Rushall Care Home

Updated 15 September 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.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Inspection team

The inspection was carried out by one inspector 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

Rushall Care Home 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. Rushall Care Home 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.

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 and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and 4 visitors about their experience of the care provided. 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 also spoke with 5 staff, including the manager, deputy manager, nursing, and care staff. We looked at a range of records including staff recruitment files, policies, and audits.

Updated 15 September 2023

About the service

Rushall Care Home is a residential care home providing personal and nursing care to up to 39 people. The service provides support to younger adults and older people some of who mahy be living with dementia. At the time of our inspection there were 36 people using the service.

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

People were safeguarded from the risk of abuse and felt safe living at the service. Where people had risks to their safety these were assessed, and plans put in place to minimise them. There were enough suitably qualified staff available to meet people’s needs. People had support to take their medicines as prescribed and risks from infection were minimised as staff understood how to prevent cross infection. Where incidents occurred, these were reviewed, and learning applied to prevent reoccurrence.

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 relatives and staff all spoke positively about the service and the management team. Staff were supported and received updates to their training as needed. The registered manager had a good oversight of the service and used feedback to learn and improve the quality of the care people received. The registered manager understood their role and responsibilities and had worked in partnership with other agencies to support people. There was a system in place to ensure any improvements needed were identified and the registered manager ensured there was an action plan in place to make the required changes.

Rating at last inspection and update

The last rating for this service was requires improvement (published 7 September 2022)

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. We undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rushall Care Home on our website at www.cqc.org.uk.

Follow up

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

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