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CQC report explained · a nursing home

What the CQC found at Rutland Care Village

Goodpublished 10 January 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 people were protected from avoidable harm. Staff understood safeguarding, medicines were managed safely and infection control arrangements were effective, but one repositioning chart was not always completed.
Effective?
Good
This question was not inspected during this visit. The report says the previous rating was used to calculate the overall rating.
Caring?
Good
This question was not inspected during this visit. The report says the previous rating was used to calculate the overall rating.
Responsive?
Good
This question was not inspected during this visit. The report says the previous rating was used to calculate the overall rating.
Well-led?
Good
Inspectors found clear management systems, good relationships with staff and healthcare professionals, and regular checks on the quality of the service.
The latest report, explained

What inspectors found, January 2023

Rated Good; inspectors found safe, caring support and strong leadership, but one repositioning record was not always completed.

This was an unannounced inspection on 15 November 2022. It was prompted partly by concerns about people's safety. Inspectors found no evidence that people were at risk of harm from those concerns.

Inspectors spoke with people, relatives, staff and a healthcare professional. They reviewed care records, staff records and management records. They rated Safe and Well-led as Good.

The home was clean, well-staffed and described as happy and homely. Staff understood people's needs, supported medicines safely, worked with healthcare professionals and responded to concerns about people's wellbeing.

This was not a full inspection of all five areas. Effective, Caring and Responsive were not inspected at this visit. Their previous ratings from the 2020 inspection were used to calculate the overall Good rating.

What inspectors praised
  • Safeguarding

    Staff knew how to recognise and report concerns. Managers worked with the local authority to investigate concerns and protect people from harm.

    “Staff followed the provider's safeguarding policy and procedure.” from the report
  • Staffing and knowledge

    The home had nurses and care workers, including permanent and bank staff. Staff were trained, supervised and understood people's needs.

    “The service was well-staffed with permanent and bank staff.” from the report
  • Medicines

    Inspectors observed safe medicines administration. Medicines were stored correctly and staff had training and competency checks.

    “The staff member followed the principles of safe administration.” from the report
  • Leadership and partnership

    The home had effective governance systems and good working relationships with healthcare and social care professionals.

    “The service had clear and effective governance, management and accountability arrangements.” from the report
What inspectors were concerned about
  • Repositioning records

    needs fixing

    One person needed repositioning every four hours, but staff had not always completed the chart. Inspectors said this meant there was no record to prove the required frequency had been followed, although the person had not developed pressure damage.

    “One person at risk of pressure damage needed re-positioning every 4 hours. However, staff had not always completed their re-positioning chart.” from the report
  • Staff file record

    minor

    Staff files were mostly complete, but one file did not have a recent photograph. The photograph was supplied after the inspection.

    “Staff files were mostly complete. One staff member did not have a recent photograph on their file.” from the report
  • Choice of seating

    minor

    Some people wanted to sit at separate tables rather than one large communal table for lunch. The manager said they would consult people and consider changes.

    “Some people said they would prefer to sit at separate tables in small groups.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure repositioning charts are completed every four hours when required?
  2. 02What changes were made after people asked to sit at separate tables in smaller groups?
  3. 03What were the findings and ratings for Effective, Caring and Responsive at the last comprehensive inspection?
  4. 04How do you monitor whether safety concerns, falls and other incidents lead to lasting improvements?
  5. 05How many permanent staff and bank staff usually work on the unit my relative would use?

This was a focused inspection of Safe and Well-led, including infection control; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 10 January 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.

An earlier report, explained

What inspectors found, April 2020

Rutland Care Village was rated Good; inspectors found safe, kind and personalised care, but medicines records were not always complete.

This was an unannounced inspection on 20 January and 7 February 2020. The inspection team spoke with people living at the home, relatives, care staff and a social care professional. They reviewed care records, medicines records, recruitment files, training records and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff at the time of the inspection, safe recruitment, suitable training, clean surroundings and systems for managing risks and safeguarding people.

People were described as safe and well cared for. Staff knew people's preferences and supported their choices, communication needs, activities and relationships. The home was rated Good at the previous inspection in July 2017 and remained Good.

What inspectors praised
  • Safe care and staffing

    Inspectors found enough staff to meet people's needs at the time of the inspection. Recruitment checks were completed before staff worked with vulnerable people.

    “There were enough staff deployed to meet people's needs.” from the report
  • Kind and respectful staff

    Staff knew people well and were observed supporting them with kindness, attention and respect. People's privacy and personal choices were respected.

    “Our observations showed staff were kind, caring, friendly and attentive.” from the report
  • Personalised support

    Care plans described people's abilities, preferences and how staff should support them. People's needs were reviewed and plans were changed when needed.

    “Care plans provided staff with descriptions of people's abilities and how they should provide support in line with people's preferences.” from the report
  • Clean surroundings

    The home was clean and tidy, and staff used protective clothing to help reduce infection risks.

    “The home was clean, tidy and free from unpleasant odours.” from the report
  • Activities and choice

    People had access to a range of activities, including an adjoining day centre and interactive technology for people living with dementia.

    “People told us they enjoyed a wide range of activities.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Although medicines were given safely and as prescribed, records were not always complete for PRN medicines and topical creams. The manager said procedures would be reviewed.

    “However, it was noted that not all PRN and topical creams were recorded adequately during administration.” from the report
Questions to ask them, based on this report
  1. 01What changes were made to the recording of PRN medicines and topical creams after the inspection?
  2. 02How do you now check that all PRN and topical cream administrations are recorded correctly?
  3. 03How many staff are normally on duty on day and night shifts, and how is this adjusted when people's needs change?
  4. 04How are care plans reviewed when a person's health, mobility, nutrition or communication needs change?
  5. 05What activities are available, and how can a resident access the adjoining day centre?

This was an unannounced inspection covering all five key questions, with the home, care and management systems looked at. This explanation was written from the published report of 10 April 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.

The story over the years

Every inspection of Rutland Care Village

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

  1. January 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rutland Care Village →

  2. April 2020Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Rutland Care Village →

  3. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. October 2014Inspected but not rated

    Read this report on cqc.org.uk

  6. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. January 2011

    Registered with the Care Quality Commission on 20 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.

Next steps

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48 live-in carers within about an hour of Rutland

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Most charge £980 to £1,310 a week. 42 can care for a couple. 13 years' experience on average.

See live-in carers near RutlandProfiles, rates and reviews are free to look at.

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