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Ridgeway Manor Residential Care Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 5 November 2019

About the service

Ridgeway Manor Residential Care Home is a care home providing accommodation and personal care for up to 43 people. At the time of the inspection 26 people were living in the home. The home is set out over three floors and is situated in extensive grounds in a rural location in Surrey.

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

Risk associated with hot water temperatures were not being fully managed. Risk assessments were in place and some required additional information to ensure they reflected people’s current needs.

People’s needs were identified in care plans, people and their relatives were involved in writing and reviewing their plans. Some of the care plans we viewed required additional information and daily records were not always fully completed.

There were systems in place that ensured people who were deprived of their liberty were done so with the appropriate legal authority. However, we found improvement could be made in relation to the application and recording of the Mental Capacity Act 2005 and we have made a recommendation about this.

There were systems in place to monitor the standard of care provided at the service. The systems were not fully effective in identifying all of the areas for improvement we identified during the inspection.

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.

Staff were recruited safely. There were enough staff available to support people. The provider had a recruitment plan in place to address staff vacancies. Staff received regular one to one supervision and told us they felt supported.

People told us they felt safe living at Ridgeway Manor Residential Care Home. Staff felt confident to raise concerns with the manager and were aware of external agencies where they could report concerns. Staff supported people to manage their medicines safety.

People’s healthcare needs were identified and met. Staff worked with a range of healthcare professionals to meet people’s needs.

People were supported by caring staff who worked towards promoting their dignity and independence.

People felt confident to raise any concerns. People and staff commented positively about the management of the service.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Inspection areas


Requires improvement

Updated 5 November 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 5 November 2019

The service was not always effective.

Details are in our effective findings below.



Updated 5 November 2019

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 5 November 2019

The service was not always responsive.

Details are in our responsive findings below.


Requires improvement

Updated 5 November 2019

The service was not always well-led.

Details are in our well-Led findings below.