Ruddington Manor Care Centre

Updated 2 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector, a specialist nurse advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Ruddington Manor Care Centre is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Ruddington Manor Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people and 3 relatives of people who used the service about their experience of the care provided. We spoke with 5 members of staff including the registered manager, care home manager, clinical lead, and a team leader.

We reviewed a range of records. This included 5 people's care records and multiple medicine records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 2 August 2023

Ruddington Manor Care Centre is a care home registered to provide personal and nursing care, including to those living with dementia. The service can support up to 66 people. At the time of our inspection 48 people were living at the home. Ruddington Manor Care Centre is purpose built and split over 3 floors with communal areas on each floor and outdoor communal areas surrounding the building.

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

People were safe from the risk of harm and medicines were stored and administered safely. Significant improvements had been made in relation to diabetic care. Monitoring of people’s blood sugar levels was done in a timely manner and in line with personalised recommendations from medical professionals. The provider had explored different health care pathways for people such has remote scanning of blood sugars using technology to reduce the need for manual testing.

The provider had taken action to mitigate risks associated with personal emergency evacuation plans (PEEPs) meaning staff had clear guidance on how to support people to leave the premises in an emergency. People’s health needs had been reviewed and where people required extra support due to mobility or communication these had been identified and recorded.

People told us they felt safe living at the home and that staff respected their privacy and dignity whilst helping them to remain as independent as possible. People and relatives told us staff were, “Kind and caring” and “Willing to go the extra mile”.

We saw evidence of improved auditing which identified issues and action plans that addressed and monitored progress and improvements. The registered manager held meeting with staff daily to ensure actions were communicated and staff had opportunity to feedback concerns or suggestions.

The provider was undertaking a comprehensive training programme to enhanced staff knowledge in certain areas to facilitate ‘Champions’ in areas such as safeguarding, health and safety and infection prevention control. Staff told us they felt the action taken by the registered manager had improved the quality of care within the home and felt their roles and contributions were valued and rewarded.

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.

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

The last rating for this service was requires improvement (published 15 May 2023).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 11 April 2023. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe and effective care and treatment, and well led aspects of the service.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. We checked whether the Warning Notice we previously served, regarding a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, had been met. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led, which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ruddington Manor Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.