Rigewood House

Updated 1 March 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 included checking the provider was meeting COVID-19 vaccination requirements. 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

This inspection was carried out by one inspector.

Service and service type

Rigewood House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with 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 five people who use the service, six of their relatives and eight staff including the registered manager, deputy manager and care staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed six people’s care records, three staff recruitment files, staff training records, multiple medicine records and other documents related to the running of the home.

After the inspection

We continued to speak with the registered manager and deputy manager to obtain information about the running of the home.

Updated 1 March 2022

About the service

Rigewood House is a care home in Chesterfield. They are registered to provide accommodation and personal care to up to 21 people. At the time of the inspection there were 20 people living there. People’s bedrooms are over two floors, there is a choice of communal living areas and an outside garden area.

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

People, relatives and staff all told us the home was consistently well-led. The registered manager led by example and ensured everyone had a say in the running of the home. Governance systems were in place but were not always documented.

We recommended the registered manager review the governance systems to ensure they demonstrate the constant work undertaken to maintain the safe care at Rigewood House.

People were safe and protected from harm. People received their medicines as prescribed. There were enough staff on duty to meet people’s needs and preferences in a timely manner. Staff were safely recruited. There was a culture of learning and continuous improvement.

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.

Staff were supported to undergo training to know how to meet people’s needs. People had choice over their food and drink and told us they enjoyed what they ate and drank. The home was decorated to meet people’s needs and preferences. People were supported to access support from healthcare professionals in a safe and effective way.

Staff were kind and caring. People and their relatives consistently praised the staff and told us the home was like one big family. People were supported to be as independent as possible and their individual characteristics were respected and promoted.

People maintained relationships with the friends and relatives that were important to them. The registered manager had used innovative ways to ensure regular meaningful visits still happened during the pandemic. There was a variety of activities available for people and people told us they enjoyed these.

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

Rating at last inspection

This service was registered with us on 10 October 2020 and this is the first inspection under this provider. The last rating for the service under the previous provider was good, published on 29 July 2016.

Why we inspected

We inspected this service because they had not previously been inspected under this provider.

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. This included checking the provider was meeting COVID-19 vaccination requirements.

Recommendations

We recommend the provider and registered manager review some processes to ensure legislation and best practice guidelines are always followed.

Follow up

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