Rawcliffe Manor

Updated 12 August 2023

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 Health and Social Care Act 2008.

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

The inspection was carried out by an inspector, a pharmacist specialist, and an Expert by Experience. 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

Rawcliffe Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rawcliffe Manor is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 13 July 2023 and ended on 28 July 2023. We visited the service on 13 July and 17 July 2023.

What we did before the inspection

We reviewed information we had received about the service since the service was registered. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 6 relatives about their experience of the care provided. We spoke with 15 members of staff including the registered manager, the area manager, the clinical lead, a deputy manager, senior care workers, care workers, the activities lead, an administrator and kitchen staff. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 4 people’s care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training data and quality assurance records were reviewed.

Updated 12 August 2023

About the service

Rawcliffe Manor is a residential care home providing accommodation and personal care to up to 67 people. The service provides support primarily to older adults and people living with dementia. At the time of our inspection there were 35 people using the service.

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

People were protected from the risk of abuse and people told us they felt safe. Risks to people were appropriately assessed, monitored, and managed. Where risks to people had been identified, appropriate plans were put in place. The environment was clean, well maintained, and health and safety checks were up to date. There were enough staff to support people safely and staff were recruited safely. People received their medicines safely and as prescribed. There was a clear commitment to learning lessons and continuous improvement.

People’s needs were appropriately assessed, and these assessments were kept up to date. Staff had the right skills and experience to carry out their roles, and staff were well supported. People were supported to eat and drink enough to maintain a balanced diet. People were supported to access healthcare services. The design of the service met people’s needs, and there were lots of different pleasant spaces for people to use.

The service was working within the principles of the Mental Capacity Act. 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 treated with kindness and respect. People and relatives told us they liked the staff, who were described as helpful, reassuring and kind. People were supported to express their views and be involved in decisions about their care. Staff had time to chat with people, to learn their likes, dislikes and preferences. People were supported to maintain their independence wherever possible, and staff were respectful of people’s privacy.

People received person-centred care and staff knew people’s needs well. Staff were knowledgeable about each person’s individual communication needs and how best to support them. People were supported to follow their interests and take part in activities that were relevant to them. Staff were passionate about offering varied activities and improving people’s quality of life. The provider dealt with complaints and concerns appropriately.

The service was well-led with person-centred visions and values. There was a positive culture and a warm and welcoming atmosphere. There were clear, robust, and effective quality assurance processes in place. Regular and comprehensive audits were carried out. The provider understood their legal and regulatory requirements. People, relatives and staff were all engaged and involved in the service. People felt listened to and staff felt supported. The provider was committed to continuous learning and improving care.

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

Rating at last inspection

This service was registered with us on 28 March 2022, and this is the first inspection.

Why we inspected

This was a planned inspection to assess the standard of care delivered by the service and award a rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.