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CQC report explained · a residential care home

What the CQC found at The Rise Care Home

Goodpublished 17 May 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected by safeguarding procedures, risk assessments, safety checks and sufficient staffing. Medicines were managed safely, although inspectors found and corrected a minor oversight involving a newly prescribed as-required medicine.
Effective?
Good
Staff had training, supervision and the skills to meet people's needs. Nutrition risks were managed, but some people and relatives gave mixed feedback about food presentation and temperature.
Caring?
Good
People, relatives and staff described kind and respectful care. Inspectors saw people being offered choices and said staff supported privacy, dignity and independence.
Responsive?
Good
Care plans were personalised and regularly reviewed. People could choose activities, and the home supported communication needs, visits and end-of-life wishes.
Well-led?
Good
People, relatives and staff had confidence in the management. The home used audits, feedback and incident reviews to monitor quality and make improvements.
The latest report, explained

What inspectors found, May 2022

Rated Good; inspectors found safe, kind and well-organised care, with minor issues around food, staff appraisals and one recruitment record.

This was the first inspection since the home was newly registered in 2021. It was unannounced and took place on 12 and 14 April 2022. One inspector spoke with people, relatives, staff and a healthcare professional, observed care where possible, and checked care, medicine, recruitment, safety and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe and were positive about the care. Inspectors found enough staff, safe medicine systems, suitable risk assessments, personalised care plans and good links with healthcare professionals.

The inspection took place during a Covid-19 outbreak, so observations of staff and people were limited. The home had infection control measures in place and used a visiting pod so families could continue to visit safely. Inspectors noted some minor issues, including mixed feedback about food presentation and temperature, some incomplete staff appraisals and a missing written reference that needed recording.

What inspectors praised
  • Safe staffing

    Inspectors found enough staff to meet people's needs and saw call bells answered promptly. Recruitment checks were generally completed safely.

    “There were sufficient staff on duty to meet people's needs.” from the report
  • Kind and respectful care

    People and relatives were very positive about the care. Inspectors found that staff knew people well and respected their choices, privacy and dignity.

    “People were supported by staff that were caring, compassionate and treated them with dignity and respect.” from the report
  • Personalised support

    Each person had a care plan covering their needs, risks, preferences, interests and lifestyle. These plans were reviewed when people's needs changed.

    “Every person at the service had a care plan personalised to them.” from the report
  • Family visiting during Covid-19

    The home had a visiting pod, which allowed families to visit safely during an outbreak. Inspectors saw it being used on both inspection days.

    “The service had developed a visiting pod which ensured visits from family and friends could occur even if there was an outbreak.” from the report
  • Activities and social contact

    People could choose from activities such as baking and quizzes. The activities team also supported people who stayed in their rooms with one-to-one time.

    “People who did not leave their rooms were also supported with one to one care by the activities team.” from the report
What inspectors were concerned about
  • Food consistency

    minor

    Some people and relatives said food was not always consistent in how it looked or its temperature. Management knew about this and was addressing it through recruitment and new kitchen equipment.

    “We received some mixed feedback from people and their relatives about the food being inconsistent in presentation and temperature.” from the report
  • Staff appraisals

    minor

    Annual appraisals had not been completed for some staff. Management said this was being addressed.

    “The registered manager told us that annual appraisals were not completed with some staff, but this was being addressed.” from the report
  • Recruitment record

    minor

    A written reference had not been received for one recruitment file despite several requests. Inspectors discussed the need to record this properly.

    “We discussed the need to record the fact a written reference had not been received despite multiple requests.” from the report
  • As-required medicine record

    minor

    One newly prescribed as-required medicine did not initially have all the required information available. The deputy manager corrected this during the inspection.

    “We identified a minor oversight in relation to a newly prescribed 'as required' medicine that was rectified by the deputy manager.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to keep food presentation and temperature consistent?
  2. 02Have annual appraisals now been completed for all staff?
  3. 03How do you make sure every recruitment file records the outcome when a written reference cannot be obtained?
  4. 04How will family visits work during a Covid-19 outbreak or other infection outbreak?
  5. 05How do you check that newly prescribed as-required medicines have complete protocols before they are given?

This was the first comprehensive inspection under the home's new registration and covered all five key questions, but observations were limited because the home was experiencing a Covid-19 outbreak. This explanation was written from the published report of 17 May 2022 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 The Rise Care Home

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. May 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Rise Care Home →

  2. September 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. February 2021

    Registered with the Care Quality Commission on 2 February 2021.

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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Most charge £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.

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