Quenby Rest Home

Updated 15 January 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.

Service and service type

Quenby Rest 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.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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.

During the inspection-

We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, deputy manager, cook, senior care workers and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and medicine records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 15 January 2020

About the service

Quenby Rest Home is a residential care home providing personal care to 23 people aged 65 years and over, some of whom are living with dementia. The service can support up to 25 people, across two floors in one adapted building.

There was 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.

Peoples experience of using this service and what we found

Quenby Rest Home had a homely, caring environment and promoted a positive and inclusive culture. Everyone we spoke with described the home as ‘family’ or ‘home from home’. Staff treated people with kindness and compassion and had developed positive relationships with them.

Systems and processes were in place to keep people safe. Staff had a good knowledge of how to protect people from potential abuse and promote their rights. Staff supported people to have maximum choice and control of their lives and they supported them in the least restrictive way possible, and in their best interests; the policies and systems in the service supported this practice.

The registered manager had a thorough recruitment and selection process in place to check potential new staff were suitable for the role. Staff had the right skills and competency, and knew people well. There were enough staff to meet people’s needs effectively. Staffing levels were flexible to support people to go out into the community or attend appointments and follow ups with healthcare professionals.

Staff looked after people’s healthcare needs in a pro-active way. People were provided with choices of food and drink that met their individual needs. Medicines were managed safely.

There were systems in place to check the quality and safety of the service. However, quality assurance systems needed further development to give a full overview of the service and inform an ongoing improvement plan. This would complete the quality monitoring cycle and show the service was continually driving improvement.

The registered manager was knowledgeable and inspired confidence in the staff team and led by example. Arrangements were in place to routinely listen to people, their representatives and staff and learn from their experiences and concerns. There was a strong emphasis on promoting good practice in the service and there was a well-developed understanding of equality, diversity and human rights and management and staff put these into practice.

Rating at last inspection

The last rating for this service was requires improvement (published 15 November 2018). 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 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.