Risby Park Nursing Home

Updated 21 March 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 carried out by three inspectors.

Service and service type

Risby Park 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we held about the service. This included information received from the provider about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We also asked professionals from the local authority for their views.

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 all of this information to plan our inspection.

During the inspection

We spoke with three people living at the service and six of their relatives. We also spoke with the registered manager, the clinical lead, two engagement officers, the service’s end of life champion five care staff, two housekeeping staff and a visiting healthcare professional. In addition to this we reviewed three peoples care records, medicines administration records, and various documentation regarding the running of the service, including policies and audits. The also carried out observations of activities and mealtimes.

After the inspection

We asked the provider to send us additional information to review, such as newsletters and meeting minutes. We also received feedback from relatives who were not available to talk to us on the day of our inspection.

Updated 21 March 2020

About the service

Risby Park Nursing Home was providing accommodation, nursing and personal care to 47 people the time of the inspection. The service can support up to 54 people.

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

Risby Park Nursing home continued to provide an outstanding service, delivered by a highly skilled, motivated and very caring workforce, led by an exceptional registered manager. People and their relatives shared the highest praise in describing how they were supported, for example, “They have everything covered, it’s the best place ever.”

The service had worked hard in the continued upskilling and training of nursing staff so that people could receive additional services within the home, which improved their quality of life. Local healthcare professionals had high levels of trust and respect for the staff and their skills. The provider and registered manager had continued to invest in improving the homes environment in line with the very latest best practice and published research in care for people living with dementia. Managers worked creatively and in partnership with people to enhance visitor experience. Visitors, and pets, were made very welcome and comfortable, so all could get the best from their time together, reducing social isolation and improving wellbeing.

Risby Park Nursing Home continued to provide outstanding caring practice to people, and their loved ones. People felt they were partners in their care and encouraged to make decisions about this. Managers had been instrumental in setting up a network of carer events, both in the service and social events in the community. Relatives told us of the positive impact this had on them, as they came to terms with the impact of their loved ones decline in health. This support network extended to relatives whose loved ones had passed away, so that they could continue to receive support from the networks they made over the past months and years. There was a very high level of promoting the dignity of people. The understanding of people’s life history was seen as a key in the planning of peoples care delivery, and we saw this being used in staff’s daily practice. People were supported to celebrate their previous experiences and achievements, including using these to help younger people understand the impact of dementia and the breaking down of barriers and associated stigmas.

The provision of care and support at Risby park Nursing Home was exceptionally person centred. Very detailed assessments of people’s needs were completed before they moved in, even at short notice, with action taken to meets these needs without delay. One person who had very recently moved in told us, “We keep thinking its [Risby Park] too good be true.” End of life care at the service was incredibly well planned by staff who had received additional training to make this as dignified and peaceful of possible.

The provider and registered manager were proud of their place in the local community and saw actively arranging community events and hosting intergenerational projects as a way of reducing social isolation and creating enjoyment for all. People’s wellbeing was enhanced by person-centred activity planning by a dedicated engagement team. Social opportunities were widespread and took place within the community as well as the home. Relatives told us the high levels of activity people were able to engage in kept their family members active which was beneficial for their health.

The service was led by a registered manager and management team that were committed to delivering a service which improved the lives of the people in fulfilling and creative ways. Their drive and passion had created a service that provided the very best dementia care that was based on best practice and research. The registered manager encouraged and facilitated staff to go the extra mile in delivering care that made people feel special. Staff understood how to make people and their relatives feel valued and told us this improved their lives and made them happy. In the words of one relative, Risby Park Nursing Home gave them, “Five years I never thought I'd have with [relative]. Here (Risby Park) made it all easier to accept.”

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 Outstanding (Published 13 September 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 Park 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.