Background to this inspection
Updated
15 January 2020
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 Care Act 2014.
Inspection team
This inspection was carried out by two inspectors, a pharmacy inspector and an assistant inspector.
Service and service type
Ridgeway Rise is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and two relatives about their experience of the care provided. We spoke with one visiting health professional. We spoke with seven members of staff including the registered manager, area operations manager, assistant manager, a nurse, care staff and activity 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 a range of records. This included four people’s care records and eight medicine records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
15 January 2020
About the service
Ridgeway Rise is a residential care home providing personal and nursing care to 34 people aged 65 and over at the time of the inspection.
The service accommodates up to 73 people in one purpose-built building. The service is arranged into six units over three floors.
People’s experience of using this service and what we found
There was a welcoming environment. We saw many positive interactions between staff, people and their relatives. We received positive feedback about the improvements in the service and people told us staff were kind and caring.
People enjoyed living at Ridgeway Rise and felt safe. Medicines were managed safely by suitably trained staff. There were effective systems in place to protect people from harm and staff understood their responsibilities to report any concerns. There were sufficient staff to respond promptly to people’s requests for support, however people felt staff did not always have time to sit and speak with them. Recruitment processes enabled the provider to make safer recruitment decisions.
Staff felt supported and received training to ensure they had the skills and knowledge to meet people’s needs. People enjoyed the food and their dietary needs were met. People were supported to access health and social care professionals if required.
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 a range of activities available to people and the provider had increased the activity staff to improve this. Care plans contained information that enabled staff to meet people’s needs and value people as individuals. People and relatives were confident to raise concerns. All complaints were dealt with in line with the provider’s policy.
The management team and provider promoted an open culture that valued everyone. Staff felt valued and were positive about the improvements that had been made at the service. There were effective systems in place to monitor and 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 requires improvement (published 2 July 2019). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.