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Inspection Summary


Overall summary & rating

Good

Updated 7 February 2018

We conducted an inspection of Ringstead House on 27 November 2017. We previously inspected the service on 29 September 2015 and found the service was in breach of the regulation relating to safe staffing levels. The service was rated good overall. Following the last inspection, we asked the provider to complete an action plan to show what they would do to improve staffing levels. At this inspection we found appropriate actions had been taken to provide safe staffing levels and meet all the fundamental standards

Ringstead House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The service provides care for up to four people and there were four people using the service when we visited.

The service had a registered manager, which is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Risk assessments and care plans contained a good level of information for care staff about known risks and guidance for how they were expected to mitigate these.

Staff followed safe practices for administering, storing and recording medicines given to people.

Staff demonstrated an understanding of people’s life histories and current circumstances and supported people to meet their individual needs. People were supported to access activities they enjoyed. Care records included information about activities people attended and how staff could support them to do so.

The service ensured people's privacy and dignity was respected and promoted.

People were supported with their nutritional needs. Care records contained information about people’s dietary needs. Care was delivered in line with relevant legislation and standards.

Safeguarding adults from abuse procedures were in place and care workers understood how to safeguard people they supported. Care workers had received safeguarding adults training and were able to explain the possible signs of abuse as well as the correct procedure to follow if they had concerns.

Staff demonstrated knowledge of their responsibilities under the Mental Capacity Act 2005 (MCA). Care records contained details of people’s capacity and were signed by people using the service or those lawfully acting on their behalf.

People told us they were involved in decisions about their care and how their needs were met.

Recruitment procedures ensured that only staff who were suitable worked within the service. The service also ensured there were sufficient numbers of suitable staff to support people.

Complaints were investigated and responded to in a timely manner.

Staff had the skills, knowledge and experience to deliver effective care and support, and received support for their roles. There was an induction programme for new staff which prepared them for their role.

Quality assurance processes were thorough. Senior management completed a variety of audits and ensured learning was undertaken from these.

The provider had a vision to deliver high-quality care and support. Staff demonstrated that they were clear about the values of the organisation and how these supported their work.

Inspection areas

Safe

Good

Updated 7 February 2018

The service was safe.

There were systems in place to address and manage risks, and safer recruitment processes to ensure staff were suitable for their roles.

Procedures were in place to protect people from abuse. Care workers knew how to identify abuse and knew the correct procedures to follow if they suspected abuse had occurred.

There were procedures in place to safely administer medicines to people.

Effective

Good

Updated 7 February 2018

The service was effective.

People were supported by staff who received appropriate training and supervision.

Where people needed support to make decisions their rights were protected under the Mental Capacity Act 2005. Care was delivered in line with relevant legislation and standards.

People were supported to maintain their nutrition and their health was monitored and responded to appropriately.

Caring

Good

Updated 7 February 2018

The service was caring.

People we spoke with told us they were satisfied with the level of care given by staff. Care staff took action to promote people�s independent living skills.

People told us their privacy and dignity was respected.

Responsive

Good

Updated 7 February 2018

The service was responsive.

People were involved in planning their care and support. People were supported to have a social life and to follow their interests. Care records included information about people�s involvement in activities.

There was a procedure in place to listen to and resolve people�s complaints.

Well-led

Good

Updated 7 February 2018

The service was well led.

There was an open and transparent culture in the service where people were listened to and staff were valued.

Systems were being developed to monitor and improve the quality of the service provided.