You are here

Rutland Manor Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 27 June 2018

Rutland Manor Nursing 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.

Rutland Manor Nursing Home is registered to accommodate 41 people. At the time of our inspection 26 people were using the service. The service accommodates people in one adapted building over two floors. The ground floor has a lounge and dining area. A garden and enclosed patio were also available that people could access.

The service did not have a registered manager in post at the time of the inspection. 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. A manager was in post and they had completed the process to register with us. At the time of the inspection they were awaiting their registration certificate.

Our last comprehensive inspection was undertaken on the 3 March 2017 and although the service was meeting the regulations that we checked, we identified improvements were needed. This was to ensure safeguarding procedures were followed consistently and that staff supported people consistently when they demonstrated behaviours that put themselves or others at risk. At the last inspection some staff did not feel they were supported effectively or worked well as a team in meeting people’s needs. We asked the provider to address this. At this inspection all areas for improvement had been addressed. The service continued to meet the regulations and was rated as good.

There was sufficient staff to support people and people told us they felt safe at the home. Staff had knowledge about people’s care and support needs to enable support to be provided in a safe way. Staff were supported by the management team and provided with the relevant training to ensure people’s needs could be met.

Staff understood what constituted abuse or poor practice and systems and processes were in place to protect people from the risk of harm. Medicines were managed safely and people were given their medicine as and when needed. Thorough recruitment checks were done prior to employment to ensure the staff were suitable to support people.

Assessments were undertaken that identified risks to people’s health and safety and care plans directed staff on how to minimise these identified risks. Plans were in place to respond to emergencies; to ensure people were supported in accordance with their needs. People had the equipment they needed to enable staff to assist them safely and staff understood about people’s individual risks. The provider checked that equipment was regularly serviced to ensure it was safe to use.

Staff supported people to make their own decisions whenever possible and where people were unable to do this, decisions were made in their best interests. People received food and drink that met their nutritional needs and preferences, and were referred to healthcare professionals to maintain their health and wellbeing.

People were supported to take part in activities to promote their wellbeing and their dignity and privacy was respected by the staff team. People were supported to maintain relationships and visitors were made welcome by staff.

There were processes in place for people and their relatives to express their views and opinions about the service provided and raise any concerns they had. People’s representatives felt the service was well managed and they were involved in reviews of care. Staff felt supported and confirmed they worked well as a team. There were systems in place to monitor the quality of the service to enable the manager and provider to drive improvement.

Inspection areas

Safe

Good

Updated 27 June 2018

The service was safe.

People were supported to keep safe by staff that understood their responsibilities to report any concerns and follow risk assessments; to protect people from the risk of injury. People were supported to take their medicines in a safe way. Enough staff were available to support people and recruitment procedures checked their suitability to work with people. The systems to manage infection control and hygiene standards were effective. When improvements had been identified the provider had taken action to address these.

Effective

Good

Updated 27 June 2018

The service was effective.

People received support from trained staff and were supported to make their own decisions whenever possible. People received a diet that met their requirements and preferences. The manager and staff team worked with healthcare professionals to ensure people�s health was monitored and any changing needs were met.

Caring

Good

Updated 27 June 2018

The service was caring.

People were supported by staff that showed consideration and kindness towards them and promoted their rights to make choices. People�s dignity was valued and respected and they were supported to be as independent as possible. People�s right to maintain relationships with those that were important to them was respected and promoted. People�s rights to confidentiality were protected.

Responsive

Good

Updated 27 June 2018

The service was responsive

People received support from staff who knew them well and understood their needs and preferences. The provider�s complaints policy was accessible to people and their representatives. People were supported with empathy and compassion at the end of their life.

Well-led

Good

Updated 27 June 2018

The service was well led.

The systems in place enabled the provider and manager to monitor the quality and safety of the service and make improvements were needed. People and their representatives were consulted and involved in the running of the service. The provider understood their responsibilities and regulatory requirements and had resources available to them; including partnership working with other agencies that ensured people�s needs were met.