You are here

Reports


Inspection carried out on 27 July 2018

During a routine inspection

The inspection took place on 27 July 2018, it was unannounced. There were no breaches of regulation at the last inspection.

Rathside Rest Home is registered to provide care and support for up to 32 people, some of whom are living with dementia. The service is located in Scawby, near Brigg. The ground floor is used to provide accommodation for people living with dementia; the first floor accommodates people who require help and support with personal care.

Rathside Rest Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a registered manager in place. 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.

At our last inspection we rated the service 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.

People were safeguarded from potential harm and abuse, issues were reported to protect people from harm. Care and treatment was planned and delivered to maintain people’s health and safety. Adequate staff were provided to meet people’s needs, in a timely way. Recruitment, medicine management and infection control was robust.

Staff undertook training in a variety of subjects which, helped them provide appropriate care and support to people. Supervision and appraisal took place to develop the staff’s skills. People’s dietary needs were met. The service was homely and well maintained.

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 cared for by kind attentive staff and their privacy and dignity was maintained. Information was provided to people in a format that met their needs. People’s diversity was respected and promoted at the service. Confidential information was stored in line with the Data Protection Act.

People’s care and support was monitored to ensure they received the care and support they required. Relevant health care professionals were contacted for help and advice and staff acted upon what they said to maintain people’s wellbeing. End of life care was provided at the service.

Quality monitoring checks and audits were undertaken, any issues found were acted upon to make sure the service remained a pleasant place for people to live. People, staff and visitors were asked for their views. The management team implemented continual improvements at the service to benefit all parties.

Further information is in the detailed findings below.

Inspection carried out on 10 January 2018

During an inspection to make sure that the improvements required had been made

The inspection took place on 10 January 2018, and was unannounced.

At the last inspection on 8 June 2017 we found the quality monitoring undertaken by the provider had not been effective. There were issues with fire safety, infection control and medicine management which had not been identified prior to our inspection. This meant the service was not always well-led and demonstrated a breach of Regulation 17, Good Governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found at this inspection improvements had occurred.

We undertook this focused inspection to check that the provider had followed their action plan and to confirm that they now met legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Rathside Rest Home on our website at www.cqc.org.uk.

Rathside Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Rathside Rest Home is registered to provider residential care to older people. It is registered to provide care and support for up to 32 people, some of whom are living with dementia. The service is located in Scawby, near Brigg. Accommodation is provided on two floors with communal areas provided on each one. The ground floor is used to provide accommodation for people living with dementia; the first floor accommodates people who require help and support with personal care. There is a small car park at the front of the service for visitors to use.

The service had a registered manager in place. 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.

We found fire safety, infection control and medicine management was robustly managed at the service. People we spoke with told us they were safe living there.

Staff protected people from harm and abuse and staff understood how to report concerns to the management team, local authority and Care Quality Commission, which helped to protect people.

Staffing levels were monitored to ensure there were enough skilled and experienced staff on duty to meet people’s needs. Staff undertook training in a variety of subjects to maintain and develop their skills.

Staff recruitment procedures were robust. Accidents and incidents were monitored and emergency plans were in place to help to protect people’s health and safety.

Medicines were effectively monitored and managed. People received their prescribed medicine in a timely way and by staff who had undertaken training in how to undertake this safely.

We found general maintenance occurred and service contracts were in place. The management team were open and transparent and listened and acted upon people's views. The provider looked at how improvements could be made and what new systems could be implemented to maintain or develop the service provided to people.

Inspection carried out on 8 June 2017

During a routine inspection

This unannounced inspection took place on 8 June 2017 and was carried out by one adult social care inspector. This was the first inspection of this location following a change to the registered provider.

Rathside Rest Home is located in Scawby, near Brigg. It is registered to provide care and support for up to 32 people and on the day of our inspection there were no vacancies. Care is provided for older people and for those living with dementia. Accommodation is provided on two floors with communal areas provided on each one. The ground floor is used to provide accommodation for people living with dementia; the first floor accommodates people who require help and support with personal care. There is a small car park at the front of the service for visitors to use.

The service had a registered manger in place. 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.

During our inspection there were some shortfalls found with medicine management, fire safety and infection control. Issues found were addressed straight away. A recommendation has been made in regard to the medicine issues that were found. The quality monitoring undertaken by the management team had not been effective at identifying and rectifying the issues that we found. This demonstrated a breach of Regulation 17, Good Governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have asked the provider to take at the end of this report.

The management team and staff had developed very good relationships with people who used the service and with their relatives. Staff knew people's individual care and support needs very well. People told us the staff were extremely kind and caring and respected their privacy and dignity.

People were supported to maintain their relationships with friends and family. Comments from people and their relatives were very complimentary about how caring the staff were.

End of life care was provided in a caring way to people and their relatives.

Staff understood they had a duty to protect people from abuse and knew they must report concerns or potential abuse to the management team, local authority or to the Care Quality Commission (CQC). This helped to protect people.

Staffing levels provided on the day of our inspection were adequate to meet people’s needs. Staff were aware of the risks to people’s health and wellbeing and knew what action they must take to minimise those risks.

Training in a variety of subjects was provided to staff to help maintain and develop their skills. Staff received supervision to monitor their performance. Yearly appraisals for staff were just being scheduled.

People’s nutritional needs were assessed and monitored, special diets were catered for. Staff prompted and assisted people to eat and drink so their nutritional needs were met.

Staff promoted people’s independence and choice and encouraged people to make decisions for themselves. They reworded questions or information to help people living with dementia to understand what was being said.

People were supported to make their own decisions about aspects of their daily lives. Staff followed the principles of the Mental Capacity Act 2005 when people lacked capacity and important decisions needed to be made.

The home was inviting and decorated well, a new reminiscence room had been created for people to use. Reminiscence aids were placed around the service to help to stimulate people’s minds. Signage was in place to help people find their way around and to locate toilets and bathrooms. People’s bedroom doors were numbered, named or had memory boxes present with personal items to help people find their room