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The Russets Requires improvement

We are carrying out a review of quality at The Russets. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 December 2018

We undertook the inspection of The Russets on the 15 and 16 October 2018. This inspection was unannounced, which meant that the provider did not know we would be visiting.

The Russets is registered to provide accommodation for people who require nursing or personal care for up to 105 people. Up to 73 people are accommodated in a specialist dementia unit called The Russets, whilst separate accommodation for up to 32 people with general nursing care needs is provided in the unit called Sherwood. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of our inspection 102 people were accommodated at the service.

At the last inspection the service was rated as Requires Improvement. At this inspection we found the service Requires Improvement in safe, responsive and well-led.

There was a registered manager in post. 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 provider’s quality assurance system had not identified all shortfalls found during the inspection. We found improvements were required to ensure adequate stock of medicines, check that bed rails in use were within guidelines, the accuracy of records relating to fluid intake and care plans relating to people’s health needs.

Two people were at risk from dirty and contaminated equipment as we found one person’s bed sides and another person’s cushion was dirty and had internal staining.

People were supported by staff who received supervision an annual appraisal and training. Checks had been completed prior to staff starting work at the service. Staff enjoyed working at the service and could approach the manager if needed.

People and relatives said staff were kind and caring. All people felt happy with the care they received.

People’s care plans were person centred and contained important information relating to their likes, dislikes and individual routines.

People were able to raise any complaints and numerous compliments had been received.

People felt safe, and staff were able to demonstrate different types of abuse and who to report it to.

People’s choices were respected. Staff were able to demonstrate how they supported people to make their own choices. People could choose how they spent their day and where they ate their meals.

People were supported with their medical appointments and these were arranged as and when required.

People could access a variety of activities throughout the month and people, relatives and staff had their views sought so that improvements could be made.

We found three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Inspection areas

Safe

Requires improvement

Updated 15 December 2018

The service was not always safe.

People�s specialist equipment such as bed rails were not always at the recommended safe height and cushions and bed sides were not always clean and free from stains and dirt.

People had mixed views on the staffing within the home.

People did not always receive their medicines as prescribed due to inadequate stock control.

People demonstrated a good understanding of abuse and who to report concerns to.

Effective

Good

Updated 15 December 2018

The service remained Good.

Caring

Good

Updated 15 December 2018

The service remained Good.

Responsive

Requires improvement

Updated 15 December 2018

The service was not always responsive.

Care plans did not always contain important information relating to people�s diabetes, wound care and epilepsy.

People were able to complain and complaints were investigated and actions and learning taken when required.

People had access to activities and people could receive visitors as and when.

Well-led

Requires improvement

Updated 15 December 2018

The service was not always well-led.

The provider�s audits had not always identified shortfalls relating to dirty equipment, incomplete care plans, shortage of medicines in stock, unsafe bed rails and notifications required.

People felt the management was good.

The service had systems to seek feedback from people, relatives and staff regarding their care experience.