27 September 2022
During a routine inspection
Ridgway House is a residential care home providing accommodation and personal care for to up to 25 people. The service provides support to older and younger people, people with sensory impairments, people with physical disabilities and/or people with dementia. At the time of our inspection there were 18 people using the service.
People’s experience of using this service and what we found
We have made a recommendation to review the dependency tool used to identify staffing levels required to meet people’s needs. Staff and people told us that at times staff were not available.
Medicine management required improvement to ensure medicines were recorded as administered. Staff had the information required to administer as required medicines to people who needed them.
Records of support offered to people were at times inconsistent. For example, oral hygiene and bathing records did not evidence consistent support was offered.
The oversight governance of the service required improvement and embedding into practice. Not all issues found on inspection had been identified previously.
Risks to people had been assessed and mitigating strategies had been implemented. However, some risk assessments required further information recorded to ensure new staff could understand specific health concerns.
People were protected from abuse. Systems and processes were in place to ensure safeguarding concerns were recorded, investigated and mitigated. Staff received training and understood safeguarding procedures.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported by kind caring staff who received an adequate induction, training and support to meet people’s needs. Staff knew people well and care plans were generally reflective of people’s needs.
People’s needs were assessed, and staff promoted people’s independence and respected their privacy and dignity.
People, relatives and staff knew how to complain and felt able to raise issues with managers.
Significant people were kept updated on any incidents, accidents or changes to peoples need. When required staff referred people to appropriate healthcare professions.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
This service was registered with us on 1 April 2021 and this is the first inspection under a new provider.
The last rating for the service under the previous provider was requires improvement, (published 12 January 2021)
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.