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CQC report explained · a residential care home

What the CQC found at Rons Place

Goodpublished 29 December 2017, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe and there were enough trained and experienced staff to meet their needs. Some risk assessments were out of date, and records did not always show how lessons were learned from incidents.
Effective?
Good
Staff had induction, training and supervision, and people received support with food, health appointments and decision-making. Staff had limited understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards, although inspectors observed staff seeking consent.
Caring?
Good
Staff were kind, respectful and supportive. People were encouraged to make choices, maintain independence and keep important relationships.
Responsive?
Good
Care was personalised and staff responded when people's needs changed. Some care plans did not clearly record the outcomes people wanted to achieve.
Well-led?
Requires improvement
People, relatives and most staff felt supported and said the home was well run. However, quality checks, training records, care plan reviews and action plans were not consistently effective.
The latest report, explained

What inspectors found, December 2017

Rons Place was rated Good overall; inspectors found kind, safe and personalised care, but the home was not consistently well-led.

This was a comprehensive, unannounced inspection on 02 November 2017. The inspector spoke with people living in the home, relatives and staff. They observed care and reviewed care plans, medicines, training, incidents and quality checks.

People were safe and cared for by kind, experienced staff. Medicines were managed safely. People were supported to make choices, stay independent, maintain relationships and take part in activities they enjoyed. Food and support with health needs were also seen as effective.

The main weakness was management oversight. Audits and checks were not always completed, records were not always accurate or up to date, and one safeguarding concern had not been reported to the local authority. The overall rating stayed Good, but Well-led changed from Good at the previous inspection to Requires Improvement.

What inspectors praised
  • Choice and independence

    People were supported to make choices about their care and to live as independently as possible.

    “People received care that enabled them to live their lives as they wanted, and were able to make choices about maintaining their independence.” from the report
  • Safe medicines

    Medicines were stored, given and managed safely and as prescribed.

    “Medicines were managed, stored and administered safely, in accordance with best practice guidance.” from the report
  • Kind atmosphere

    Inspectors saw a calm home where staff spoke respectfully and people responded positively to them.

    “There was a calm and relaxed atmosphere in the home.” from the report
  • Personalised support

    Care plans contained detailed information about people's needs, preferences and backgrounds. Staff responded when people's needs changed.

    “Care plans contained personalised information to help staff respond to people's needs as effectively as possible.” from the report
  • Activities and relationships

    People were supported to keep in touch with important people and to enjoy hobbies and activities they chose.

    “People were supported to maintain any hobbies or activities they enjoyed, and we saw people went out according to their preferences throughout the day during our inspection visit.” from the report
What inspectors were concerned about
  • Weak quality checks

    needs fixing

    Audits did not always give managers the information needed to improve the service. Feedback action plans had no named owners, timescales or clear tracking.

    “Quality checks and audits did not give the provider the information needed to ensure the support people received was effective.” from the report
  • Out-of-date records

    needs fixing

    Some risk assessments and care records had not been reviewed when needed. Training records also did not give a complete picture of staff training.

    “Some risk assessments had not been updated as required by the provider's policy and procedure.” from the report
  • Safeguarding reporting

    needs fixing

    One safeguarding concern was dealt with to keep people safe, but it was not reported to the local authority as required by the home's procedures.

    “The provider had not notified the local authority.” from the report
Questions to ask them, based on this report
  1. 01How have you made sure all risk assessments and care plans are now reviewed and kept up to date?
  2. 02How do you now record and check all staff training, including training about learning disabilities, challenging behaviour, mental health and anxiety?
  3. 03What system is used to make sure safeguarding concerns are reported to the local authority when required?
  4. 04How often are infection control, care quality and safety audits completed, and who checks that actions are finished?
  5. 05How do you ensure there are enough staff to support people safely when they want to go out?

This was a comprehensive, unannounced inspection covering all five key questions; the overall rating remained Good, while Well-led changed from Good to Requires Improvement. This explanation was written from the published report of 29 December 2017 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 Rons Place

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. December 2017Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Rons Place →

  2. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2011

    Registered with the Care Quality Commission on 16 September 2011.

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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