Background to this inspection
Updated
3 June 2021
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector. An Expert by Experience made calls to people and relatives following the inspection site visit. 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
Rambla Nursing Home is a ‘care home’. 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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 professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We reviewed a range of records in relation to people and the support they received. We also looked at two staff’s recruitment records as well as records relating to the management of the service including servicing of equipment and monitoring of accidents and incidents.
We spoke with two people who used the service, four members of staff including the registered manager, nurse and care workers.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We also contacted two people who used the service and five relatives via telephone to ask their views on the service provided.
Updated
3 June 2021
About the service
Rambla Nursing Home is a nursing home providing personal and nursing care to up to 30 older people, young adults and people with physical disabilities, some of whom are living with dementia. At the time of the inspection, 30 people lived at the service.
People’s experience of using this service and what we found
People felt safe. Systems and processes were in place to ensure risks to people were assessed and their needs met. Additional measures had been put in place to protect people against the risk of Covid-19. Visiting arrangements were in place as per government guidance.
People received their medicines as prescribed by staff who had the appropriate skills and knowledge. People reported an open and honest culture where they could approach staff with any concerns. There was a sufficient number of staff on duty to support people in a timely way.
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.
Effective governance systems were in place to monitor the quality and safety of the service provided. The provider and registered manager had effective oversight of the service and actively encouraged people, relatives and staff to provide feedback and share their views. Action had been taken when any shortfalls were highlighted.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 14 August 2019).
Why we inspected
The inspection was prompted in part due to concerns received about night staffing levels and risks to people not being appropriately managed. A decision was made for us to inspect and examine those risks.
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.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.