29 June 2021
During an inspection looking at part of the service
Christopher Grange Rhona House is a residential care home providing personal and nursing care to 25 people at the time of the inspection. The service can support up to 28 people in one adapted building.
People’s experience of using this service and what we found
People received safe care and treatment. Staff administered people’s medicines in a safe and effective way.
Staff safeguarded people and understood the importance of supporting people to make their own choices and decisions where possible.
The environment was safe and clean. Staff followed good practices in relation to the prevention and control of infectious disease.
Staff were checked for good character before being recruited and staff told us they were supported by managers and encouraged to develop their skills and knowledge during their induction period.
The registered manager quality assured the running of the service and lessons were learnt when things went wrong.
Staff did not always maintain accurate and contemporaneous records in relation to the support they had provided people. The manager had identified this before the inspection and showed us an action plan which showed progression was being made.
Staff told us they were able to seek support from the managers and enjoyed working at Rhona House. A large number of staff had worked at the service for many years. The managers submitted statutory notifications and were aware of their regulatory responsibilities. People who lived at the service told us they felt involved and in control of their lives.
Information technology systems were used to monitor and improve the quality of care. The provider had implemented CCTV in communal areas without consultation with people who lived at the service, relatives and staff. The manager assured us they would look at building a new policy and procedure in line with best practice standards around use of CCTV in care homes. After the inspection the manager sent us further evidence to show this had been actioned.
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 12 June 2018).
Why we inspected
We received concerns in relation to safe care and treatment and staff conduct. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
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.
The overall rating for the service has not changed.
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.