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Reuben Manor Requires improvement

Reports


Inspection carried out on 30 October 2019

During a routine inspection

About the service

Reuben Manor is a residential care home providing personal care to 70 people at the time of the inspection. The service can support up to 83 people across three separate floors, each of which has separate adapted facilities. One floor specialises in providing care to people living with dementia.

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

Medicines were not always managed safely at the home. Risk assessments were not always in place or correctly completed and therefore staff did not have all the information necessary to minimise risk.

Quality checks were in place but had not identified the issues we found. The registered manager and the wider management team were very quick to respond to our feedback and took steps to make improvements straight away.

Everyone we spoke with felt safe in the home. There were systems and processes in place to help protect people from the risk of abuse.

There were enough staff on duty to meet people’s needs. Staff understood the needs of the people they supported well. Safe recruitment procedures were followed.

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.

People were supported with eating and drinking. Special dietary needs were met, and the quality of food was good, but people told us they were not always given enough choice. There was a variety of food available and the registered manager was going to ensure staff were showing people all the options available in future. People were supported to have access to a range of healthcare professionals to ensure they remained healthy.

There was a caring culture, supported by a strong staff team who respected people and treated them with dignity and respect. Staff encouraged independence and supported people to maintain their skills. The service had a relaxed, homely atmosphere and relatives were always made to feel welcome .

People's care was delivered around their wishes, preferences and goals however care plans could be improved to reflect this. More detailed records would ensure all staff were aware of people’s preferences, likes and dislikes.

People had access to a variety of activities inside and outside of the home. We saw a rehearsal of the Reuben Manor choir and people were very proud of their involvement.

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 13 December 2018). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Why we inspected

As there had been a change to the registered provider we inspected within 12 months of this change.

Enforcement

We have identified a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to safe management of medicines.

Please see the action we have told the provider to take at the end of this 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.