Random inspection report
Care homes for older people
Name: Address: Ruishton Court Nursing & Residential Home Ruishton Court Nursing & Residential Home Henlade Taunton Somerset TA3 5LT two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jane Poole Date: 1 5 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Ruishton Court Nursing & Residential Home Ruishton Court Nursing & Residential Home Henlade Taunton Somerset TA3 5LT 01823443443 01823443443 ruishtoncourt@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ruishton Court Ltd care home 33 Number of places (if applicable): Under 65 Over 65 33 old age, not falling within any other category Conditions of registration: 0 Elderly persons of either sex, not less than 60 years, who require general nursing care Up to three persons of either sex, over the age of 50-59 years, who require general nursing care Up to 3 places for personal care Date of last inspection Brief description of the care home Ruishton Court Nursing Home provides general nursing care and personal care for up to 33 older people. The home is on the outskirts of Taunton set in large wellmaintained grounds, which are accessible by wheelchair via a ramp at the front door. The home is formed from a converted hundred-year-old house; accommodation is on three floors with connecting shaft lift. The home has twenty-two rooms used as single occupancy and four double rooms. All rooms have en suite facilities. There are communal dining rooms and two main lounges on the ground floor. There is a
Care Homes for Older People Page 2 of 8 Brief description of the care home Registered Nurse on duty at all times. Care Homes for Older People Page 3 of 8 What we found:
This inspection was carried out by two inspectors over a 5 hour period. The purpose of the inspection was to look into concerns raised about standards of care at the home. At the time of this visit there were 24 people living at the home. During the morning there was one registered nurse on duty, 6 care assistants, an activity worker and ancillary staff. The registered manager and provider were also working at the home. As part of the inspection we, the Commission, were able to tour the building, talk with people living and working at the home, observe care practises, view duty rotas and a sample of three care plans. Staff spoken with said that staffing levels in the home were variable and duty rotas seen confirmed this. Staff said that there was adequate staff to ensure that everyone received basic care but limited opportunities to spend quality time with people. The manager stated that they were in the process of recruiting new staff. Staff also stated that there had been limited opportunities for training and supervision in recent months. The home are actively recruiting a new member of staff who will coordinate staff training and supervision. What the care home does well: What they could do better:
There appeared to be a lack of leadership and organisation on the morning of the inspection. Some people living at the the home were still in bed until almost lunch time. Care plans did not give details of peoples preferred routines and therefore there was no rationale for when people were assisted to get up and dressed. When questioned one member of staff said Its just the routine. One person told us that they liked to get up at 9 oclock and they are usually able to do so, unless there are not enough staff to help them. There were no specific care plans giving guidance for the assistance individuals required during the night. The homes accident book was seen and this showed that several falls occurred in the late evening and very early morning. The home need to provide more person centred care to ensure that people receive care that is personal to them and takes account of their wishes and needs. Routines in the home should be based around the choices and needs of people living there. Peoples
Care Homes for Older People Page 4 of 8 preferences should be recorded in care plans to enable staff to organise routines around individual preferences. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 (1) Care plans must be 30/11/2009 created in consultation with the person living at the home and/or their representative. They should contain up to date information about people needs, wishes and preferred routines. To ensure that people receive care in their preferred manner and to enable any routines in the home to be based around individual needs and choices. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
