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CQC report explained · a residential care home

What the CQC found at Raleigh Manor Care Home

Goodpublished 21 December 2022, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found appropriate risk assessments, environmental safety checks, safe medicine management and suitable staff recruitment systems. Some people reported short staffing at times and occasional delays in answering the call bell.
Effective?
Good
People's needs were assessed before admission and staff received induction, training and supervision. Nutrition, healthcare, consent and support for people living with dementia were managed appropriately.
Caring?
Good
People described staff as kind and caring. Inspectors observed warm, familiar interactions and found that people were supported to make choices and stay involved in their community.
Responsive?
Good
Care was personalised and reviewed regularly. The home offered a varied activities programme and adapted communication to people's needs. Not everyone spoken with knew about their care plan.
Well-led?
Good
Quality checks, meetings and feedback systems were in place. The report also noted recent management changes and some inconsistency linked to previous changes, while the interim manager worked towards greater stability.
The latest report, explained

What inspectors found, December 2022

Rated Good; inspectors found safe, kind and personalised care, with recent management and staffing changes still being monitored.

This was the first inspection since the home registered. It was unannounced and took place on 11, 27 and 31 October 2022. Inspectors spoke with people living there, relatives, staff and health and social care professionals. They also observed care and checked care records, medicines records, recruitment files, training records and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and that staff were kind. Inspectors found suitable risk assessments, safe medicine systems, trained staff, personalised care and activities that supported people's wellbeing.

There had been changes in managers and staff since the home registered. At the inspection, an interim manager was in place and a permanent manager was expected in January 2023. People, relatives and staff said the interim manager had brought positive changes and more consistency.

The report does not record any breaches of regulations or enforcement action. The home was rated Good overall, which means inspectors found the service met the relevant standards at the time of this inspection.

What inspectors praised
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors observed warm and familiar interactions during the inspection.

    “We observed warm and familiar caring interactions between staff and people throughout the duration of our inspection.” from the report
  • Personalised support

    Staff took time to understand people's backgrounds, preferences and interests. People were supported to make choices and take part in their community.

    “People received personalised care and support specific to their needs and preferences.” from the report
  • Activities and wellbeing

    The home had a developing programme of group and individual activities. Inspectors found these had a positive effect on people's physical and mental wellbeing.

    “A busy activities programme was in place and was being further developed.” from the report
  • Safe medicines and environment

    Medicines were stored, recorded and given safely. Routine checks were used to keep the building and equipment safe.

    “Medicines were safely stored, recorded and administered by suitably trained and competent staff.” from the report
  • Good involvement and oversight

    People and relatives were asked for their views through meetings, care reviews and surveys. The home also used audits and daily checks to monitor quality and safety.

    “There were systems in place to monitor the quality and safety of the service.” from the report
What inspectors were concerned about
  • Management stability

    needs fixing

    There had been changes in managers and staff since registration. No registered manager was in post during the inspection, and the home was waiting for a permanent manager.

    “At the time of our inspection there was not a registered manager in post.” from the report
  • Staffing and call bell response

    needs fixing

    Some people said the home had been short staffed at times and had experienced high staff turnover. One person said the call bell was usually answered promptly but could occasionally take a little while.

    “On the whole it's answered promptly, but occasionally they may take a little while.” from the report
  • Care plan awareness

    minor

    Not everyone spoken with knew about their care plan. The management team said they would provide paper copies in large print if needed.

    “Not all people we spoke with were aware of their care plan.” from the report
  • Previous inconsistency

    needs fixing

    A health professional said previous management changes had led to some inconsistency in how the service responded. The report says the current management team was working to improve stability.

    “A health professional had found previous management changes had created some inconsistency in the service's response.” from the report
Questions to ask them, based on this report
  1. 01Who is the registered manager now, and how has the management team changed since the inspection?
  2. 02How many staff are normally on duty for each shift, and how are staff shortages and turnover being managed?
  3. 03How quickly are call bells answered, and how is this monitored?
  4. 04How will you make sure each person and their family can see and understand their care plan?
  5. 05What changes were made after the previous management inconsistency mentioned in the report?

This was an unannounced first inspection covering all five key questions, including infection prevention and control; there was no previous rating for comparison. This explanation was written from the published report of 21 December 2022 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 Raleigh Manor Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. December 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Raleigh Manor Care Home →

  2. July 2021

    Registered with the Care Quality Commission on 2 July 2021.

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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Most charge £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.

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