Background to this inspection
Updated
6 August 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Christopher Grange Rhona House 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 who had commenced the process to become 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. We sought feedback from the local authority and professionals who work with the service. 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 six people who used the service about their experience of the care provided. We spoke with the nominated individual; the nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with clinical lead, two registered nurses, two support workers and a housekeeper.
We reviewed a range of records. This included four 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.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at an action plan in relation to care planning and evidence to support the use of CCTV in communal areas.
Updated
6 August 2021
About the service
Christopher Grange Rhona House is a residential care home providing personal and nursing care to 25 people at the time of the inspection. The service can support up to 28 people in one adapted building.
People’s experience of using this service and what we found
People received safe care and treatment. Staff administered people’s medicines in a safe and effective way.
Staff safeguarded people and understood the importance of supporting people to make their own choices and decisions where possible.
The environment was safe and clean. Staff followed good practices in relation to the prevention and control of infectious disease.
Staff were checked for good character before being recruited and staff told us they were supported by managers and encouraged to develop their skills and knowledge during their induction period.
The registered manager quality assured the running of the service and lessons were learnt when things went wrong.
Staff did not always maintain accurate and contemporaneous records in relation to the support they had provided people. The manager had identified this before the inspection and showed us an action plan which showed progression was being made.
Staff told us they were able to seek support from the managers and enjoyed working at Rhona House. A large number of staff had worked at the service for many years. The managers submitted statutory notifications and were aware of their regulatory responsibilities. People who lived at the service told us they felt involved and in control of their lives.
Information technology systems were used to monitor and improve the quality of care. The provider had implemented CCTV in communal areas without consultation with people who lived at the service, relatives and staff. The manager assured us they would look at building a new policy and procedure in line with best practice standards around use of CCTV in care homes. After the inspection the manager sent us further evidence to show this had been actioned.
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 12 June 2018).
Why we inspected
We received concerns in relation to safe care and treatment and staff conduct. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has not changed.
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.