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Rushall Care Home Requires improvement

Reports


Inspection carried out on 8 December 2020

During an inspection looking at part of the service

About the service

Rushall Care Home is a residential care home providing personal and nursing care to 35 people aged 65 and over, at the time of the inspection some of whom were living with Dementia. The service can support up to 39 people.

The home is set over three floors with access to all floors through a lift. There are communal areas on each floor for people to access.

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

Whilst many aspects of medicine management were safe, we determined that further improvement was needed in some areas.

People had not received a service that was consistently well led. Whilst there were systems to monitor the quality and safety of the service, we found these needed further improvement. There was a new manager at the service who had identified these improvements were needed. Further time was needed to enable the planned improvements to be put into practice.

People were supported by staff who were knowledgeable about how to recognise and escalate safeguarding concerns. Staff were recruited safely and there were systems in place to determine safe staffing levels.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 01 December 2018)

Why we inspected

We received concerns in relation to the management of pressure care and infection control practice. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement.

You can see what action we have asked the provider to take at the end of this full report.

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 coronavirus and other infection outbreaks effectively.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection carried out on 31 October 2018

During a routine inspection

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 carried out on 19th August 2015

During a routine inspection

This unannounced inspection took place on 19 August 2015. Rushall Care Centre is a nursing home providing accommodation and personal care for up to 39 older people, some who may live with dementia. At the time of our inspection 30 people were living at the home. The home had 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 told us they felt safe from the risk of harm or abuse. Staff understood their responsibilities to report concerns or issues to protect people from the risk of harm or abuse. Risks to people had been assessed and appropriate equipment was available for staff to use. People were supported by sufficient numbers of staff however the registered manager said they would look at the deployment of staff during peak times of the day. Staff had the skills and knowledge they needed to meet people’s individual need. People were supported with their medicines and staff had been trained so people received their medicines as prescribed.

People were supported to make their own decisions about their care and support needs. Staff obtained consent from people before they provided care.

People we spoke with were happy with the food and said they had a choice of what they would like to eat and drink. People had access to healthcare professionals that provided treatment, advice and guidance to support their needs.

People told us staff were kind and caring in their approach. Staff understood people’s choices and decisions when supporting them and respected their dignity and privacy when providing care.

People were supported in a range of activities to maintain their interest during the day. Relatives we spoke with said they were made to feel welcome when they visited the home.

People and their relatives told us they were aware of how and who to raise any complaints or concerns with. They were confident that they would be listened to and responded to appropriately. The provider had an effective process in place to respond to people’s concerns or complaints.

People, relatives and health and social care professionals told us the registered manager and staff were knowledgeable and approachable. The provider had systems in place to monitor the quality of the service people received. However, we found information was not used to identify issues or trends that would improve the quality of care people received.