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The Shrubbery Rest Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 19 January 2021

About the service

The Shrubbery rest home provides accommodation with personal care for up to 26 people. People who

use the service had physical health and/or mental health needs, such as dementia. At the time of the inspection, 19 people used the service.

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

‘As required’ PRN protocols were in place to highlight when people needed medication to help with their pain management. The provider intended to make improvements to evidence more clearly stocks of ‘as required’ medicines and how staff recorded the administration of these

Care files contained information for staff to ensure people’s risk were managed in a safe way. Care files contained risk assessments for the use of equipment in the home and for people’s health conditions.

People’s personal emergency evacuation plans clearly documented the support they would require should they need to be evacuated from their home.

Daily handovers were completed to record any outstanding concerns related to people’s safety and the environment, ensuring staff remained up to date with all important information.

People told us they felt safe in the home.

The acting manager completed a number of monthly quality audits to assist with the governance of the service and drive improvements where shortfalls had been identified. However, they did not always identify issues with the medication count.

People’s care files evidenced where the provider had been in contact with relevant health care professionals to support people’s needs.

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 17 January 2019). You can read the report from our last comprehensive inspection by selecting the 'all reports' link for The Shrubbery Rest Home on our website at www.cqc.org.uk.

Why we inspected

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.

We received concerns in relation to people's care and how the service was promoting people's

safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

The ratings from the previous comprehensive inspection for those key questions not looked at on this

occasion were used in calculating the overall rating at this inspection. The overall rating for the service has

not changed. We did not inspect effective, caring and responsive due to us wanting to limit ourselves and spend the least amount of time in the home as possible.

Follow up

We will aim to re-inspect this service within the published time scale for services rated good. We will continue to monitor the service through the information we receive.

Inspection areas

Safe

Good

Updated 19 January 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 January 2019

The service was effective.

People's capacity had been assessed when needed and decisions made in people's best interests. Staff received an induction and training that helped them to support people. People enjoyed the food and were offered a choice. People had access to health professionals. The home was decorated in accordance with people's needs and preferences.

Caring

Good

Updated 17 January 2019

The service was caring.

People were supported in a kind and caring way by staff they were happy with. People's independence was promoted and people were encouraged to make choice about their day. People's privacy and dignity was upheld and relatives and friends were free to visit when they liked.

Responsive

Good

Updated 17 January 2019

The service was responsive.

People received care that was responsive to their needs. A complaints procedure was in place. People had the opportunity to participate in activities they enjoyed.

Well-led

Good

Updated 19 January 2021

The service was well-led.

Details are in our well-led findings below.