Ruddington Manor Care Centre

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People and their relatives told us they received effective care in line with their wishes. People said they were supported by staff who were experienced and competent in assessing their needs and that they were involved in their care planning. We saw evidence in care plans that people had achieved positive outcome through the effective delivery of care from staff.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People and their relatives were involved in care planning and their needs were reviewed on a regular basis. Everyone we spoke with confirmed they had been included in the assessment of their needs and had spoken to staff about how they wished their care to be delivered.

Staff were knowledgeable about peoples needs and could describe challenges and risks people faced. Staff told us they had input into care plan reviews and felt confident to raise changes and concerns about care planning to the registered manager where needed. We observed staff supporting people safely and in a person-centred way. For example, we saw one staff member supporting a person to mobilise; they encouraged the person to remain independent and ensured their walkway was clear to enable freedom of movement. The staff member was alert to the person tiring and asked the person if they needed a walking frame.

We reviewed care plan records relating to people at risk of falls and reviewed people’s need and support identified relating to this. There was comprehensive guidance for staff on how to support people on ‘good’ days and ‘poor’ days in relation to their emotional wellbeing or mobility. This ensured people received holistic care effectively. There was clear guidance for staff on how to support people with equipment where needed. Care plans also included outcomes and goals for people in relation to their needs. For example, one person had been admitted to the home with a risk of a low BMI and being underweight. The person had been supported to mobilise and gain strength and maintain a healthy diet with snacks being prompted. This had resulted in the person achieving a healthy BMI and weight gain and being more confident with their mobility, reducing the risk of falls.

People and their relatives told us staff were very supportive with identifying their needs and arranging treatment or referrals to other specialist in a timely manner. One relative described how staff had identified their relative had a urinary tract infection. They said, “They act on it straightaway. They put Mum on the doctor’s round and let me know.”

Staff were knowledgeable about people needs including their fluid and nutritional requirements and preferences. Staff had good knowledge of tools that the service used, and how they impacted the care given. For example, staff were able to describe tools used to identify if people were at risk of choking or malnutrition. We observed staff supporting people appropriately to manage these risks in a person-centred way. Staff understood how to work with external health and social care providers to provide support in the most effective way.

We saw numerous examples within care plans of people being supported to achieve positive outcomes through the care and support they received. For example, people had achieved and maintained healthy body weights, while others had seen a reduction in the occurrence of falls. Records accurately reflected the care people received daily. For example, daily notes accurately reflected the care people had received and the fluids and nutrition they had consumed. This kept people safe and healthy consistently and effectively.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.