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CQC report explained · a residential care home

What the CQC found at Ramsgate Care Centre

Goodpublished 23 October 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were in place. They checked visitors, social distancing, personal protective equipment, testing, premises hygiene, outbreak management and the infection control policy.
Effective?
Good
This area was not assessed during this targeted inspection.
Caring?
Good
This area was not assessed during this targeted inspection.
Responsive?
Good
This area was not assessed during this targeted inspection.
Well-led?
Good
This area was not assessed during this targeted inspection.
The latest report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors were assured that infection control was good, and the home’s previous overall rating remained Good.

This was an announced, targeted inspection on 11 November 2020. One inspector checked infection prevention and control because the home had experienced a coronavirus outbreak.

The inspector spoke with six staff, observed staff practice and checked how personal protective equipment was stored and used. After the visit, CQC also reviewed training data, infection control policies, processes and cleaning records.

Inspectors were assured about visitors, shielding, social distancing, personal protective equipment, testing, cleaning and managing outbreaks. This visit was not a full inspection, so the service was recorded as inspected but not rated. The previous overall rating was Good and remained unchanged.

What inspectors praised
  • Infection control

    Inspectors were assured that the home met good infection prevention and control guidelines as a designated care setting.

    “We were assured that this service met good infection prevention and control guidelines as a designated care setting.” from the report
  • Personal protective equipment

    Inspectors were assured that staff were using personal protective equipment safely and effectively.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Testing and outbreak management

    Inspectors were assured that testing was available for people and staff, and that outbreaks could be prevented or managed effectively.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” 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 are you continuing to prevent visitors from catching or spreading infections?
  2. 02How do you make sure staff use and store personal protective equipment safely?
  3. 03How quickly can people living in the home and staff access testing if an outbreak is suspected?
  4. 04How are cleaning records checked and acted on?
  5. 05What arrangements are in place to manage another coronavirus outbreak?

This was a targeted inspection of infection prevention and control under the Safe key question; it did not assess the whole key question or the other four key questions, and the previous overall rating remained Good. This explanation was written from the published report of 28 November 2020 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, October 2019

Ramsgate Care Centre was rated Good; inspectors found safe, kind and personalised care, with no major concerns identified.

This was an unannounced planned inspection on 16 September 2019. One inspector spoke with five people, two relatives and 11 staff. They also checked care records, medicines records, recruitment information and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines systems, clean surroundings and good protection from abuse and avoidable harm.

People were treated with dignity and respect. Their choices, routines, communication needs and interests were considered. Staff supported people with food, health care, activities and end of life wishes.

The home had regular checks on care quality and acted on issues such as falls, weight loss and equipment. The overall rating was unchanged from the previous Good rating, published on 23 January 2019.

What inspectors praised
  • Safe medicines

    Inspectors found reliable systems for ordering, storing, administering, recording and disposing of medicines. Staff had regular training and yearly competency checks.

    “Safe systems were in operation to order, receive, store, administer, record and dispose of people's medicines.” from the report
  • Kind and respectful care

    People were treated with compassion and respect. Staff knew people well and supported their privacy, independence and personal choices.

    “People were treated with dignity and respect and their lifestyle and equality needs and choices were understood and respected.” from the report
  • Personalised support

    People and relatives helped plan care. Staff understood individual routines, preferences and communication needs, including choices about bathing, visiting and staff gender.

    “People and their relatives had planned their care with staff, including how they preferred to be supported.” from the report
  • Activities and relationships

    The home offered a flexible programme of activities designed to be accessible. Families and friends were welcomed and encouraged to remain involved.

    “Activities were designed to be accessible to everyone.” from the report
  • Quality monitoring

    The management team carried out regular checks and followed up areas for improvement. They also worked with health professionals to support people's care.

    “Effective systems had been put in place to continually monitor the quality of the service and address any shortfalls.” from the report
What inspectors were concerned about
  • Limited direct feedback to the manager

    minor

    At the inspection, the registered manager had not received feedback through the existing forms. A newer system for relatives had received responses, but families may wish to ask how feedback is now collected and acted on.

    “No feedback had been received by the registered manager at the time of our inspection.” from the report
Questions to ask them, based on this report
  1. 01How has the new electronic care planning and record-keeping system affected the accuracy of records and the time staff spend with residents?
  2. 02How do you now collect and respond to feedback from residents and relatives?
  3. 03How would you support my relative's particular routines, communication needs, interests and choice of activities?
  4. 04How are falls, weight loss, pressure ulcer risks and other changing health needs monitored and reviewed?
  5. 05How would you involve our family in planning end of life care if this became necessary?

This was an unannounced planned inspection covering all five CQC questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 23 October 2019 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 Ramsgate Care Centre

4 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

  1. November 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ramsgate Care Centre →

  2. October 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ramsgate Care Centre →

  3. January 2019Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. December 2017Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. October 2016

    Registered with the Care Quality Commission on 24 October 2016.

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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