We carried out a review of the data available to us about Rushyfields Residential and Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rushyfields Residential and Nursing Home, you can give feedback on this service.
Rushyfields Residential and Nursing Home is a care home registered to provide accommodation and nursing and personal care for up to 41 people. There were 41 people using the service at the time of our inspection. The home is purpose built and provides accommodation to older people and people living with dementia over two floors.
People’s experience of using this service and what we found.
Feedback we received from people who used the service and their relatives was positive.
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. The service adopted least restrictive practices supported by appropriate training underpinned by a positive behaviour approach. Each person had a positive behavioural plan that described de-escalation and support strategies that staff had to follow to respond to distress. Staff helped people to make decisions using methods that reflected people’s communication styles and preferences. People were supported to take part in meaningful activities either in a group or individually.
Medicines were administered safely and records regarding people’s medicines were completed effectively. People received the medicines they needed to support their health needs. The registered manager closely monitored the use of any ‘when required’ (known as PRN) medicines. These were managed in an individualised way.
Infection prevention control practices were in place. All essential visitors had to wear appropriate personal protective equipment (PPE). Additional cleaning of all areas and frequently touched surfaces was in place.. Training included putting on and taking off PPE, hand hygiene and other COVID-19 related training.
There were systems in place for communicating with people, their relatives and staff regarding peoples care and support. The environment was clean, safe and maintained to a good standard and had been adapted to meet people’s needs.
Individualised risk assessments were in place to ensure people could take risks safely. Staff were confident about how to raise concerns to safeguard people. Robust recruitment and selection procedures ensured suitable staff were employed. The service had enough appropriately skilled and trained staff to meet people’s needs.
Rating at last inspection
This service was registered with us on 15 September 2020 and this is the first inspection.
The last rating for this service under the previous provider was Good (published 19 September 2018)
For more details, please see the full report which is on the Care Quality Commission’s website at www.cqc.org.uk
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 COVID-19 and other infection outbreaks effectively.
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.
We found the following examples of good practice.
¿ The home had measures in place to prevent visitors from catching and spreading infection. Visitors were appropriately screened for COVID-19. The home had a visiting pod which relatives could access without having to enter the main building.
¿ The home supported social distancing wherever possible. Seating was spaced apart in communal areas. Staff break times were staggered and the home had created an additional staff room to provide more space.
¿ The home had sufficient supplies of PPE. All staff were observed to be wearing appropriate PPE and were trained in its use. There were fully stocked PPE stations and hand sanitisers throughout the home.
¿ Measures were in place to support and assist communication throughout the pandemic. Video contact and telephone calls with relatives were encouraged wherever possible. The home had pictorial cards to help support people’s understanding and communication with staff.
¿ The home was clean and tidy. The home had a thorough cleaning schedule in place including additional cleaning of frequently touched areas such as door handles, rails and key code pads.
¿ All staff had completed infection prevention and control (IPC) and COVID-19 training. Laminated signs were placed throughout the home reminding staff of their responsibilities. There was a noticeboard in the staff room which displayed the most up to date government guidance.
¿ The registered manager spoke very highly of the staff team. We were told how staff had pulled together, worked extremely hard, and shown strong levels of commitment to the home.
¿ The provider had up to date and comprehensive IPC policies in place. The provider and the registered manager carried out regular infection control audits and ‘spot checks’. The provider had offered good support throughout the pandemic.