Archived: Rastrick Hall & Grange

Updated 16 August 2019

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

On 26 June 2019 four inspectors, a medicines inspector and an Expert by Experience carried out the inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. On 4 July 2019 two inspectors returned to complete the inspection.

Service and service type

Rastrick Hall and Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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. The registered manager 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 and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with 15 people who used the service and eight relatives/friends about their experience of the care provided. We spoke with 14 members of staff including the registered manager, the relief manager, the regional director, care managers, care workers, domestics, the cook and the activity organiser. We also spoke with two visiting healthcare professionals.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and five staff supervision records. A variety of records relating to the management of the service, including policies and procedures, were reviewed.

Updated 16 August 2019

About the service

Rastrick Hall and Grange is a residential care home providing personal care to 60 people aged 65 and over at the time of the inspection. The service can support up to 79 people, some of whom are living with dementia. Accommodation is provided in two adjoining buildings Rastrick Hall and Rastrick Grange. Each building has three floors with ensuite bedrooms and communal areas on each floor.

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

People were happy with the care and support they received. Care records had improved, though some required more detail. Effective communication systems ensured staff knew people’s needs and how to meet them. Staff were aware of risks to people and knew how to keep them safe. Medicines management was safe though record keeping needed to improve. Staff knew the processes to follow to manage any allegations of abuse.

The home was clean and well maintained. The environment was decorated and furnished to a high standard with adaptations made to help people find their way around.

There were enough staff to meet people’s needs and keep them safe. Staff were trained and had the required skills to meet people’s needs. Staff told they felt well supported. Recruitment processes ensured staff were suitable to work in the care service.

Staff were kind, caring and compassionate. They treated people with respect and maintained their privacy and dignity. People enjoyed a wide range of activities and events, including spending time in the garden. People had access to healthcare services and their nutritional needs were met.

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.

Following the last inspection the provider had brought in an improvement team to work alongside the registered manager and staff providing support and guidance. This had resulted in improvements across the service and better outcomes for people. Leadership and management had improved; staff understood their roles and responsibilities. Quality assurance processes and regular reviews by senior managers ensured improvements were continuous. Although we found significant improvements at this inspection, we need to be assured these improvements are sustained and the leadership and management remains effective before we award a Good rating. The service has a history of making improvements and these not being sustained.

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

Rating at last inspection (and update)

The last rating for this service was Inadequate (published 10 January 2019) and there were multiple breaches of regulation. We took enforcement action and issued warning notices. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since 10 January 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

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.