We carried out a review of the data available to us about Rastrick Hall and Grange on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Rastrick Hall and Grange, you can give feedback on this 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.
Rastrick Hall and Grange is a residential care home providing personal care for up to 79 older people, some of whom are living with dementia. There were 44 people using the service when we inspected. Accommodation is provided in two adjoining buildings Rastrick Hall and Rastrick Grange. Each building has three floors with en-suite bedrooms and communal areas on each floor.
People’s experience of using this service and what we found
Medicines were not managed safely which meant people were at risk of not receiving their medicines as prescribed.
Recruitment processes needed to improve as references for new staff were not always received before they started work. This had been identified by the provider and was being addressed. People and staff gave mixed feedback about staffing levels; some felt there were enough staff, others thought more were needed. The provider is reviewing the deployment of staff. Staff received the training and support they required to carry out their roles.
Risks were assessed, however the action taken to manage risk was not always fully reflected in people’s care records. People felt safe in the service and systems were in place to manage accidents and incidents. One person said, “I feel safe at this place because it is just like coming home.”
The environment was well maintained and clean. There was an ongoing refurbishment plan in place. Overall safe infection prevention and control procedures were followed; the manager had arranged for additional hand sanitiser to be available at the entry points on each unit.
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.
People and relatives praised the staff for their kindness and compassion. We saw staff treated people with respect and maintained their privacy and dignity. People were supported to keep in touch with family and friends through video, phone calls and indoor visits. Activities were taking place. People had access to healthcare services. People were happy with the choice and quality of the food.
People and relatives were happy with the care provided and told us they were involved in planning and reviewing care. People and relatives knew how to raise concerns and were happy with the action taken in response.
There had been a lack of consistent leadership after the registered manager had left in June 2020. However, people, relatives and staff spoke highly of the current manager and acknowledged the improvements they had made since starting in post in December 2020. Quality assurance systems had been implemented and issues were actioned, although the auditing of medicines needed to improve.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
We carried out a targeted infection prevention and control inspection on 23 January 2021 in response to a COVID-19 outbreak; the service was not rated. The last rating for the service under the previous provider was requires improvement, published on 16 August 2019.
Why we inspected
This was a planned inspection based on the previous rating.
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.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.
We have identified a breach in relation to medicines 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 for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
We found the following examples of good practice.
The home was clean and tidy. Ornaments and other items which could not be easily cleaned had been removed and/or replaced. Staff understood the importance of good ventilation and windows were opened regularly during the day.
The provider was supporting people who used the service and staff to access regular testing, this included Lateral Flow Testing for staff.
The home was closed to non-essential visitors because of the coronavirus outbreak. Relatives had been kept informed and people were supported to keep in touch by telephone and video calls.
The manager was working closely with the local infection prevention and control team and Public Health England to make sure they were following the most up to date government guidance.