We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector, and an expert by experience (ExE). An ExE is a person who has personal experience of using or caring for someone who uses this type of care service. The ExE had experience caring for elderly people.

Service and service type:

Russettings Care Home 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.

The service had a manager 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:

The inspection was unannounced. The inspection took place on 2 September 2019.

What we did:

Before inspection: We reviewed the information the provider sent to us in the Provider Information Return. 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. This information helps support our inspection planning. We also reviewed information we held about the service which included notifications of events and incidents at the service.

During inspection:

We spoke with seven people using the service, two relatives, three care staff members, two registered nursing staff members, the clinical lead, registered manager, the nominated individual/director and a second director. We looked at five care files, four staff files, quality assurance reports and other records relating to the management of the service including health and safety information and records relating to incidents and accidents. We used our Short Observational Framework for Inspection (SOFI) to assess how staff interacted and provided care to people in the communal areas. SOFI is a way of observing care to help us understand the experiences of people who could not talk with us.