Rushmore House

Updated 14 July 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Rushmore House 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. Rushmore House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. Inspection activity started on 20 June 2023 and ended on 27 June 2023. We visited the service on 20 and 21 June 2023.

What we did before the inspection

We reviewed information we had received about the home. 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 (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with 5 staff including the registered manager and care staff. We spoke with 4 people and 2 relatives about their views of the care provided. We reviewed the care records for 3 people, numerous medicines records, 3 staff recruitment and supervision files, records related to governance systems and processes and other documentation relevant to the running of the service. 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.

Updated 14 July 2023

About the service

Rushmore House is a care home providing personal care to up to 30 people. The home provides support to older adults and people living with dementia. At the time of our inspection there were 26 people living at the home.

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

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. However, we found not all capacity assessments and best interest records had been completed when required.

We have made a recommendation about record keeping for MCA and best interest decisions.

The registered manager and staff were open and honest, in dealing with concerns raised. The manager was competent and met required regulatory responsibilities. The registered manager used a range of governance systems to assess and monitor the quality of the service. Staff told us they were happy in their jobs and felt supported by the registered manager. We found some records had not always been completed.

We have made a recommendation about record keeping.

People received their medicines as prescribed, and we found safe systems were in place. Staff understood how to manage any risks to people and knew the processes to follow to manage any allegations of abuse. There were enough staff to meet people’s needs and keep them safe. Staff were recruited safely and received the training they needed. Staff followed infection prevention and control guidance to minimise risks related to the spread of infection. The home was worn and in need of being updated. The management had plans in place to renovate the home.

People and their relatives gave positive feedback about the home. People told us they received support from staff who were kind, respectful and well-trained. People were happy with the choice of food provided and mealtimes were pleasant and sociable. People’s healthcare needs were being met, with referrals made to healthcare professionals when needed.

Care plans were up to date, regularly reviewed and person centred to ensure people’s preferences and choices were being upheld. People were encouraged to visit the home and spend time with their loved ones. People told us they enjoyed the activities provided within the home.

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

Rating at last inspection and update

This service was registered with us on 14 February 2023, and this is the first inspection.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 20 and 21 June 2023.

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.