Archived: Ridgway House

Ridgway House is a residential care home providing personal and nursing care for up to 35 people with dementia, mental health, physical disabilities and sensory impairments in one adapted building. At the time of the inspection 25 people were using the service.

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

Risk assessments required improvement. Not all known risks to people had documented risk assessments in place. However, staff knew people well and knew what to do to keep them safe.

Medicine administration required improvement. Medicine administration records did not always contain enough detailed instructions on them to ensure staff had all the relevant information to give medicines as prescribed.

Oversight of the service required improvement. Not all concerns found on inspection had been identified. The provider had recently completed an audit and was in the process of putting actions into place to improve the quality. However, this had not been completed during the inspection.

People were supported by kind staff who knew them well. All staff had been safely recruited and received regular support from the management team.

People were protected from abuse, systems and processes were in place to identify and report any abuse or harm.

People were protected from infection. Staff wore appropriate personal protective equipment and the home appeared clean and odour free.

Complaints were dealt with appropriately and people knew how to complain if they needed to.

The management and staff were open and transparent throughout the inspection. They agreed to ensure changes were made to improve the service.

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 26 April 2019)

Why we inspected

The inspection was prompted in part due to concerns received about care and support. As a result, we undertook a focused inspection to review the key questions of safe and well-led only

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

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 coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ridgway House on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to risk assessments, medicines and oversight of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Ridgway is a residential care home that can provide residential care for up to 35 older people including people living with dementia, physical disabilities and sensory impairments. At the time of inspection 28 people were using the service.

People’s experience of using this service:

¿ People told us they felt safe.

¿ The provider followed safe staff recruitment procedures. Records confirmed that Disclosure and Barring Service (DBS) checks were completed before staff started employment, however, some staff had not had an DBS update for over 10 years. Staff did complete an annual form confirming they had no criminal convictions.

¿ People were at the centre of everything the staff did and were consulted about all aspects of their care.

¿ People told us staff were always available to meet their needs.

¿ Staff received suitable training to understand their roles and responsibilities and gain skills to complete their job.

¿ People had risk assessments in place. Each person’s risks had been identified and had appropriate guidance to staff about how to safely manage people’s risks.

¿ People and their relatives told us they received their medicines appropriately, staff were trained in medicines management and had their competency to administer medicines assessed before they were able to administer people their medicines.

¿ People’s care needs were assessed before they moved into the service, to ensure that effective care could be delivered to them.

¿ People's diverse needs were detailed in their care plans. This included support required in relation to their culture, language, religion, lifestyle choices, health and diet, this meant staff had a good knowledge of each person, and their preferences.

¿ Staff were aware when people had dietary concerns and monitored and supported people to have those needs met.

¿ There were regular resident meetings held to discuss any changes, concerns or information sharing.

¿ Staff told us they received good support from the management team.

¿ People and relatives were confident in raising concerns. Where people had raised a concern or complaint they told us it had been dealt with to their satisfaction.

¿ The provider ensured they met the regulatory requirement to be open and transparent with people using the service when things went wrong by liaising with people and their families and involving them in investigations.

Rating at last inspection:

This was the first inspection of the service since their registration on 19 April 2018 with the Care Quality Commission.

Why we inspected:

This was a planned inspection.

Follow up:

Going forward we will continue to monitor this service and plan to inspect in line with our reinspection schedule for those services rated good.

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