Rastrick Hall and Grange

Updated 13 June 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 was conducted by 2 inspectors, a medicines 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

Rastrick Hall and Grange 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. 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. Inspection activity started on 3 May 2023 and ended on 22 May 2023. We visited the service on 10 and 15 May 2023.

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

We spoke with 8 people using the service and 6 of their relatives about their experience of the care provided. We observed care in the communal areas to help us understand the experience of people. We spoke with 6 members of staff including the registered manager, deputy manager and care staff. We reviewed a range of records. This included 5 people's care plans, risk assessments and associated information. We also reviewed multiple medication records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were also reviewed.

Updated 13 June 2023

About the service

Rastrick Hall and Grange is a residential care home providing personal care to up to 79 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 59 people using the service.

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

Some improvements were needed to make sure medicines were managed safely. The registered manager took action during the inspection to address issues found. People told us they felt safe at the service and staff were recruited safely. Issues with the way the electronic care record system in relation to risk management had been identified by the registered manager and they introduced new record keeping systems to address this. Some inconsistencies with care plans were being addressed through review. Although staffing levels were sufficient to meet people’s needs, the registered manager introduced some changes, as a result of our feedback, to improve staff availability and increase social time with people.

People living at the home, their relatives and staff were complimentary of the registered manager. Systems and training had been put in place to train and empower staff to be successful in their roles. The registered manager focused on developing a culture of enhancing people’s quality of life and for people to experience person-centred care. They had systems in place to gain feedback from people, their relatives and staff. As part of this they had introduced the role of ‘Resident Ambassador’ which a person living at the home had accepted. Systems were in place to monitor and audit quality and safety within the service and results were used to drive improvements.

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 and update

The last rating for this service was requires improvement 25 June 2021 and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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. 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 requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rastrick Hall and Grange on our website at www.cqc.org.uk.

We will continue to monitor information we receive about the service, which will help inform when we next inspect.