Ranvilles Nursing & Residential Care Home

Updated 2 June 2022

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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. We did this to understand if the service was ready to prevent or manage an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out this focused inspection.

Service and service type

Ranvilles Nursing and Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the CQC to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 all the information we had received from and about the provider since our last inspection. This included the minutes and reports written for regular quality monitoring meetings with the local NHS organisation. We used the information the provider sent us in the provider information return. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

Inspection activity, including our visit to the service location, took place on 26 April 2022.

We spoke with four people who used the service. There were two visiting relatives during our inspection. We offered to speak with them, but they declined saying everything was fine. We spoke with seven members of staff including the provider, the registered manager, nursing and care staff.

We observed the care people received in the shared areas of the home.

We reviewed a range of records. This included samples of six people’s online care records. We reviewed reports of internal and external audits, and records and analyses of incidents and accidents. We looked at files including fire safety, safeguarding, infection control, quality assurance, and a sample of processes and policies.

Updated 2 June 2022

About the service

Ranvilles Nursing and Residential Care Home is a residential care home providing personal and nursing care to up to 53 people. The service provides support to older people who may be living with dementia or a mental health condition. At the time of our inspection there were 43 people using the service. The home accommodated people in one adapted building.

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

We were assured people were protected against risks associated with infectious disease.

The care people received was based on the relevant national standards and legal requirements. The home had been adapted appropriately to meet people’s changing needs.

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’s care and support met their needs, including communication needs, and reflected their preferences. There was a wide range of appropriate leisure activities available to people.

The service was well-led. There had been further improvements since our last inspection, and improvements we saw at that time had been sustained and embedded.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was requires improvement (published 27 November 2019).

At our last inspection we found one breach of the regulations in relation to people receiving care which reflected their needs and preferences. The provider completed an action plan after the last inspection to tell us what they would do and by when to improve. The provider kept us informed of progress by sending us a monthly report, and by participating in quality monitoring meetings organised by the local NHS organisation during the COVID-19 pandemic.

At this inspection we found improvements had been made and the provider was now meeting this regulation.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 29 October 2019. A breach of legal requirements was found in relation to care and treatment.

We undertook this focused inspection to check if the provider had made improvements and if they were now meeting the legal requirements. This report only covers our findings in relation to the key questions effective, responsive and well-led.

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 Ranvilles Nursing and Residential Care Home on our website at www.cqc.org.uk.

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.