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Inspection Summary


Overall summary & rating

Good

Updated 1 December 2018

Rushall Care Home is a care home with nursing for up to 39 people, some of them living with dementia. Rushall Care home is arranged over three floors with people’s needs ranging in complexity over all of the floors. At the time of the inspection, there was 34 people living there.

At our last inspection in August 2015 we rated the service as good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

This unannounced, comprehensive inspection took place on the 31 October 2018. Rushall Care Home is registered as a ‘care home’ with nursing. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

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.’

People were safe from harm and abuse. Staff understood how to spot signs of abuse and how to report concerns. Risks to people were assessed and managed. Staff were available to meet people’s current needs. People received their medicines as required. Staff wore personal protective equipment (PPE) when required and the home was kept clean and tidy.

People continued to receive effective support from staff that had the skills to meet their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. People were encouraged to eat a healthy diet and ensure they had sufficient amounts to eat and drink. People had access to health professionals when required.

People continued to receive a service that was caring. People were supported by staff who knew them well and respected their privacy. Staff encouraged people to be as independent as possible.

People continued to receive a responsive service. People were involved in their assessments and regular reviews of their care needs. People’s care plans were personalised and included their likes, dislikes and preferences. People were supported to engage in both group and individual activities that they enjoyed. There was a process in place to respond to any concerns or complaints.

The service continued to be well-led. There were systems in place to ensure people received good quality care and improvements were made as required. People and staff were encouraged to give feedback and were kept informed and involved in any changes within the home. The provider worked closely with other agencies and professionals.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 1 December 2018

The service remains Good.

Effective

Good

Updated 1 December 2018

The service remains Good.

Caring

Good

Updated 1 December 2018

The service remains Good.

Responsive

Good

Updated 1 December 2018

The service remains Good.

Well-led

Good

Updated 1 December 2018

The service has improved to Good.

There were systems in place to monitor the quality of the service.

A system had been developed to monitor trends when accidents and incidents had occurred.

People and staff said the registered manager was approachable.