18 July 2023
During an inspection looking at part of the service
People’s experience of using this service and what we found
People were safe from the risk of harm and medicines were stored and administered safely. Significant improvements had been made in relation to diabetic care. Monitoring of people’s blood sugar levels was done in a timely manner and in line with personalised recommendations from medical professionals. The provider had explored different health care pathways for people such has remote scanning of blood sugars using technology to reduce the need for manual testing.
The provider had taken action to mitigate risks associated with personal emergency evacuation plans (PEEPs) meaning staff had clear guidance on how to support people to leave the premises in an emergency. People’s health needs had been reviewed and where people required extra support due to mobility or communication these had been identified and recorded.
People told us they felt safe living at the home and that staff respected their privacy and dignity whilst helping them to remain as independent as possible. People and relatives told us staff were, “Kind and caring” and “Willing to go the extra mile”.
We saw evidence of improved auditing which identified issues and action plans that addressed and monitored progress and improvements. The registered manager held meeting with staff daily to ensure actions were communicated and staff had opportunity to feedback concerns or suggestions.
The provider was undertaking a comprehensive training programme to enhanced staff knowledge in certain areas to facilitate ‘Champions’ in areas such as safeguarding, health and safety and infection prevention control. Staff told us they felt the action taken by the registered manager had improved the quality of care within the home and felt their roles and contributions were valued and rewarded.
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.
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 requires improvement (published 15 May 2023).
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced focused inspection of this service on 11 April 2023. 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 safe and effective care and treatment, and well led aspects of the service.
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. We checked whether the Warning Notice we previously served, regarding a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, had been met. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led, which contain those requirements.
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 Ruddington Manor Care Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.