Source · CQC inspection

Rushymead Residential Care Home

Type Social Care Org Region South East Last inspected 22 Nov 2023

Overall rating: Inadequate  View full CQC report

Domain ratings

Five CQC key questions
Safe
Inadequate
Effective
Good
Caring
Good
Responsive
Good
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 7 must-do 2 should-do

Must-do actions (7)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 7
Must do
Well-led
The provider must ensure that CQC is notified when changes occur in the management of the home.
Regulation: Regulation 15 Registration Regulations 2009 Notifications – notices of change
⚠ We were not always notified when changes occurred in the management of the home.
Must-do action 2 of 7
Must do
Well-led
The provider must ensure that CQC is notified of certain events, like safeguarding concerns.
Regulation: Regulation 18 Registration Regulations 2009 Notifications of other incidents
⚠ We were not always notified of certain events, like safeguarding concerns.
Must-do action 3 of 7
Must do
Safe
The provider must ensure that people are routinely supported by staff who have been recruited safely.
Regulation: Regulation 19 HSCA RA Regulations 2014 Fit and proper persons employed
⚠ People were not routinely supported by staff who had been recruited safely.
Must-do action 4 of 7
Must do
Safe
The provider must ensure that robust induction and checks for agency staff are implemented to protect people from risk.
Regulation: Regulation 18 HSCA RA Regulations 2014 Staffing
⚠ People were exposed to risk because there was a failure to implement robust induction and checks for agency staff.
Must-do action 5 of 7
Must do
Safe
The provider must ensure that people who use services and others are protected against the risks associated with unsafe or unsuitable premises through adequate maintenance, risk assessment and management, and that risks posed to people's health are routinely managed effectively.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ People who use services and others were not protected against the risks associated with unsafe or unsuitable premises because of inadequate maintenance, risk assessment and management. Risks posed to people's health was not routinely management effectively.
Must-do action 6 of 7
Must do
Safe
The provider must ensure that people are always protected from abuse and improper treatment.
Regulation: Regulation 13 HSCA RA Regulations 2014 Safeguarding service users from abuse and improper treatment
⚠ People were not always protected from abuse and improper treatment.
Must-do action 7 of 7
Must do
Well-led
The provider must ensure that governance systems are effective in monitoring and improving the service people receive, and that records are detailed, accurate and stored securely.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ Governance systems were ineffective in monitoring and improving the service people received. Records lacked detail, accuracy and were not always stored securely.

Should-do actions (2)

Recommended improvements to enhance service quality.

Should-do action 1 of 2
Should do
Safe
We recommend risks associated with medicines clearly support other care plans in place.
Should-do action 2 of 2
Should do
Responsive
We recommend the provider seeks advice from a reputable source on how and when to make timely referrals to external parties.

Previous inspection

4 April 2018
RatingGood
TypeInspection report
Actions None

Location details

CQC ID: 1-107383562
Local authority: Buckinghamshire
Region: South East

Inspection report

Type: Focused inspection
Date: 22 November 2023
Rating: Inadequate
Actions: 7 must-do 2 should-do
AI-extracted 17 Feb 2026