CQCH Report Summary – Updated 22 October 2016
Russell Court Nursing Home provides personal care, including nursing care and accommodation for up to 41 people. On the day of the inspection 39 people were using the service.
We last carried out a comprehensive inspection of this service on 17, 18 and 23 February 2015 and we found two breaches of regulation.
We carried out an unannounced comprehensive inspection on 7 September 2016 to check on areas of concern identified at the previous inspection. This report covers our findings at the inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Russell Court Nursing Home on our website at www.cqc.org.uk – The full report may be downloaded from the CQC website here:
The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People received safe and appropriate care. However, on the day of inspection there was a shortage of three care staff due to last minute sickness absence. The registered manager had failed to get cover to ensure there was sufficient staff on duty. The provider used a robust process to recruit staff suitable to support people at the service. The provider had recruited sufficient nurses for the service and was in the process of recruiting more care staff.
Staff knew how to protect people from abuse and neglect. People received their medicines safely as prescribed.
Staff assessed and reviewed people’s needs and put plans in place to support them. Staff identified risks to people’s health and sufficient guidance was in place for staff on how to manage those risks safely.
People were supported to follow their hobbies and interests. People took part in individual and group activities which they enjoyed at the service and in the community. People had a choice of meals and enjoyed the food provided at the service.
The registered manager ensured staff understood their role and responsibilities. Staff felt supported to develop their skills and knowledge to meet people’s needs. Staff received regular supervision and appraisal to ensure they met people’s needs. Staff discussed their learning and development needs and received in-house and external training to address any knowledge gaps.
People were supported in line with the requirements of the Mental Capacity Act 2005. Staff asked people for their consent to the care and support they received. The registered manager ensured decisions were made in people’s ‘best interests’ if they were unable to do so. Staff upheld people’s rights and appropriately supported them without unlawfully restricting their liberty and freedom.
People told us staff were kind and caring and treated them with respect. Staff upheld people’s dignity and respected their privacy. Staff knew people well and understood how to communicate with them so they could be involved in identifying their needs and planning their support.
Staff involved people and their relatives where appropriate in the planning and delivery of their care. People received support that reflected their choices and preferences.
The service worked in partnership with healthcare professionals to ensure people received appropriate care and treatment. People received the support they required to take their medicines safely. Medicines were securely stored and administered in line with people’s prescriptions.
The registered manager held regular meetings with people, relatives and staff to obtain their views about the service. The registered manager listened to their views and acted on their suggestions to develop the service. People knew how to make a complaint and felt confident to raise a concern with the registered manager or staff.
The registered manager reviewed the quality of the service and took action.