19 May 2023
During an inspection looking at part of the service
Rathmore Care Home is a residential care home providing personal care for up to 8 older people. There were 8 people using the service at the time of the inspection. The service is provided from a large property close to the town centre, with communal areas and provides people with their own private bedrooms.
People’s experience of using this service and what we found
The provider did not take a systematic approach to assessing staffing levels. Governance systems had not been operated effectively. Staff had not received practical training and the management of risk was not always safe. Staff were recruited safely and the home was clean and maintained.
The provider had not held any meetings with staff, people using the service or relatives, to gain feedback about the service provided. Some practices were not person-centred. The service worked with other agencies and was receptive to feedback.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 4 March 2020).
Why we inspected
We received concerns in relation to the management of risk and people’s care needs. As a result, we carried out a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rathmore Care Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to staffing, safe care and treatment, person-centred care and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.