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Inspection Summary


Overall summary & rating

Good

Updated 28 May 2021

About the service

Rustington Hall is a residential care home providing personal and nursing care to 42 people at the time of the inspection. The service can support up to 62 people. People had a range of health and care needs, including physical disability and dementia care. The home is divided into three wings, each of which has separate adapted facilities. There is a decking area outside the main communal lounge with wheelchair access to the gardens.

People’s experience of using this service and what we found

Without exception, everyone we spoke with talked about the fantastic care they received at Rustington Hall. Everyone was happy to be living there and spoke positively about all aspects of the service. One person told us, “This is a great home, I enjoy living here. I've been in other homes, but I would recommend this one. The care is brilliant.” A relative said, “Rustington Hall just blew me away. It is more like a hotel than a nursing home. I would absolutely recommend.”

We noted gaps in recording and stock for some medicines. These issues had been picked up in the most recent audit and were already being addressed by the clinical lead. Although there was no evidence of harm to people from these recording and stock issues, it was an area requiring improvement.

Staff had excellent knowledge of people and there was a focus on the individual and on tailoring care and providing activities which were meaningful to them. Staff made one to one time a priority and had encouraged people to venture out or to participate in activities that interested them. Staff supported people to maintain contact with those important to them and had devised imaginative ways to celebrate special events with family members, in line with COVID-19 restrictions.

People's communication needs were identified and planned for. The provider had invested in technology to support people with communication and to maintain their independence. People had confidence that any concerns raised to staff or the management team would be quickly addressed.

People received high quality care that improved their wellbeing. Staff were highly motivated to provide positive outcomes for people and ensured their independence was maintained and developed.

People received outstanding and individualised care at the end of their lives. Staff were encouraged to talk about death and dying openly and sensitively with people and the service helped people plan the end of their lives with dignity. Relatives spoke of the incredible support they had received from staff and of the wonderful photos and videos they received of their loved one.

Strong relationships were formed between staff and people due to the continuity of staff and the very caring approach of staff members. There was a feeling of community at the service and we observed positive and caring relationships between people and staff. People were actively involved and in control of how their care was provided.

Care staff were well informed about risks to people's health or wellbeing and knew how to deliver their care safely. Staffing levels were enough to meet people's needs. The home was clean. Staff had been trained in infection prevention and control and there were rigorous safety precautions in place in relation to COVID-19. One person told us, “How the management have handled the last year has been incredible.” Lessons were learned if things went wrong.

People spoke positively about the staff who supported them and had confidence in their skills and experience. Staff had regular supervisions and an annual appraisal. People were enthusiastic about the food and were actively encouraged to make suggestions for additions or changes to the menu.

People had access to a range of healthcare professionals and support. Premises were suitable and comfortable and met people's needs. The provider was investing in improving the facilities for people and for staff.

People were supported to have maximum choice and cont

Inspection areas

Safe

Requires improvement

Updated 28 May 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 28 May 2021

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 28 May 2021

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 28 May 2021

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 28 May 2021

The service was well-led.

Details are in our well-Led findings below.