Rush Hill Mews

Updated 25 February 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

This inspection team was made up of 1 inspector, 1 bank 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

Rush Hill Mews 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. Rush Hill Mews 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

The first day of this inspection was unannounced, the second day of inspection was announced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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 9 people, 2 relatives and 10 staff including the registered manager, 2 senior leaders, a nurse and care staff. We reviewed various records in relation to the running of the service including audits, checks, care plans and 3 recruitment files. We observed interactions between staff and people in communal areas of the service.

Updated 25 February 2023

About the service

Rush Hill Mews is a residential care home providing regulated activities accommodation for persons who require nursing or personal care and treatment of disease, disorder or injury to up to 62 people. The service provides support to people living with dementia, a physical disability and older and younger adults. At the time of our inspection there were 57 people using the service.

Rush Hills Mews provides purpose-built accommodation over three floors, each floor can be accessed using the lift or stairs. Bedrooms are en-suite and there are additional communal toilets and washing facilities on each floor. There is level access to a large well-maintained garden and communal dining and lounging spaces throughout.

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

People told us they were safe. We found there were systems and processes in place to help protect people from the risk of avoidable harm and abuse. There were sufficient numbers of safely recruited staff to meet people’s needs. Staff spoke positively about the service and people they supported. Overall medicines were managed safely; however we found some recording errors. The registered manager said they would support staff with additional training. Food and fluid monitoring was not always consistent. We found no impact on people and the registered manager said they would work to rectify this shortfall.

There were systems in place to monitor and improve the quality and safety of care provision in the service, overall these were used effectively to drive improvement. Statutory notifications were submitted to CQC in line with statutory requirements. The provider engaged with stakeholders and had oversight of the service. A local Church visited and held regular religious services. The activities coordinator had a plan in place to drive improvement in relation to activities provision.

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 18 May 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rush Hill Mews 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.