The Rise Care Home

Updated 17 May 2022

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 Care Act 2014.

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 carried out by one Inspector.

Service and service type

The Rise Care Home 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. The Rise Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 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 also reviewed additional information we held about the service, this included previous inspection reports and statutory notifications. A statutory notification contains information about certain incidents and events the provider is required to notify us about by law.

During the inspection

We spoke with nine members of staff which included the registered manager, the deputy manager, care staff, activities staff and administrative staff. We also spoke with the Nominated Individual who was also the Registered Provider of the service. We spoke with five people who lived at the service, and observed some interaction between people and staff, however this was limited as the service was in a Covid-19 outbreak at the time of our inspection.

We met with one person who was visiting a person who lived at The Rise Care Home and spoke with one visiting professional from the District Nursing team. We reviewed a range of records, including peoples’ care records, staff recruitment files, records relating to safety checks including fire safety, complaints records, accident and incident records. We also reviewed medicines records and records relating to monitoring and quality assurance. Following our site visit we spoke with four people’s relatives. We also received further clarification and documentation from the service to validate evidence found.

Updated 17 May 2022

About the service

The Rise Care Home is a residential care home close to Dawlish, Devon. It is registered to provide accommodation and personal care for up to 36 people. At the time of our inspection there were 27 people using the service.

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

People told us they felt safe and both relatives and healthcare professionals spoke positively of the service. Risks of abuse to people were minimised because the service had safeguarding systems and processes. Staff understood safeguarding reporting processes. The service was adhering to current UK Government guidance relating to the management of Covid-19.

There were effective systems that ensured the service was safe. Health and safety checks, together with effective checks of the environment were completed. People’s medicines were safely managed, pre-employment recruitment checks were undertaken and there were sufficient staff on duty.

People were supported by staff who had the skills and knowledge to meet their needs. Staff understood their role and received a continual training package. Nutritional risks were identified and managed. Staff at the service worked together with a range of healthcare professionals to achieve the best outcomes for people and followed professional advice to achieve this.

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. There were systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority.

People were supported by staff that were caring, compassionate and treated them with dignity and respect. Staff understood the needs of the people they supported and were clearly committed to providing people with the best possible quality of life. All the feedback we received from people living at the service was positive about the care they received and the staff that supported them.

People and their relatives felt that concerns and complaints would be listened and responded to. Accidents, incidents and complaints were used as opportunities to learn and improve the service. People had the opportunity to be involved in an activities programme if they wished. People were supported at the end of their lives through advanced care and treatment planning.

People, their relatives and healthcare professionals gave us positive feedback about the quality of care people received. The feedback about the registered manager was positive. There were systems to obtain feedback from people, their relatives and staff. Quality monitoring systems included audits, observation of staff practice and regular checks of the environment to ensure people received optimal care. Good relationships had been built with external healthcare professionals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inpection

This service was registered with us on 2 February 2021 and this is the first inspection.

The last rating for the service under the previous provider was Good, published on 21 September 2018.

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.

Follow Up

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