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Inspection Summary


Overall summary & rating

Good

Updated 6 July 2018

Rothsay Grange 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.

There was a registered manager in post. A registered manager 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.

Rothsay Grange provides care and accommodation for up to 60 people who have dementia and / or health conditions. When we inspected there were 34 people living in the home.

The home was purpose built, spacious and equipped to meet the needs of people living there. There were extensive grounds that could be accessed by some people to the front of the premises and a large courtyard garden accessible to all residents.

At the last inspection of this service on 31 March and 1 April 2017 we rated the service as ‘Requires Improvement’. This was due to there still being insufficient staffing deployed to meet the needs of people living in the home and improvements needed in quality audits and responses to complaints. We found at this inspection that improvements had been made in all previous areas of concern and the service had achieved an overall rating of ‘Good’.

There were systems in place to keep people safe and staff had completed training in safeguarding.

A robust recruitment process ensured that only people suitable and qualified to work in a caring role were employed at the service.

Medicines were safely managed. Nurses administering medicines were protected from interruptions during the medicines round.

Staff asked for consent before providing care and understood the Mental Capacity Act (2005) and supported people with decisions if they lacked capacity to make them independently.

Appropriate applications were made to the local authority to deprive people of their liberty.

People were supported with their nutrition and hydration needs, referrals to appropriate healthcare professionals were made and care plans developed to prevent malnutrition.

Staff enabled people to maintain their dignity and provided respectful and empathetic care.

Care plans were person-centred and involved people and their families. These were regularly reviewed and updated according to the changing needs of individuals. Peoples personal histories were in depth and contained contacts for important friends and relatives.

Care was also person-centred. Some people liked staff to be informal and jocular when supporting them, others liked a more formal approach. Staff ensured they addressed people by their preferred name and took the approach requested by them.

End of life care plans were holistic and included details of people’s spiritual needs.

The registered manager and provider completed regular audits to ensure the service was providing safe and good quality care. If there were areas requiring improvement the registered manager worked with the staff team to make improvements.

Inspection areas

Safe

Good

Updated 6 July 2018

The service was safe.

Sufficient staff were deployed to meet people’s needs.

Medicines were safely managed.

Premises maintenance checks were methodical and thorough.

Effective

Good

Updated 6 July 2018

The service was effective.

Staff participated in regular and effective supervisions.

Thorough pre-admission assessments ensured that people’s needs could be met in the home.

The premises were fully accessible and suitable for purpose.

Caring

Good

Updated 6 July 2018

The service was caring.

People were treated with kindness and compassion.

People were dressed in clothing of their choice and looked cared for.

People were treated with dignity and respect at all times.

Responsive

Good

Updated 6 July 2018

The service was responsive.

Peoples care plans were reviewed regularly and relevant people were consulted.

End of life care plans were holistic and detailed.

People receiving end of life care and their relatives were supported in a holistic way

Well-led

Good

Updated 6 July 2018

The service was well led

The service had developed extensive community links.

Regular audits picked up concerns and they were addressed in a timely way.

Positive feedback was received about the management team and how they ran the home.