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CQC report explained · a residential care home

What the CQC found at 32 Ringstead Road

Goodpublished 26 April 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and managed, staffing and recruitment were safe, medicines were handled properly, and infection control arrangements were in place.
Effective?
Good
This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection.
Caring?
Good
This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection.
Responsive?
Good
This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection.
Well-led?
Good
Inspectors found person-centred leadership, regular quality checks, updated care plans, staff involvement and partnership working with health and social care professionals.
The latest report, explained

What inspectors found, April 2023

Rated Good; inspectors found safe, person-centred care, but this visit only checked safety and leadership.

The unannounced inspection took place on 23 March 2023. One inspector spoke with people, staff, managers, relatives and health professionals. They reviewed care records, risk assessments, staff files and the home's checks on quality.

The home was rated Good for Safe and Well-led. Inspectors found enough suitable staff, safe medicines practice, risk assessments, fire safety arrangements and infection control measures. Staff understood people's needs and supported their choices and independence.

The home was described as person-centred and open. Relatives' views were gathered, care plans were reviewed, and the home worked with health and social care professionals.

This was a focused inspection. Effective, Caring and Responsive were not checked during this visit. Their ratings, and the overall rating, used ratings from the previous comprehensive inspection, which was published on 8 September 2018.

What inspectors praised
  • Risk management

    People's risks were assessed and plans were in place to reduce them. Staff also had specialist guidance for behavioural support needs.

    “People were safe because their needs were assessed, and plans were in place to reduce identified risks.” from the report
  • Medicines

    Medicines were given as prescribed. Staff had training and yearly competency checks, and medicines were stored securely.

    “People received their medicines safely and in line with the prescriber's instructions.” from the report
  • Familiar staff

    The staff team was well established and knew people's communication, choices and support needs well.

    “People and staff knew each other well. The staff team was well established, with some having worked at the service for over 10 years.” from the report
  • Listening to families

    The provider collected views from people and relatives and used them when developing the service.

    “The provider gathered the views of people and their relatives and used these to shape the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have you checked that my relative's current care plan reflects any changes in their needs?
  2. 02What staffing levels will be in place for my relative, and how will the registered manager's time be divided between services?
  3. 03How would you support my relative if they have behavioural support needs or become anxious about healthcare appointments?
  4. 04How often are medicines competency checks completed, and how do you handle a medicines error or refusal?
  5. 05What infection control and enhanced cleaning arrangements would apply if there were an outbreak?

This was an unannounced focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their ratings carried over from the previous comprehensive inspection. This explanation was written from the published report of 26 April 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, September 2018

Rated Good; inspectors found safe, kind and personalised care, with some staff training overdue.

This was an unannounced comprehensive inspection on 28 June 2018. One inspector spoke with the manager, staff and a visiting manager, checked records, medicines, staffing and the refurbished building, and observed care. The person living there could not share their views directly, so inspectors also spoke with a relative and another professional after the visit.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found detailed care plans, safe medicines arrangements, suitable staffing at the time, kind relationships and activities based on the person's interests.

Some training for two staff members was overdue. Inspectors also found one faulty window restrictor, but the manager said it was repaired immediately after the inspection. The home had reopened on 4 June 2018 after a planned refurbishment.

At the previous comprehensive inspection in 2015, the provider had not met legal requirements about staffing. A focused inspection in January 2016 found that the required action had been taken and the Effective rating had improved to Good.

What inspectors praised
  • Personalised care plans

    Care plans were detailed, current and tailored to the person's needs, preferences and communication. They gave staff clear guidance about how to provide support.

    “Care plans were well organised, kept up to date and contained personalised information about the individual person's needs and wishes.” from the report
  • Safe medicines

    Medicines were stored and managed safely. Records matched prescriptions, staff training was checked, and there were no gaps in the administration signatures reviewed.

    “People received their medicines as prescribed and medicines were stored and managed safely.” from the report
  • Kind and respectful support

    Inspectors observed friendly relationships and found that staff knew the person well. Staff supported privacy, dignity, choice and independence.

    “Staff treated people with dignity, respect and kindness.” from the report
  • Activities and independence

    People were supported to choose activities, try new experiences and maintain relationships in the home and local community.

    “People took part in activities they liked or had an interest in and maintained relationships with people that mattered to them.” from the report
What inspectors were concerned about
  • Overdue staff training

    needs fixing

    Some training for two staff members had not been updated within the expected timeframe. The manager later confirmed that the necessary training had been planned and booked.

    “We noted that some training was overdue for two members of staff and had not been updated within the expected timeframe.” from the report
  • Faulty window restrictor

    minor

    One window restrictor in the first-floor lounge was faulty. The manager said it was repaired immediately after the inspection.

    “We found a window restrictor in the first-floor lounge was faulty and brought this to the attention of the registered manager.” from the report
Questions to ask them, based on this report
  1. 01Has all overdue staff training now been completed, and how do you check that training remains up to date?
  2. 02How will staffing levels change as more people move into the home?
  3. 03What checks are now in place to make sure all window restrictors and other refurbished premises remain safe?
  4. 04How is the person's care plan reviewed when their needs, behaviour or health changes?
  5. 05What is the current position on the Deprivation of Liberty Safeguards referral mentioned in the report?

This was an unannounced comprehensive inspection covering the home, care and all five CQC questions after the home reopened following refurbishment. This explanation was written from the published report of 8 September 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of 32 Ringstead Road

4 rated inspections over 8 years: the service has held its Good rating throughout.

  1. April 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 32 Ringstead Road →

  2. September 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at 32 Ringstead Road →

  3. February 2016Goodstayed Good
    Effective: Requires improvement

    Read this report on cqc.org.uk

  4. August 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 22 November 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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