• Care Home
  • Care home

Rathmore Care Home

Overall: Requires improvement read more about inspection ratings

3 St Annes Road East, Lytham St Annes, Lancashire, FY8 1TA (01253) 729410

Provided and run by:
Mrs Mary Jarvis

Latest inspection summary

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Background to this inspection

Updated 25 August 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

The inspection was carried out by one inspector.

Service and service type

Rathmore Care Home is a ‘care home’ without nursing care. 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. 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 (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

During our inspection, we spoke with 2 people who used the service, 1 person’s relative and 1 person’s visiting friend. We also spoke with 7 staff, including the registered manager. We looked around each area of the home to make sure It was safe, homely and suitable.

We reviewed 3 people’s care documentation and multiple medicines administration records, along with associated medicines documentation. We observed medicines administration and checked how medicines were stored.

We reviewed a range of records related to the management of the service, including safety certificates, policies, procedures and quality assurance systems. We also reviewed staff training records.

Overall inspection

Requires improvement

Updated 25 August 2023

About the service

Rathmore Care Home is a residential care home providing personal care for up to 8 older people. There were 8 people using the service at the time of the inspection. The service is provided from a large property close to the town centre, with communal areas and provides people with their own private bedrooms.

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

The provider did not take a systematic approach to assessing staffing levels. Governance systems had not been operated effectively. Staff had not received practical training and the management of risk was not always safe. Staff were recruited safely and the home was clean and maintained.

The provider had not held any meetings with staff, people using the service or relatives, to gain feedback about the service provided. Some practices were not person-centred. The service worked with other agencies and was receptive to feedback.

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.

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 4 March 2020).

Why we inspected

We received concerns in relation to the management of risk and people’s care needs. As a result, we carried out a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rathmore Care Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to staffing, safe care and treatment, person-centred care and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.