Raleigh Manor Care Home

Updated 21 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Raleigh Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Raleigh Manor is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. An interim manager had been in post for two months and was in the process of registering with the Care Quality Commission pending the arrival of a permanent manager in January 2023.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with six people who used the service and five relatives about their experience of the care provided. We spoke with 11 members of staff including the manager, deputy manager, deputy managing director, activities co-ordinator and a range of care and support staff. We carried out observations in communal areas of the home. We requested feedback from three health and social care professionals who work with the home.

We reviewed a range of records. This included four peoples care records, medicines administration records (MAR), four staff recruitment files, staff training records and other records related to the management of the service.

Updated 21 December 2022

About the service

Raleigh Manor is a residential care home providing personal and nursing care to up to 75 people. The service provides support to older people, younger adults and people living with dementia. At the time of our inspection there were 20 people using the service. Raleigh Manor is a purpose-built home providing support to people over three floors. At the time of the inspection, two floors were occupied. These were Ladram Lane, and Budleigh Walk, which specialised in providing care to people living with dementia.

People’s experience of using this service and what we found

There had been changes in the management of the service and staff team since it registered in July 2021. At the time of the inspection the provider’s regional director was managing the service, pending the arrival of a permanent manager in January 2023. People, relatives and staff spoke highly about the positive changes and consistency the interim manager had brought to the service over the previous two months. The interim manager told us they were developing a stable staff team and solid foundations, which would allow for steady growth. They felt the care was good, and the staff really cared about the people they supported.

Everyone we spoke with said they felt safe living at the home and there were enough staff to ensure people were kept safe. Risks to people's health and well-being were assessed and reviewed appropriately. Safety checks on the environment were in place and robust. Medicines were safely managed. Incidents and accidents were appropriately recorded and analysed for patterns and trends.

Staff were recruited and selected safely. They were appropriately trained and supervised to enable them to carry out their roles.

People said the staff were kind and caring. Comments included, “They are lovely girls, very pleasing” and, “The staff are very kind, they brought my food up when I wasn’t well.” We observed warm and familiar caring interactions between staff and people throughout the duration of our inspection.

Staff in all roles were passionate about the people living at Raleigh Manor and were highly committed to ensuring the best outcomes for them. They took time to understand and encourage the unique and individual needs of the people they supported and enabled them to play an active role in their home and community.

A busy activities programme was in place and was being further developed. This was having a positive impact on people's physical and mental health.

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.

There were systems in place to monitor the quality and safety of the service. People and their relatives were consulted and asked for their views.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This was the first rating for the service since the service was registered.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.