CQC report explained · a residential care home
What the CQC found at Rayners Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2017
Rayners Residential Care Home is rated Good; inspectors found safe, kind and personalised care, with minor improvements needed in activity records and staffing deployment.
This was an unannounced inspection on 29 September 2017. Inspectors spoke with 16 people living in the home, two relatives and staff. They observed care, checked the building and reviewed medicines, care plans, staff files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, risks were assessed, medicines were managed safely and enough staff were available during the inspection.
People and relatives described staff as kind and caring. Care plans were personalised and regularly reviewed. Food, access to health professionals, staff training and the building were also found to be good.
There were some areas to improve. Inspectors recommended looking at how staff were deployed. Activity records did not always match the planned programme, and records about duty of candour after serious injuries needed minor improvement.
Safe care
Staff understood how to recognise and report abuse and how to respond after incidents such as falls. Risks were recorded and reviewed, and medicines were checked carefully.
“People were protected from abuse and neglect. We found staff knew about risks to people and how to avoid potential harm.” from the report
Skilled staff
Staff received training and supervision in relevant areas, including dementia, palliative care, moving and handling, medicines and nutrition.
“People received care from staff with good knowledge and experience.” from the report
Kind and respectful care
People and relatives consistently praised the staff. Inspectors saw staff protect people's privacy, listen to their choices and support their independence.
“People's privacy and dignity was maintained.” from the report
Personalised care
Care plans covered individual needs, interests and health conditions. People and relatives were involved in care planning and reviews.
“This was a good way of ensuring people's care was personalised by staff.” from the report
Positive management
Staff said they felt supported and managers were approachable. The home used audits, meetings and feedback to check the quality of care.
“We found a range of audits and checks were used to measure the safety of care and quality of the service people received.” from the report
Staff deployment
needs fixingInspectors found enough staff during the visit, and people said help was available. However, they made a recommendation about how staffing was deployed.
“We made a recommendation about staffing deployment. Medicines management was safe.” from the report
Activity records
minorActivities were mostly recorded, but the records sometimes did not match the printed programme or were missing. Managers said this would be improved.
“We saw these were mostly recorded, but sometimes this did not align with the printed activities programme or records of what occurred during a day were absent.” from the report
Duty of candour records
minorRecords about the duty to be open with people and families after serious injuries needed minor improvement. The provider later sent evidence to the inspectors.
“When serious injuries occurred, the documentation for duty of candour required minor improvements to ensure that the service could demonstrate full compliance with the associated regulation.” from the report
- 01How have you changed staff deployment since the recommendation in this report?
- 02How do you make sure there are enough staff to meet people's needs at busy times and on every shift?
- 03How do you now record activities, and how do you check that the programme matches what actually happens?
- 04What activities and one-to-one support are available for a person with my relative's interests and abilities?
- 05What changes have you made to records about duty of candour after a serious injury?
This was an unannounced inspection covering all five CQC questions and providing ratings for the overall service. This explanation was written from the published report of 1 November 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 Rayners Residential Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Rayners Residential Care Home →
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 10 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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89 live-in carers within about an hour of Buckinghamshire
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.
Most charge £1,020 to £1,300 a week. 79 can care for a couple. 13 years' experience on average.
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“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.