Rushyfields Residential and Nursing Home

Updated 8 November 2022

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 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

An 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.

Service and service type

Rushyfields residential and nursing home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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. This means that they 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. 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 this information to plan our inspection.

During the inspection

We spoke with one person who used the service and five relatives. We also spoke with six members of staff including the deputy manager, five care staff and the visiting community nurse. We reviewed a range of records. These included four people’s care records. A variety of records relating to the management of the service, including audits, staff records, training records and procedures.

After the inspection

We continued to seek clarification from the provider to corroborate evidence found. We looked at audits, reports and action plans.

Updated 8 November 2022

About the service

Rushyfields Residential and Nursing Home is a care home registered to provide accommodation and nursing and personal care for up to 41 people. There were 41 people using the service at the time of our inspection. The home is purpose built and provides accommodation to older people and people living with dementia over two floors.

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

Feedback we received from people who used the service and their relatives was positive.

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. The service adopted least restrictive practices supported by appropriate training underpinned by a positive behaviour approach. Each person had a positive behavioural plan that described de-escalation and support strategies that staff had to follow to respond to distress. Staff helped people to make decisions using methods that reflected people’s communication styles and preferences. People were supported to take part in meaningful activities either in a group or individually.

Medicines were administered safely and records regarding people’s medicines were completed effectively. People received the medicines they needed to support their health needs. The registered manager closely monitored the use of any ‘when required’ (known as PRN) medicines. These were managed in an individualised way.

Infection prevention control practices were in place. All essential visitors had to wear appropriate personal protective equipment (PPE). Additional cleaning of all areas and frequently touched surfaces was in place.. Training included putting on and taking off PPE, hand hygiene and other COVID-19 related training.

There were systems in place for communicating with people, their relatives and staff regarding peoples care and support. The environment was clean, safe and maintained to a good standard and had been adapted to meet people’s needs.

Individualised risk assessments were in place to ensure people could take risks safely. Staff were confident about how to raise concerns to safeguard people. Robust recruitment and selection procedures ensured suitable staff were employed. The service had enough appropriately skilled and trained staff to meet people’s needs.

Rating at last inspection

This service was registered with us on 15 September 2020 and this is the first inspection.

The last rating for this service under the previous provider was Good (published 19 September 2018)

For more details, please see the full report which is on the Care Quality Commission’s website at www.cqc.org.uk

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.

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.