. People were cared for and supported by a dedicated caring team led by managers who were proactive in continually looking at ways of improving people’s experience of care and further developing the service in their best interests.

People’s care and support was planned with their safety and welfare in mind, both within the home and in the wider community.People and relatives we spoke with told us they felt safe and knew who to speak to if they had any concerns. Staff understood their duty of care and responsibilities regarding safeguarding people from harm and knew what to do and who to report to if there were any instances or allegations of abuse.

Staff were knowledgeable about the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and how it related to people living in the home. The MCA sets out what must be done to ensure the human rights of people, who may lack capacity to make decisions, are protected. People’s rights were protected because staff were trained to understand this.

Medication was administered and stored safely by staff who had been trained so they knew how to handle medicines safely. They only administered people’s medicines once they had been assessed as competent to do so.

We found the service to be well-led by registered managers who were committed to provide a high quality of care in which people’s needs and preferences remain the focus on care delivery. They had an open door policy and were available to meet with people and/or relatives when they required.

There was a varied choice of activities people could take part in if they wished to. These included activities arranged both within the home and within the wider community. Staff took care to support people and celebrate with them and their families any achievements and special occasions, which meant a lot to them.

Inspection carried out on 9 August 2013

During a routine inspection

People's needs were assessed and the care and support was planned and delivered in line with their individual care plan. These were detailed, regularly reviewed and updated. Risk assessments had had been written up to identify and reduce the likelihood of injury or harm. Guidelines were in place for staff to follow.

People had access to healthcare professionals and specialist support to ensure they kept healthy and well.

Activities were provided for those who wished to take part. They were tailored to people's likes and dislikes to ensure their social care needs were met appropriately.

We found people were treated with dignity and respect. We observed people in the dining room during lunch time. We saw staff offered people choice of food and were able to eat their lunch at their own pace.

People described the care and support they received as ''Very good.'' They told us said they were happy with the service they received and knew who to speak to if they had any concerns. One person added ''This is as good as any first class hotel, you couldn't ask for more.''

Inspection carried out on 20 July 2012

During a routine inspection

People told us they had the opportunity to visit the home before they moved in to ensure it met their needs and expectations. They said staff had discussed their preferred routines and needs and they were satisfied with the care and support they received. They said they were supported to access health services when required and to take part in activities. People told us the staff treated them as individuals and respected their views and choices. They said they felt safe and that staff looked after them well.

Reports under our old system of regulation (including those from before CQC was created)