Background to this inspection
Updated
26 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 26 January 2021 and was announced. The service was invited to take part in the thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
26 February 2021
Ridgemede Care is a residential care home and provides accommodation for up to 36 people older people and those living with dementia. At the time of the inspection, 30 people were living at the home. Accommodation is provided within a large detached house with communal areas, lounge, dining room and a secure garden to the rear of the property. The home is located close to the town centre of Bishops Waltham. All bedrooms have en-suite toilet and hand wash facilities. Bathrooms with shower facilities are provided on both floors. The service is not registered to provide nursing care.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
We last inspected this service on 4 January 2017 and found the provider was in breach of one regulation of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We issued requirement notices in respect of the breach. We also identified three areas where improvement was required in respect of medicines management, environmental safety and consent to care and treatment.
Following our inspection the provider sent us an action plan to tell us about the actions they were going to take to meet these regulations and make the necessary improvements. Action had been taken to meet the requirements of regulation the service had breached. We also found that improvements in the other areas of concern had also been made.
The provider had taken appropriate steps to protect people from the risk of abuse, neglect or harassment. Staff were aware of their responsibilities in relation to safeguarding.
Where people lacked the mental capacity to make decisions the home was guided by the principles of the Mental Capacity Act 2005 to ensure any decisions were made in the person’s best interests.
People received their medicines safely, accurately, and in accordance with the prescriber’s instructions. Medicines were stored safely.
The provider operated safe and effective recruitment procedures.
Assessments were in place to identify risks that may be involved when meeting people’s needs. Staff were aware of people’s individual risks and were knowledgeable about strategies’ in place to keep people safe.
People were supported to maintain good health and have access to healthcare services. The home worked in partnership with a nearby GP practice and received regular visits and support from an Advanced Nurse Practitioner.
There were sufficient numbers of qualified, skilled and experienced staff deployed to meet people’s needs. Staff were not hurried or rushed and when people requested care or support this was delivered quickly.
Staff received supervision and appraisals were on-going, providing them with appropriate support to carry out their roles. Training records showed that staff had received training in a range of areas that reflected their job roles.
People and where appropriate their relatives were involved in their care planning, Care plans were amended to show any changes, and care plans were routinely reviewed to check they were up to date.
Care plans were developed and maintained about every aspect of people’s care and were centred on individual needs and requirements. This ensured that the staff were knowledgeable about the person and their individual needs.
People were treated with kindness. Staff were patient and encouraged people to do what they could for themselves, whilst allowing people time for the support they needed.
Staff responded appropriately to accidents or incidents. Staff recorded all accidents and incidents and the registered manager responded appropriately and further actions were taken to prevent incidents reoccurring.
People knew who to talk to if they had a complaint and had confidence they would be listened to.