CQC report explained · a nursing home
What the CQC found at Astune Rise Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks, safeguarding, medicines, staffing, recruitment and infection control were managed effectively. They found enough staff to support people safely.
- Effective?
- Good
- People's needs and preferences were assessed, and staff worked with external professionals. Staff received regular training, supervision and appraisal, and consent was managed in line with the law.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff involved people in decisions, supported independence and helped people maintain important relationships and faith practices.
- Responsive?
- Good
- Care was personalised and reviewed with people and relatives. The home offered activities, supported communication needs, responded to complaints and provided end of life care that reflected people's wishes.
- Well-led?
- Good
- Inspectors found an open and caring culture. The manager and provider used audits and feedback to monitor standards, addressed issues quickly and worked well with external professionals.
What inspectors found, February 2020
Rated Good in all five areas; inspectors found safe, kind and personalised care with effective leadership.
This was a planned, unannounced inspection on 14 February 2020. Inspectors reviewed care and medicine records, staff recruitment and supervision records, and the home's management systems. They spoke with people, relatives, staff and external professionals, and observed care.
Inspectors found that people were safe and that risks, medicines, staffing and safeguarding were managed effectively. Staff had suitable training and support. People received kind, respectful care and were involved in decisions about their support.
The home provided personalised care, activities and support with communication, eating and drinking, and end of life care. Inspectors also found good systems for handling complaints, checking quality and working with outside professionals.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. Its previous rating was also Good, published on 15 July 2017.
Safe medicines management
Inspectors found effective arrangements for ordering, storing and giving medicines. Staff had the training and support needed to manage them safely.
“Medicines were managed safely. Effective systems were in place to order, store and administer medicines.” from the report
Kind and respectful care
People were treated with dignity and respect. Inspectors saw compassionate interactions and found that people were supported to keep their independence.
“Throughout the inspection we saw kind and compassionate interactions between people and staff.” from the report
Personalised support
People and relatives were involved in regular care reviews. Support was based on people's assessed needs, preferences and choices.
“People received personalised support based on their assessed needs and preferences.” from the report
Good leadership and oversight
The manager and provider used audits, feedback and learning activities to monitor and improve the service. Staff, relatives and external professionals spoke positively about the leadership and partnership working.
“The registered manager and provider carried out a number of audits to monitor and improve standards at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01What changes will the refurbishment programme make for people living with dementia, and when will the work be completed?
- 02How do you make sure there are enough staff when someone is off sick or on holiday?
- 03How will my relative's care plan be reviewed, and how will they and our family be involved?
- 04Which activities would suit my relative's hobbies, interests and communication needs?
- 05How do you make sure decisions are made in my relative's best interests if they cannot make a particular decision themselves?
This was a planned, unannounced inspection covering all five CQC questions, and the report says the previous Good ratings remained the same. This explanation was written from the published report of 29 February 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, July 2017
Rated Good; inspectors found safe, kind and personalised care, with some care plans still being updated.
Inspectors visited on 30 May 2017 without warning and returned on 7 June 2017 with the visit announced. They spoke with people, relatives and staff, and reviewed care plans, medicines records, staff files and other records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found medicines were managed safely, staffing levels were reviewed, staff were trained, and people were treated with dignity and kindness.
The home had improved since the previous inspection in April 2016. Earlier problems with medicines, staffing, care records and activities had been addressed. Inspectors found that care plans were regularly reviewed, although some still needed more information about people's abilities and preferred activities.
Safe medicines
Medicines records were complete in the sample checked. Storage, stock checks and controlled medicines were managed safely.
“MARs we reviewed had been fully completed with no gaps and using appropriate recording where medicines had not been given.” from the report
Kind and respectful care
Staff respected people's privacy, dignity and preferred names. Inspectors saw staff offering reassurance and encouraging independence.
“We saw numerous examples of kind and caring support during our inspection.” from the report
Personalised support
The home used people's life histories, needs and preferences to plan their care. Reviews checked whether plans still reflected people's choices.
“People and their relatives told us they received personalised care based on their needs and preferences.” from the report
Activities improved
Since the previous inspection, an activities co-ordinator had been appointed. People could choose from regular activities and suggest new ones.
“Since our last inspection in April 2016 an activities co-ordinator had been appointed.” from the report
Strong oversight
The management team used audits, meetings and feedback to identify and address issues. Important events were reported to CQC in good time.
“The registered manager and deputy manager carried out a number of quality assurance audits to monitor and improve standards at the service.” from the report
Some care plans lacked detail about abilities
needs fixingSome care plans focused on support needs and contained little information about what people could do or wanted to do for themselves. The manager said these plans were being reviewed and updated.
“Some care plans we looked at had lots of information on the people's support needs but little on what they could and would like to do for themselves.” from the report
Cracked pavement awaiting repair
minorA health and safety audit identified a cracked pavement near the kitchen. At the inspection, it was still being repaired.
“A health and safety audit from the same month identified a cracked pavement near the kitchen, which the registered manager said was in the process of being repaired.” from the report
- 01Have all care plans been updated to describe what each person can do and would like to do for themselves?
- 02Has the cracked pavement near the kitchen now been repaired?
- 03How are staffing levels reviewed when people's needs change or staff are absent?
- 04How are medicines records and storage temperatures checked now?
- 05What activities are currently available, and how are residents' suggestions used?
This was an inspection of the overall service covering all five CQC questions, and it found that improvements required after the April 2016 inspection had been made. This explanation was written from the published report of 15 July 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Astune Rise Nursing Home
4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- June 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
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