Ridgeway Manor Residential Care Home

Updated 5 November 2019

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.

Inspection team

The first day of the inspection was carried out by one inspector and one 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. The second day of the inspection was carried out by one inspector.

Service and service type

Ridgeway Manor Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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. The registered manager was in the process of stepping down from this role. The deputy manager was stepping up to the role of acting manager and the registered manager was supporting them two days a week.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The provider returned the PIR and we took this into account when we made judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is legally required to tell us about. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who lived at the service and one relative. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with eight members of staff, this included the acting manager, assistant manager, the cook, the activities coordinator and care staff. We spoke with one visiting professional. We reviewed a sample of people’s care and support records. We also looked at records relating to staff recruitment and the management of the service such as incident and accident records, training records, policies, audits and complaints.

After the inspection

We contacted seven health and social care professionals who regularly visit the service and received feedback from three of them.

Updated 5 November 2019

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 www.cqc.org.uk

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.