About the serviceRayleigh House provides personal care and accommodation to up to 15 older people across two floors in one converted residential terrace. There were 13 people living at the service at the time of our inspection, some of whom were living with dementia.
People’s experience of using this service and what we found
Care plans had been reordered to ensure they were more accessible for staff. The content of care plans and risks assessments was in need of review to ensure they were detailed with person-centred information. Staff demonstrated an excellent and up to date awareness of people’s needs.
People enjoyed activities on offer but felt more could be done to offer a wider range of activities relevant to their interests.
Medicines were managed safely, in line with best practice.
The premises were well maintained, and appropriate health and safety checks were in place. Emergency procedures and contingency plans were in place. Risk assessments were in place and well understood by staff.
The registered manager worked proactively with external healthcare professionals. They ensured people had access to primary healthcare services.
The home felt welcoming, personalised and vibrant. Feedback was positive regarding the compassionate, affectionate and sensitive approach of staff.
The registered manager ensured people were involved in the planning of their care. They used a variety of meetings, one to one time and surveys to involve people in how the service was run.
People ate well and had a choice of meals and snacks.
People’s rooms were clean, well decorated and highly personalised; refurbishment of communal spaces continued and was to a high standard.
Staff received training relevant to people’s needs. They demonstrated a comprehensive knowledge of people’s health, physical and emotional needs.
Staff received end of life care training. The registered manager ensured external accreditation and links with external healthcare professionals were in place. End of life care was regarded as a key strength by external professionals.
The registered manager worked well with staff and there was a strong team ethic. The registered manager was open and supportive with staff. They were appreciative of the support of a dedicated staff team.
People’s capacity was assumed unless there were reasons to consider otherwise, and staff acted in line with the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
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 22 March 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.