Background to this inspection
Updated
12 November 2021
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.
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
Ribble Court 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 the inspection
We reviewed information we had received about the service since they registered with CQC. We sought feedback from the local authority and professionals who work with the service. 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 this information to plan our inspection.
During the inspection
We spoke with eight people living in the home in person and telephoned nine of their relatives. We spoke with four members of care staff, the cook, two senior care staff, three nurses, the head housekeeper, the deputy and registered manager. We observed staff interaction with people. In addition, we reviewed a range of records. These included care records of four people, medication records, staff files in relation to recruitment and the staff training records. We also reviewed a variety of records relating to the management of the service. We had a walk around the premises and looked at infection control measures.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at their quality assurance systems.
Updated
12 November 2021
About the service
Ribble Court is a brand-new purpose built nursing and residential care home for up to 53 people. It is registered to provider personal care and nursing to older people, people with a physical disability and those with nursing needs. At the time of the inspection visit there were 24 people who lived at the home.
People’s experience of using this service and what we found
People’s safety was at the centre of care delivery. Risks were assessed and carefully monitored to ensure individuals safety. People received their medicines safely. The service had an infection prevention and control policy in place and the home was clean and hygienic. There were sufficient staff to meet people’s care and support needs. They were employed subject to robust recruitment processes.
People’s needs were thoroughly assessed before admission to the home, and this was regularly reviewed to ensure people received the support they required. They 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 was a programme of staff training and regular updates were in place for staff to improve their skills and for professional development.
People spoke highly of the staff who supported them and the service as a whole. Staff were kind and caring, and people were treated with dignity and respect. This was confirmed through observation and discussion with people and their relatives.
The service was responsive to people’s needs and took account of their preferences. People received person-centred care. Staff had worked hard to provide meaningful social activities. Some people told us they would like more structured activities. To facilitate this an activities co-ordinator was in the process of being recruited. There was a complaints process which people and relatives were aware of. The service could support people to remain at the home as they reached the end of life.
We have made a recommendation about supporting people living with dementia.
The registered manager and staff team were committed to providing people with high-quality care. The registered manager was providing clear leadership to ensure an enabling and person-centred culture was being embedded into the new service. Systems were in place to monitor the quality of the service, and there was a clear commitment from all staff to the continuous improvement and development of 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
This service was registered with us on 24 June 2020 and this is the first inspection.
Why we inspected
This was a planned first inspection based on their registration. We looked at infection prevention and control measures under the Safe key question. We look at this in all 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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.