Background to this inspection
Updated
9 December 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was undertaken by one inspector.
Service and service type
Rheola Care 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority 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 all of this information to plan our inspection.
During the inspection
We spoke with five people who used the service about their experience of the care provided. We spoke with ten members of staff including the registered manager, deputy manager, senior care workers and care workers.
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 looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
9 December 2021
About the service
Rheola Care Home is a residential care home that was providing personal care to 38 older people at the time of this inspection. The service can accommodate up to 42 people in one adapted building.
People’s experience of using this service and what we found
People were safe, risks were assessed, monitored and well managed. A person told us, "I feel very safe, the staff look after me very well." Staffing levels met people's personalised care needs. Staff followed good practice guidelines to prevent the spread of infection and gave people their medicines safely. The service was clean and tidy.
People were supported to access health and social care professionals. Dietary needs were assessed, and guidance provided in care plans. People received enough food to eat and drink. People told us they were happy with the variety and choice of the food they were offered.
There were various activities on offer for people to engage in as they wished. Families were welcomed into the service, when guidelines had allowed this to happen. There was a complaints procedure in place and the provider responded to complaints appropriately.
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 told us the staff were kind and caring. A person said. "The staff are wonderful; they are always doing their best for us." Care plans contained detailed, personalised information. The management team continued to review the care and support provided.
The registered manager and their team carried out regular checks on the quality and safety of the service. The registered manager understood their regulatory responsibilities. People and staff gave positive feedback about the management. A member of staff said, "(The registered manager's) door is always open, they are always checking that we are okay." Staff stated that the registered manager was always open to their suggestions and provided them with support when required.
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 9 April 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
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.