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Ralphland Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 November 2020

About the service

Ralphland Care Home is a residential care home providing personal care, it can accommodate up to 39 people aged 65 and over. There were 20 people using the service at the time of the inspection.

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

Governance systems and processes were not fully developed and operated effectively. This meant there was a risk possible issues and shortfalls would not be identified and addressed. The nominated individual had recently changed and there was no evidence that they had clear oversight of the service.

Accidents and incidents were recorded by staff. However, reviews of accident and incidents did not always take place in a timely manner which reduced the providers ability to identify trends and patterns and could increase the risk of people experiencing recurrent accidents.

Processes and systems to review the administration of medicines were not always operated effectively. This meant there was an increased risk of shortfalls not being identified. People received their medicines as prescribed, staff were trained to administer medicines.

Staff were not always recruited in line with current legislation. Checks needed to assure the provider of the previous employment history of new employees were not always undertaken.

There were sufficient staff to meet the assessed needs of people living in the service.

People’s relatives told us the care they received kept them safe and protected them from harm.

Risks were managed and reduced. For example, one person who was at risk of choking had a professional assessment carried out for swallowing. The recommendations from this assessment were written into the care plan and risk assessment to ensure choking risks were reduced.

Records were kept ensuring people who were at risk of dehydration and skin breakdown received necessary fluids and repositioning.

Infection control procedures were being followed. The staff team were following the latest government guidance regarding COVID-19. The service was clean and free of malodours.

Assessments were carried out and people had care plans which described their assessed needs.

People were supported to access healthcare services and relatives told us they were confident the staff team would ensure their relative received the care they needed.

Staff were provided with the training they required to carry out their roles safely and competently.

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.

Relatives spoke very positively about the leadership of the service and felt assured that their concerns would be listened to and acted upon. All relatives we spoke with told us the service had improved since the previous inspection.

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 inadequate (published 22 May 2020).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made/ sustained and the provider was still in breach of regulations.

This service has been in Special Measures since October 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 24 and 25 September and 7 October 2019. 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.

We undertook this focused inspection to check they had follow

Inspection areas

Safe

Requires improvement

Updated 25 November 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 25 November 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 21 May 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 21 May 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 25 November 2020

The service was not always well-led.

Details are in our well-led findings below.