What the CQC found at Russell Green Care Home

Inspectors saw that staff responded promptly to call bells and had time to meet people's needs without rushing. Homecare users were also satisfied with call times.

“Throughout our inspection we saw call bells were responded to promptly and that staff had time to meet people's care and support needs without rushing.” from the report

People and relatives described staff as kind and gentle. Staff protected privacy and dignity and encouraged people to remain as independent as possible.

“The caring, attentive approach of staff was clearly appreciated by the people who used the service.” from the report

Care plans included people's preferences and were reviewed monthly. Activities were varied and adapted to people's interests and abilities, including for people living with dementia.

“We reviewed people's care plans and saw that they were well-organised and provided staff with detailed information on how to respond to each person's individual needs and preferences.” from the report

The report says the service had improved after a change of ownership. The registered manager had more authority, and staff worked in a friendly and supportive way.

“We were pleased to find that service quality had improved under the new owner and the rating is now Good.” from the report

A very small number of medicine administration records had not been signed. Senior staff checked that the medicines had been given, but the provider agreed that this should be recorded more clearly.

“We found a very small number of gaps in the MARs where staff had omitted to sign when they had administered a person's medicine.” from the report

One twin room was in use. The provider agreed to formalise and fully document the risks of people sharing a room, particularly where dementia was involved.

“Looking ahead, the registered manager agreed to formalise the risk assessment of any room sharing arrangements and ensure these were fully documented in people's care files.” from the report

The provider agreed to make the initial assessment of homecare users' medicine support more detailed and to improve records of medicines staff helped people take.

“To further improve practice in this area, the provider agreed to introduce a more detailed approach to the initial assessment of people's requirement for medicine support and the recording of any medicines staff assisted people to take.” from the report

Inspectors found some inconsistencies in senior staff's understanding of the role of people holding a Lasting Power of Attorney. Further training was planned.

“Although we were satisfied that that people's rights under the MCA were properly protected, we found some inconsistencies in the provider's understanding of the role of people who held a Lasting Power of Attorney (LPA) for someone who used the service.” from the report