Archived: Rainbow Lodge Nursing Home

Updated 7 April 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.

Inspection team

This inspection was carried out by one 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

Rainbow Lodge 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. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the CQC. 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.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection we looked at information we held about the service. This information included the last inspection report and statutory notifications that the provider had sent to us. Statutory notifications include information about important events which the provider is required to send us by law. The registered manager had completed a Provider Information Return [PIR]. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection-

We spoke with both providers, one of whom was the registered manager, the deputy manager, one nurse, the activities coordinator, an art therapist, one cook, three care staff and six people using the service.

We reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of five people using the service, four staff employment records, staff training records, medicines administration records and a range of quality monitoring records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We also spoke with three people’s relatives and one social care professional.

Updated 7 April 2020

About the service

Rainbow Lodge Nursing Home is a care home providing personal and nursing care for people living with mental health needs. The service is registered to support up to 20 people. The provider informed us that to ensure each person had a single bedroom they currently provided care for up to 15 people and would be applying to us to change the numbers they are registered for. Rainbow Lodge Nursing Home is a large adapted building located near public transport and a range of amenities. There is an accessible enclosed garden.

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

Staff knew people well and engaged with them in a kind and friendly manner. People spoke in a positive way about the staff who supported them.

People's care and support needs were assessed before they started to use the service. Each person had an up to date personalised support plan. People were fully involved in the planning and review of their care and support.

Staff received the training and support they needed to enable them to provide people with effective personalised care.

People received the support and encouragement they needed to stay healthy and had access to healthcare services.

People were protected from the risks of harm, abuse and discrimination. Staff knew what their responsibilities were in relation to keeping people safe. Staff respected people's privacy and dignity and understood and valued people’s differences.

People had a choice of meals and drinks. Systems were in place to ensure that people received their prescribed medicines safely.

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 services supported this practice.

Staff encouraged and supported people to participate in activities of their choice, and to maintain relationships with people that mattered to them.

There was a relaxed atmosphere in the home. Relatives told us they could visit anytime and always felt welcomed. People, staff and relatives spoke positively about the management team, and the running of the service.

Systems were in place to assess and monitor the quality and delivery of care to people. Improvements to the service were made when needed. The registered manager understood their regulatory responsibilities.

We have made a recommendation about the management of complaints.

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 08 August 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.