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CQC report explained · a residential care home

What the CQC found at Rushes House Care Home

Goodpublished 16 August 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe medicines management, safeguarding arrangements and regular safety checks. One staff risk assessment was not robust or detailed, but the manager corrected it immediately.
Effective?
Good
People's needs were assessed and reviewed, staff received training and supervision, and people were supported with food, drink and healthcare. People were involved in decisions about their care.
Caring?
Good
Staff treated people with dignity, kindness and respect. Inspectors saw staff asking for consent, offering choices and supporting people's independence.
Responsive?
Good
Care plans reflected people's preferences, communication needs and life histories. People were offered individual and group activities, trips out and opportunities to maintain relationships.
Well-led?
Good
Inspectors found visible management, regular audits and a clear person-centred culture. Feedback from people, relatives and staff was consistently positive about the improvements.
The latest report, explained

What inspectors found, August 2023

Rushes House Care Home was rated Good; inspectors found kind, personalised care and strong improvements, with one staff risk assessment needing better detail.

Inspectors visited without notice on 25 and 26 July 2023. They spoke with seven people, two relatives and five staff. They also checked care and medicines records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were treated with kindness and respect, involved in decisions, supported to stay healthy and offered a wide range of activities.

The home was newly registered with the provider, so this was its first inspection. The report says the previous provider had received an Inadequate rating, published on 4 November 2022. Inspectors found that the new provider and management team had made significant improvements.

What inspectors praised
  • Personalised care

    People helped develop and review their care plans. Plans included their preferences, choices, family background and social interests.

    “People were involved in the development and review of their own care and support plans.” from the report
  • Kind and respectful staff

    Staff were observed to treat people with dignity and kindness. They asked for consent, explained what they were doing and supported independence.

    “Consent was always gained, choices and explanations always offered, and reassurances given at all times.” from the report
  • Activities and relationships

    The home offered many activities, events and trips based on people's interests. Relatives and friends were welcomed and encouraged to join in.

    “People enjoyed an excellent variety of activities, events and trips out that were organised to help reduce social isolation and enhance people's health and wellbeing.” from the report
  • Improved leadership

    The new provider and management team introduced governance arrangements quickly. Inspectors found a visible, person-centred culture and evidence of action when improvements were needed.

    “They had implemented governance arrangements quickly and had turned around the home in a short period of time and to a high standard.” from the report
What inspectors were concerned about
  • One staff risk assessment lacked detail

    minor

    Inspectors found one staff member's risk assessment was not robust or detailed. The manager remedied this immediately, but families may wish to ask how such checks are now reviewed.

    “We found one staff member had a risk assessment in place; however, this was not robust and detailed.” from the report
Questions to ask them, based on this report
  1. 01How are staff risk assessments checked now to make sure they are complete and detailed?
  2. 02How do you make sure the staffing level remains sufficient as more people move into the home?
  3. 03How often are each person's care plans reviewed with them and their relatives?
  4. 04Which activities and trips are currently available, and how are they matched to each person's interests?
  5. 05How will you keep track of the improvements made since the previous provider's Inadequate rating?

This was an unannounced first inspection of the newly registered service and covered all five CQC questions, including care, the premises and infection prevention and control. This explanation was written from the published report of 16 August 2023 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.

The story over the years

Every inspection of Rushes House Care Home

5 rated inspections over 7 years: the service has held its Good rating throughout.

  1. August 2023Goodcurrent ratingup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rushes House Care Home →

  2. November 2022Inadequatedown from Good
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
  3. July 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. June 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  6. June 2023

    Registered with the Care Quality Commission on 21 June 2023.

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.

Next steps

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At least 100 live-in carers within about an hour of Stockport

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Most charge £980 to £1,260 a week. 88 can care for a couple. 10 years' experience on average.

“Primrose is a very kind and compassionate healthcare professional”
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See live-in carers near StockportProfiles, rates and reviews are free to look at.

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