We carried out a review of the data available to us about Raunds Lodge 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 Raunds Lodge Nursing Home, you can give feedback on this service.
Raunds Lodge is a nursing home providing personal and nursing care to 31 people aged 65 and over at the time of the inspection. The service can support up to 33 people.
People’s experience of using this service and what we found
Staff were kind and caring and provided people with warm, person-centred care. Staff understood people’s individual care needs and preferences and used this knowledge to provide people with flexible, responsive support.
Staff promoted people’s dignity and privacy and supported people to enjoy food and drink of their choice. Care planning systems were effective. Staffing resources were managed safely and effectively to meet people's needs, despite ongoing national recruitment challenges. Staff recruitment was safe.
Training and supervision provided staff with the knowledge and skills they required to meet people’s needs. Staff worked together in a mutually supportive way and communicated effectively with a range of external organisations.
Systems were in place to ensure effective infection prevention and control (IPC). The provider, registered manager and staff team had implemented and maintained additional IPC measures throughout the COVID-19 pandemic to keep people safe. People's medicines were managed safely.
Staff were aware of people’s rights under the Mental Capacity Act 2005 and supported people to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.
The provider assessed and managed potential risks to people's safety and welfare. Staff knew how to recognise and report any concerns to keep people safe from harm. Staff worked collaboratively with local health and social care services to ensure people had access to any support they required.
The service was well-led by the registered manager and the provider took a hands-on approach. They were both well respected in their roles. A range of audits were in place to monitor the quality and safety of service provision.
Lessons were learned when things went wrong and any complaints were managed effectively. The registered manager was committed to continuous improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was Requires Improvement (published 6 April 2020) and there was one breach 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
This inspection was carried out to follow up on action we told the provider to take at the last inspection. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
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.
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 Raunds Lodge Nursing Home on our website at www.cqc.org.uk.
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.
Raunds Lodge Nursing Home provides accommodation for older people with physical and dementia care needs. The service can accommodate up to 33 people, at the time of the inspection 32 people were using the service.
People’s experience of using this service
Systems and processes that were in place to ensure oversight of the service, did not always effectively identify issues. For example, audits had not always identified the concerns found on the day of inspection. The registered manager implemented changes immediately after the inspection to reduce any potential risks.
People had risk assessments which contained strategies to reduce the potential risk to people, however some people did not have risk assessments in place regarding the use of equipment such as bed rails.
Although the provider had a dependency tool to identify staffing needs this did not cover the service as a whole. People and staff told us there was not always enough staff on duty. The provider increased the staffing levels immediately after the inspection.
People told us they felt safe at Raunds Lodge Nursing Home and they were supported with dignity and respect from staff who knew them well. People and relatives described staff as, patient, kind and caring. People were supported to engage in activities and maintain relationships with friends and family.
Staff had been recruited safely and completed training in line with the provider’s policies. Staff told us that their training was excellent.
Medicines had been administered as prescribed. People were supported to access healthcare. Care files contained which professional had been involved and any advice given.
The home was clean and well maintained. People had personalised bedrooms. The provider had an action plan in place for re-decoration.
People were asked for consent; their care plans identified communication needs and preferences. The provider completed a pre-assessment before offering a place at Raunds Lodge Nursing Home to ensure staff could meet the person’s needs.
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.
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 3 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified a breach in relation to oversight of the service at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Raunds Lodge Nursing Home provides accommodation for older people with physical and dementia care needs. The service can accommodate up to 33 people, at the time of the inspection 30 people were using the service.
At the last inspection, in August 2015, the service was rated Good. At this inspection we found that the service remained Good.
The 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. 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. A registered manager was not in post at the time of the inspection; however, there was a manager who was in the process of applying to be the registered manager.
People continued to receive safe care. Staff were appropriately recruited and people were protected from the risk of harm and received their prescribed medicines safely.
The care that people received continued to be effective. Staff had access to the support, supervision, training and on-going professional development that they required to work effectively in their roles. People were supported to maintain good health and nutrition.
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 home supported this practice.
People were treated with respect, kindness and empathy; they had developed positive relationships with the staff that were caring. People had detailed personalised care plans in place which enabled staff to provide consistent care and support in line with people’s personal preferences. End of life plans had been sensitively developed; people and their families could be assured that their wishes were followed.
People knew how to raise a concern or make a complaint and the provider had implemented effective systems to manage any complaints that they may receive.
The service had a positive ethos and an open culture. The manager and provider were committed to develop the service and actively looked at ways to improve the service. There were effective quality assurance systems and audits in place; action was taken to address any shortfalls.
This inspection took place on the 4th August 2015 and was unannounced.
The service is registered to provide care for up to 33 older people. The service provides care to older people with a variety of needs including the care of people living with dementia. At the time of our inspection there were 24 people living there.
There was a registered manager in post at the time of our inspection. 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.
There were appropriate recruitment processes in place and people felt safe in the home. Staff understood their responsibilities to safeguard people and knew how to respond if they had any concerns.
Staff were supported through regular supervisions and undertook training which focussed on helping them to understand the needs of the people they were supporting. People were involved in decisions about the way in which their care and support was provided. Staff understood the need to undertake specific assessments where people lacked capacity to consent to their care and / or their day to day routines. People’s health care and nutritional needs were carefully considered and relevant health care professionals were appropriately involved in people’s care.
People received care from staff that were kind, compassionate and respectful. Their needs were assessed prior to coming to the home and individualised care plans were in place and were kept under review. Staff had taken care to understand peoples likes, dislikes and past life’s and enabled people to participate in activities either within groups or on an individual basis.
People were cared for by staff who were respectful of their dignity and who demonstrated an understanding of each person’s needs. This was evident in the way staff spoke to people and the activities they engaged in with individuals. Relatives spoke positively about the care their relative was receiving and felt that they could approach management and staff to discuss any issues or concerns they had.
There were a variety of audits in place and action was taken to address any shortfalls. Management was visible and open to feedback, actively looking at ways to improve and develop the service for both the people living in the service and people in the community.
A relative said "The move to this home was the best thing for xxx, he is really cared for the staff are really good and most of all care."
We found the home enabled persons who used the service to maintain their individuality and independence. We saw that they were treated with dignity and respect.
We did however note that on entry to the home there was a strong smell of urine coming from a room on the ground floor used by a person who used the service. We also noted that on the first floor there was a wet room that at present was not serviceable and that it had a wood framed window.
We observed people being supported throughout the day of our visit. Care workers were actively involved in assisting people with meals and drinks. We saw care workers actively assisting residents with recreational activities.
One of the relatives we spoke with told us, "they give excellent care, nothing wrong, I find it is wonderful, the staff are all excellent." A person who used the service told us "I have been here for over two and a half years, they really look after me, it is all very good." Another person told us "they really look after me, they support me, they are really good."