Archived: Rushey Mead Manor Care and Nursing Home

Updated 24 August 2019

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 Care Act 2014.

Inspection team

The inspection team consisted of two inspectors, a specialist advisor, and an expert by experience. A specialist advisor is a person with professional expertise in care and/or nursing. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Rushey Mead Manor Care and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with CQC. The previous registered manager de-registered on 30 March 2019. A new acting manager had been appointed and started work at the home on the second day of our inspection. This meant that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

This inspection was unannounced.

What we did before the inspection

We looked at information from local authority commissioners and Healthwatch. Commissioners are people who work to find appropriate care and support services for people and fund the care provided. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. health authority commissioners.

We reviewed the provider's statement of purpose and the notifications we had been sent. A statement of purpose is a document which includes a standard required set of information about a service. Notifications are changes, events or incidents that providers must tell us about.

During the inspection we spoke with six people using the service and four relatives. We spent time observing the people living in the home to help us understand the experience of those who could not talk with us. We also spoke with the acting manager, area manager, operations manager, clinical lead, nurse, senior care co-ordinator, three care workers, activity co-ordinator, administrator, the maintenance person, and the cook.

We looked at records relating to all aspects of the home including staffing, medicines, accidents and incidents, and quality assurance. We also looked at five people's care and nursing records.

Updated 24 August 2019

About the service

Rushey Mead Manor Care and Nursing Home provides nursing and personal care to up to 50 older people, some of whom are living with dementia and/or physical disabilities. The home is multicultural and Asian languages are spoken there as well as English.

At the time of our inspection there were 36 people using the service.

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

Although people and relatives were satisfied with the care and nursing provided, and the home had improved since our last inspection, further improvements were needed to ensure people received a good service in all areas.

There was a continued lack of oversight and governance systems to monitor the home. The providers had a new quality assurance system in place, but this was not yet fully implemented. Improvements were needed to record keeping across the home to ensure it was well-organised and comprehensive.

People felt safe at the home and staff knew how to protect them from harm. However, risk assessments were not always fit for purpose. Staff were knowledgeable about people’s care needs, but personalised care plans were not always in place as required.

The premises were being updated and improved to ensure they were suitable for people, but further work was needed to bring the environment up to an acceptable standard.

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; however, the policies and systems in the service needed reviewing to ensure they supported this practice.

The area manager and acting manager said they would address all the outstanding issues and implement a programme of improvement involving people, relatives, and staff.

The home was well-staffed, and the staff employed were suitable for their roles and had appropriate training. The staff were caring and had a good understanding of people’s cultural needs and preferences and how to meet these.

Menus were well-planned with English and Indian dishes and the meals served met people’s cultural and other dietary requirements. The home’s activities organiser provided individual and group activities for people which they enjoyed.

The home had an open and friendly culture and people and relatives said the managers and staff were approachable and helpful.

Rating at last inspection

The last rating for this service was requires improvement (report published 21 June 2018). 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. However, further improvements were needed for the home to obtain a rating of Good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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