Background to this inspection
Updated
16 August 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Rushes House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rushes House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records. This included 3 people's care and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed. We spoke with 7 people who used the service and 2 relatives about their experience of the care provided. We spoke with 5 members of staff including the registered manager, the chef, care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Updated
16 August 2023
About the service
Rushes House is a residential care home providing accommodation and personal care to up to 17 people. The service provides support to older people. At the time of our inspection there were 8 people using the service. The home is an older building providing single and double occupancy rooms and some rooms have en-suite facilities.
People’s experience of using this service and what we found
Care and support plans were holistic and reflected people's individualised preferences and support needs. People were involved in the development and review of their own care and support plans. Medicines were managed safely by trained staff and people received their medicines as prescribed. There was a safeguarding policy in place and staff knew how to identify and report any concerns. The home was clean and newly refurbished.
Staff underwent a comprehensive induction and received a wide-ranging programme of training and competency checks. People were supported to access healthcare and the service facilitated appropriate and timely referrals to other agencies and professionals.
The service had a warm and homely environment and welcomed people's relatives and friends, especially during activities and events. This helped people maintain important relationships. Visitors told us they enjoyed visiting the home. People enjoyed an excellent variety of activities, events and trips out that were organised to help reduce social isolation and enhance people’s health and wellbeing. Activities were tailored towards people's likes and preferences which gave significant meaning and purpose.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. We observed people making real choices throughout their day and they decided how they spent their time; what they wanted to do and when.
People were cared for by a dedicated and caring staff team who felt valued and appreciated. People were treated with dignity and kindness and were observed to be well cared for. Staff were aware of the importance of the people’s presentation and supported people with this. The home had recently fitted out a beauty/pamper room with massage table and hair dressing station.
People and their relatives were extremely positive about the management team. There was clear leadership and visions and values for the service, that ensured people were at the heart of everything they did. There was a visible person-centred culture at the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 June 2023, and this is the first inspection.
The last rating for the service under the previous provider was inadequate, published on 4 November 2022.
Why we inspected
This is the first inspection of this newly registered service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.