Risby Hall Nursing Home

Updated 16 April 2020

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

This inspection was undertaken by two inspectors.

Service and service type

Risby Hall 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.

There was no manager registered with the CQC at the time of our inspection visit. The previous registered manager had left the service in June 2019. When in post, a registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. During our inspection visit the provider was represented by a new manager who was in the process of applying for CQC registration and the deputy manager.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used this information to plan our inspection.

During the inspection

We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with nine members of staff including the two directors of the provider company, the manager, deputy manager, care workers and the chef. We used the Short Observational 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 two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We also reviewed additional evidence the provider sent us. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 16 April 2020

About the service

Risby Hall Nursing Home is a residential care home, providing personal care and accommodation as well as nursing care for up to 34 older people, including people living with dementia. The home was across extended ground floor accommodation which was wheelchair accessible. There were 26 people living at Risby Hall Nursing Home when we inspected the service.

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

There were enough, suitably recruited staff who worked well as a team to ensure people received the care and support, they needed.

Staff had a good understanding of how to recognise and report potential harm or abuse and were confident the manager and provider would take action in line with local safeguarding procedures.

Risks were generally well managed and mitigated against. Improvements were needed to ensure where people were at risk of developing a pressure ulcer any equipment in place to help was being used correctly. For one person, not all appropriate mitigating action was being taken where they had lost weight. Both of these concerns were addressed quickly by the manager to ensure people were safe.

Staff received an induction and ongoing training and support to fulfil their role and extend their knowledge.

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 happy living at Risby Hall Nursing Home and with the care they received. People felt safe and well-treated by staff. Staff were kind, considerate and treated people with respect and dignity.

People had plans of care in place which considered their preferences. Information was accessible to people in different ways and according to their needs to support them to make a decision. Activities and social opportunities were available to people. Complaints were managed in line with the provider’s policy. People's end of life wishes, and preferences were recorded.

Quality assurance and monitoring systems were in place to help drive improvements at the service. Some of these included seeking the views of people who used the service and others. People, their relatives and staff were positive about the approach of the new manager.

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 Outstanding (published 28 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Risby Hall 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.