Resthaven Nursing Home

Updated 18 November 2020

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

The inspection was carried out by one inspector.

Service and service type

Resthaven Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission however, a new home manager had been identified and they planned to register with the CQC. This means that they, along with the provider, will be legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was announced. Due to pressures from the Coronavirus pandemic we gave the service 48 hours’ notice.

Inspection activity started on 26 October 2020 with a visit to the care home and continued with desktop activity which ended on 30 October 2020.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We reviewed information we had requested from the provider in relation to infection control and visiting arrangements. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and one relative, by telephone, about their experience of the care provided. We spoke with three members of staff, as well as the provider’s quality manager (interim manager of the service) and the Director of Care and Development (the Nominated Individual). The nominated individual is responsible for supervising the management of the service on behalf of the provider. We observed how staff engaged with people and their use of personal, protective equipment (PPE)

We reviewed a range of records. This included three people’s care records and selection of medicine records. We looked at staff meeting records including a selection of audits and the service’s continuous improvement plan.

After the inspection

We requested and received further information to help corroborate our findings during our visit. This included further records relating to the management of the service, including risk monitoring records, quality monitoring audits and checks and health and safety related records; inclusive of fire drills, staff evacuation training and the services fire safety procedure. We requested and received a copy of the provider’s current liability insurance certificate.

Updated 18 November 2020

About the service

Resthaven Nursing Home is a residential care home providing personal and nursing care to 31 people aged 65 and over at the time of the inspection. The service can support up to 42 people.

People were accommodated in one building made up of two wings. Each provided adapted facilities, ensuite bedrooms and communal rooms to relax and eat in. The service has its own secure outside space which adjoins surrounding countryside as well as ample car parking.

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

People told us they felt safe and able to talk with staff about anything that worried them and referred to the staff as being kind, friendly and helpful. A person’s representative told us they felt well informed, both about their relative’s health and the arrangements in place to protect their relative during the Coronavirus pandemic.

Two healthcare professionals told us they had felt reassured that people continued to receive appropriate care and treatment during the pandemic

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 coronavirus and other infection outbreaks effectively. We identified no concerns in relation to the cleanliness of the service or the actions being taken to protect people from Coronavirus or other potential infections.

A winter support plan was in place and people and staff were encouraged and supported to access the Flu vaccine.

People’s medicines were managed safely. There were processes in place to help managers monitor the safety of medicines and to identify areas which required improvement. People spoken with told us they received their medicines on time.

People were aware that a new home manager had been identified and that they were due to start in the new year. In the meantime, arrangements were in place to provide staff with leadership and support.

The provider’s quality monitoring systems had been effective in identifying areas of shortfall. Actions had been introduced to address these and drive improvement. Staff had been supported to understand their roles and responsibilities in this process. There was strong evidence to show that the provider was fully involved in supporting staff, improving team working and morale and monitoring progress against the improvement actions. Feedback was sought from people, relatives, professionals’ and staff and acted on to help improve the running of the service and people’s overall experience. One member of staff said, “We are all part of one team” and a senior manager said, ““The staff have been coming on the journey.”

Managers were proactive in introducing new and existing learning and were open to ideas which supported ongoing improvement of the service and which improved people’s experiences.

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

The last rating for this service was Good (published 27 November 2018).

Why we inspected

This was a planned focussed inspection looking only at the key questions, Safe and Well-led. This report only reports on the findings under those key questions. We reviewed the information we held about the service and no areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service remains Good.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Resthaven Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit again. If we receive any concerning information we may inspect sooner.