Ransdale House

Ransdale House is a residential care home providing personal care to a maximum of 6 people who have profound deafness or significant hearing loss and who have other disabilities or additional support needs. At the time of the inspection 5 people were using the service.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Risks to people were not always appropriately assessed, monitored and managed. This meant people were not always supported in a way which fully protected them from the risk of harm. People’s medicines were not always safely managed. People were supported by staff whose training was not always up to date. We have made a recommendation about this. People were supported in an environment which required redecoration and some areas of maintenance. People told us the environment would better suit their needs if it were more spacious and if people had their own bathrooms.

People were supported by a long-standing, kind and caring staff team and people told us they felt safe. People were supported by staff who were safely recruited. Staff supported people to have the maximum possible choice, control and independence and to have control over their own lives. People were supported by staff to pursue their interests. People were supported to attend medical appointments.

Right Care: People’s care, treatment and support plans did not always fully reflect their needs and staff sometimes had difficulty accessing these records.

People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.

Right Culture: Quality assurance was not always effective and regulatory requirements were not always complied with. Staff did not always feel supported or valued by the provider.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. Staff placed people’s wishes, needs and rights at the heart of everything they did.

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 has changed provider. The last rating for the service under the previous provider was good (published 4 July 2018).

This service was registered with us with the new provider on 30 June 2021 and this was the first inspection under the new provider.

Why we inspected

This was a planned inspection to assess the standard of care delivered by staff and award a rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home 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.

Enforcement and Recommendations

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

We have made a recommendation about ensuring staff training is kept up to date.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.