Rushey Mead Manor Care and Nursing Home

Risks to people had been assessed and kept under review. Care plans were person centred and provided guidance for staff to follow to minimise risk and to promote people's safety, dignity and independence, as practicable.

People received their medicines as prescribed. When we identified risks the registered manager took immediate action to address this to ensure medicines were managed safely.

People were provided with a choice of food to encourage healthy and balanced diet. Individual food preferences, cultural and dietary requirements were met to maintain good health.

The service employed a nurse, who provided advice and support to staff when people's health was of concern. People were supported with their oral hygiene needs. The service worked in partnership with health care professionals. People were supported to access community health care services as and when required.

Staff recruitment processes promoted safety. New staff were inducted. Staff were fully trained and competent in their roles. There were enough staff employed to meet people's needs. Staff received feedback on their performance through regular supervisions.

Staff followed infection control procedures to keep people and visitors safe from the risk of contagious diseases.

Incidents and accidents were clearly recorded and actions were taken to learn from these and to reduce the risk of reoccurrence. Systems were in place to ensure the premises and equipment used in the delivery of care were serviced and maintained. People, relatives and staff spoke positively about the environmental improvements and decoration.

People were supported to have maximum choice and control of their lives and staff supported them in the

least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People received person centred care, and staff promoted and respected their preferences, cultural and diverse needs. Information was provided in forms people could understand. Staff were able to speak with people in their preferred language which was not English.

People had opportunities to follow their interests and hobbies and maintain relationships with their family and friends. Staff spent meaningful time with people who were cared for in bed to reduce the risk of isolation.

People and relatives knew how to complain. The complaints process was managed effectively in line with the complaints procedure.

People received compassionate and dignified end of life care in line with their wishes documented in their care plans.

The service was well managed. There were systems in place to monitor the quality of the service and improvements were made when required. Staff felt well supported and said the registered manager, care manager and provider were open and approachable. The service worked in partnership with outside agencies.