Rushley House Retirement Home improved its overall rating from Requires improvement to Good at this focused inspection, with caring and well-led rated Good and safe inspected but not rated. Responsive remained Requires improvement because the provider had not acted on a 2019 recommendation to improve the range of meaningful activities offered to residents.
Concerns (3)
moderatePerson-centred care: “it did not always support people to take part in a range of activities. We made a recommendation about this at the 2019 inspection.”
moderateGovernance: “the effectiveness of the provider's systems to monitor and oversee the quality of the service could be variable... not been effective in addressing the concern around activities”
minorRecord keeping: “There was no formal activities programme and an absence of records around people's wishes in this area.”
Strengths
· Improvements made to care plan recording, with respectful and positive language used in daily notes and care plans
· Thorough Infection Prevention and Control processes assured against COVID-19 transmission
· Staff treated people with care, patience and kindness; warm interactions observed between people, management and staff
· Care plans were regularly reviewed and provided personalised guidance for staff
· Registered manager described as visible, approachable and supportive; duty of candour principles embedded
Quality-Statement breakdown (11)
safe: Staffing and infection prevention and controlNot rated
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Supporting people to develop and maintain relationships and take part in activitiesRequires improvement
responsive: Planning personalised care to ensure people have choice and controlGood
responsive: Meeting people's communication needsGood
responsive: End of life care and supportGood
well-led: Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirementsGood
well-led: Promoting a positive, person-centred, open and inclusive cultureGood
well-led: Duty of candour and working in partnership with othersGood