You are here

Archived: Rushall Care Centre

The provider of this service changed - see old profile

All reports

Inspection report

Date of Inspection: 5 June 2014
Date of Publication: 19 July 2014
Inspection Report published 19 July 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 5 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information sent to us by other authorities and talked with other authorities.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

At this inspection we looked at three care plans. We found that they contained detailed information on people’s health, welfare and social care needs.

A relative told us: “[My relative] always looks nice and clean and looks good. The staff are gregarious and have a smile on their face” and: “The staff really encourage [my relative] to do what they can”. Another relative told us: “I am happy. The staff are very good. They are mindful of people. They are in tune with [my relative’s] needs. They keep me informed about doctor’s visits. They were responsive when [my relative] had a fall”.

We were told the provider planned to change the format of care plans. Changes were required to make care plans easier to follow and to ensure all details were included in them. We were told that care plans needed to be rewritten using the new format. The provider may find it useful to note that there was no written information to confirm when this would be undertaken. We will check this at our next inspection.

We found that people’s care plans had not been consistently reviewed on a monthly basis in line with the home’s internal policy. The manager told us and we saw that they were aware of this issue and had taken steps to address this. The manager told us and we saw that care plans had been reviewed for May 2014 in the progress note section of people’s care plans. The information had not been transferred into the main body of the report. We saw that the plans of care we looked at contained up-to-date information on people’s care needs to ensure that people received appropriate and safe care.

The care records we looked at had risk assessments that identified risks to people's safety. The risk assessments contained details of actions to be taken by staff to minimise risks to people. We were told and saw that risk assessments were reviewed in accordance with people’s wishes or when people's needs changed.

The manager told us about a new wound management process used at the home. This was implemented due to previous concerns raised and set up to improve care delivery in this area. The new process included a wound analysis form. We saw that staff recorded the date and type of wound, the location of wound and treatment required. This also included dates when information was referred to the tissue viability nurse for further assessment. The manager told us they reviewed this process every week to ensure that staff were responsive to people's needs. In addition the manager told us they observed wound care management in practice to ensure staff followed correct protocols.

We looked at wound care plans for three people who used the service. We found information on specific skin cleansers required to treat people’s wounds and equipment needed to reduce pressure to the wound. We found that photographs had been taken of people’s wounds to monitor any changes to the wound area. We saw that the frequency of wound dressing and repositioning requirements for each person was clearly recorded in their care plan.

We asked a member of staff to tell us about the individual needs of one person who used the service. They were able to give us a detailed overview of the person’s needs to include wound care management. This meant that care plans contained up-to-date information on people’s care needs to ensure that people received appropriate and safe care.

Staff and the manager told us that activities at the home were due to change. The manager told us they were purchasing sensory materials and activity resources. This would ensure that people with dementia and sensory impairments could better engage with activities and enjoy social stimulation. We will check this at our next inspection.

The care records we saw confirmed that people were registered with a GP and had access to external healthcare professionals as necessary. This meant that care and treatment was planned and delivered in a way that ensured people's safety and welfare.