Rushey Mead Manor Care and Nursing Home

Updated 20 July 2022

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Rushey Mead Manor Care and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

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. This included the provider’s action plan which set out the plan to make the required improvements to meet the regulations. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with six people who used the service and seven family members about their experience of the care provided. We had discussions with 11 members of staff including the registered manager, care manager, a nurse, the deputy manager, a senior care worker and four care staff, the chef, activity / dining room staff member and domestic staff. We also spoke with the director and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We used the Short Observation Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included six people's care records and multiple medication records. We looked at four staff files in relation to recruitment. A variety of records relating to the management of the service, were reviewed.

After the inspection

We spoke with another relative. We continued to seek clarification from the provider to validate evidence found. This included staff training data, meeting records and other records relating to the management of the service.

Updated 20 July 2022

About the service

Rushey Mead Manor Care and Nursing Home is a residential home providing personal care for up to 50 people, including those living with dementia related needs, physical disabilities or end of life care. The home is multicultural, where Asian languages are spoken as well as English. At the time of the inspection there were 26 people using the service.

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

People felt safe because staff were trained and understood their responsibility to protect people from abuse and harm. People were confident staff would take action if they raised any concerns. Records showed safeguarding processes were followed.

Risks to people had been assessed and kept under review. Care plans were person centred and provided guidance for staff to follow to minimise risk and to promote people’s safety, dignity and independence, as practicable.

People received their medicines as prescribed. When we identified risks the registered manager took immediate action to address this to ensure medicines were managed safely.

People were provided with a choice of food to encourage healthy and balanced diet. Individual food preferences, cultural and dietary requirements were met to maintain good health.

The service employed a nurse, who provided advice and support to staff when people’s health was of concern. People were supported with their oral hygiene needs. The service worked in partnership with health care professionals. People were supported to access community health care services as and when required.

Staff recruitment processes promoted safety. New staff were inducted. Staff were fully trained and competent in their roles. There were enough staff employed to meet people's needs. Staff received feedback on their performance through regular supervisions.

Staff followed infection control procedures to keep people and visitors safe from the risk of contagious diseases.

Incidents and accidents were clearly recorded and actions were taken to learn from these and to reduce the risk of reoccurrence. Systems were in place to ensure the premises and equipment used in the delivery of care were serviced and maintained. People, relatives and staff spoke positively about the environmental improvements and decoration.

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 received person centred care, and staff promoted and respected their preferences, cultural and diverse needs. Information was provided in forms people could understand. Staff were able to speak with people in their preferred language which was not English.

People had opportunities to follow their interests and hobbies and maintain relationships with their family and friends. Staff spent meaningful time with people who were cared for in bed to reduce the risk of isolation.

People and relatives knew how to complain. The complaints process was managed effectively in line with the complaints procedure.

People received compassionate and dignified end of life care in line with their wishes documented in their care plans.

The service was well managed. There were systems in place to monitor the quality of the service and improvements were made when required. Staff felt well supported and said the registered manager, care manager and provider were open and approachable. The service worked in partnership with outside agencies.

For more details, please see the full report which is on the website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 September 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions; Safe, Effective, Responsive and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rushey Mead Manor Care and Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.