Five Rise Nursing Home

Updated 13 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 23 February 2021 and was announced.

Updated 13 March 2021

Five Rise is nursing and residential care home providing personal care to 58 older people, people living with dementia, physical disabilities or mental health issues. At the time of the inspection 58 people were using the service which can accommodate up to 67 people in a purpose built home.

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

The staff and management team showed a genuine and in-depth understanding and compassion for people they supported. They continuously encouraged improvements and innovation to benefit people who used the service. The staff team enabled people to express their views ensuring people received the care they needed and wanted.

Staff understood their roles and responsibilities, were motivated and had confidence in the management team. Moreover, they were supportive of each other to ensure people received excellent care. The management team placed a great importance on ensuring everybody was treated as an individual and received exceptional person-centred care. They had worked hard and had established a strong and visible person centred culture. The service encouraged and sustained contacts with the local community.

The management team spoke with great passion about the care and support they provided to people and their families. They encouraged staff to go the 'extra mile' when supporting people and that was reflected in the feedback received from people and families. Staff were motivated to provide exceptional care with much kindness and consideration. People and their families felt they really mattered to the whole staff team.

Staff were respectful, considerate and incredibly positive towards people and their relatives. It

was paramount to the service to ensure people's wellbeing was respected and protected. People and

relatives confirmed staff always respected their privacy and maintained their dignity. People benefitted

greatly from living at a service that had a very open and welcoming culture.

Staff provided excellent end of life care with great care and compassion. People and their families were always supported with the utmost consideration and understanding to ensure their decisions and preferences were taken into account.

People were able to engage in a wide range of meaningful activities and maintain regular links with the community. People reported they really enjoyed getting involved in activities and outings because it made them feel busy and useful. People's choices were always respected by attentive and understanding staff, who were continuously researching for creative and innovative ways to ensure people lived their lives to the full. The whole staff team were very responsive to the needs of people and enabled them to improve and enjoy their life.

The management team had excellent quality assurance systems and were able to identify issues and any improvements which were needed. They praised the staff team for their dedication and hard work and appreciated their contribution in ensuring people received exceptional care and support.

People felt safe whilst being supported by staff who had the relevant knowledge and confidence to identify safeguarding concerns and act on these to keep people safe. The management and staff team recognised, reviewed and explored better ways of working when things went wrong. Staff were recruited safely and there were enough qualified, skilled and knowledgeable staff to meet people's needs at all times. Risks to people's personal safety were assessed and measures put in place to minimise those risks. Medicines were managed safely and people received their medicines when required.

The management team had planned and booked training when necessary to ensure all staff had the appropriate knowledge to support people. Staff felt supported by the registered manager and management team, which helped maintain great team work. The management and staff team monitored people's health and wellbeing and took appropriate action when required to address concerns.

People received support that was individualised to their specific needs. Their needs and support plans were kept under review and promptly amended as changes occurred. 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 interest. 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

Why we inspected

This service was registered with us on 20 September 2018 and this is the first inspection.

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.