# Rushley House Retirement Home

*Operated by Thackray Care Services Limited.*

Rushley House Retirement Home is a CQC-regulated home-care agency in Morecambe.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Requires improvement |
| Well-led | Good |

Rating published: 24/10/2020

## Practical info

- Postcode: LA4 6RH
- Registered manager: Thackray, Robert
- Local authority: Lancashire
- Region: North West
- City: Morecambe
- Last CQC check: 30/Mar/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-04-02
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2022-04-02
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-04-02

### Other

- Finding
  - Evidence: Working in partnership with health and social care professionals, including developing a digital care planning system
  - Published: 2022-04-02
- Finding
  - Evidence: Safe visiting processes in place to maintain important relationships
  - Published: 2022-04-02
- Finding
  - Evidence: Registered manager described as visible, approachable and supportive; duty of candour principles embedded
  - Published: 2022-04-02
- Finding
  - Evidence: Care plans were regularly reviewed and provided personalised guidance for staff
  - Published: 2022-04-02
- Finding
  - Evidence: Staff treated people with care, patience and kindness; warm interactions observed between people, management and staff
  - Published: 2022-04-02
- Finding
  - Evidence: Thorough Infection Prevention and Control processes assured against COVID-19 transmission
  - Published: 2022-04-02
- Finding
  - Evidence: Improvements made to care plan recording, with respectful and positive language used in daily notes and care plans
  - Published: 2022-04-02
- **record_keeping** _(minor)_
  - Evidence: There was no formal activities programme and an absence of records around people's wishes in this area.
  - Published: 2022-04-02
- **governance** _(moderate)_
  - Evidence: the effectiveness of the provider's systems to monitor and oversee the quality of the service could be variable... not been effective in addressing the concern around activities
  - Published: 2022-04-02
- **person_centred_care** _(moderate)_
  - Evidence: it did not always support people to take part in a range of activities. We made a recommendation about this at the 2019 inspection.
  - Published: 2022-04-02

### responsive

- Finding
  - End of life care and support
  - Published: 2022-04-02
- Finding
  - Meeting people's communication needs
  - Published: 2022-04-02
- Finding
  - Planning personalised care to ensure people have choice and control
  - Published: 2022-04-02
- Finding
  - Supporting people to develop and maintain relationships and take part in activities
  - Published: 2022-04-02

### safe

- Finding
  - Staffing and infection prevention and control
  - Published: 2022-04-02

### well_led

- Finding
  - Duty of candour and working in partnership with others
  - Published: 2022-04-02
- Finding
  - Promoting a positive, person-centred, open and inclusive culture
  - Published: 2022-04-02
- Finding
  - Managers and staff being clear about their roles and understanding quality performance, risks and regulatory requirements
  - Published: 2022-04-02

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-123982953

HomeCare Compass is an independent guide and is not affiliated with the CQC.