The Care Quality Commission
  • Care Home
  • Care home

Archived: Ryde House

Overall: Good read more about inspection ratings

Binstead Road, Ryde, Isle of Wight, PO33 3NF (01983) 811629

Provided and run by:
Ryde House LLP

All Inspections

3, 4, & 5 March 2015

During a routine inspection

Ryde House is a privately owned home, which provides personal care and accommodation for up to 64 people living with learning disabilities. The accommodation complex is split into five separate and independent units each providing support to people with specific learning disability needs. For example, one unit supports younger people who present behaviour that challenges others, while another unit supports older people who are also living with dementia. At the time of our inspection there were 63 people living at the home.

There was a registered manager in post. A registered manager 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.

The inspection was unannounced and was carried out on 3, 4, & 5 March 2015.

People told us they felt safe; however, we found the provider’s recruitment process did not always ensure that staff who were recruited were of good character and suitable to work with people using the service. We also found that the systems in place to protect people from the risk of infection were not robust and some of the units were not cleaned effectively. By the end of our inspection the provider had taken remedial action to resolve all of these issues.

People and visitors told us they felt the home was caring. Staff were enthusiastic about working with the people living at the home. They were sensitive to people’s individual needs treating them with dignity and respect, and developing caring and positive relationships with them. People were encouraged to maintain their family relationships.

People were supported by staff who had received the appropriate training, professional development and supervision to enable them to meet their individual needs. There were enough staff to meet people’s needs and to enable them to engage in activities away from the home environment.

People and their representatives had been involved in the planning and review of their care. Staff used the information contained in the person’s care plan to ensure they were aware of people’s needs. They knew the people they supported well and were responsive to their specific communication styles and knowledgeable about the types of activities they liked to do.

People were encouraged to build and retain independent living skills. Each person was allocated a keyworker who supported them to stay healthy and achieve the goals they had identified. People’s bedrooms were individualised and reflected their personal preferences. They were complimentary about the food and were supported to have enough to eat and drink.

There were suitable systems in place to ensure the safe storage and administration of medicines throughout the home. All medicines were administered by staff who had received appropriate training. Healthcare professionals such as GPs, chiropodists, opticians and dentists were involved in people’s care where necessary.

Staff and the management team had received safeguarding training and were able to demonstrate an understanding of the provider’s safeguarding policy and explain the action they would take if they identified any concerns.

Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.

People and visitors told us they felt the service was well-led and were positive about the management team. The provider was proactive in promoting good practice, such as engagement through social media and the availability of an in-house confidential counselling service to support staff.

There were systems in place to monitor quality and safety, and the provider sought regular feedback from people in respect of their experiences and the service provided. The provider had assessed the health and environmental risks related to supporting people at the home. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence. There were suitable arrangements in place to deal with complaints.

10 December 2013

During a routine inspection

We spoke with 11 people who used the service. Some of the people we spoke with were not able to verbally communicate with us. In those cases we saw they were able to demonstrate their understanding of what they were being asked and make their wishes known. The people we spoke with told us staff sought their consent before they delivered any care. They said they were very happy with the level of care provided and staff understood their needs. One person we spoke with said 'Staff look after me'. Another person told us 'The care is good. They [staff] keep me clean and tidy'.

We looked at eight care plans and associated risk assessments and saw they were individualised and included the necessary information to inform staff as to the specific care people required. We saw these were reviewed and updated every six months. We observed care in the communal areas of the home and saw staff sought consent from people before providing care. They were interacting with people in a positive way.

We saw the home had effective systems in place to protect people from abuse. One of the people we spoke with told us staff 'support me' when he was 'anxious or worried'. The home was split into five individual units each with its own manager and staff team. Staffing levels and arrangements varied between each unit. We saw there were enough qualified, skilled and experienced staff available to meet people's needs. We found there was a duty roster system, which detailed planned cover and the arrangements in place to manage short term absence.

We spoke with two of the families of people who used the service. They told us they did not have any issues regarding the quality of the service provided. One family member told us 'I am very impressed with the home. They take a lot of care to look after [their relative]. It appears more than just work for the staff'. We spoke with a visiting health professional who told us they did not have any concerns regarding the care provided by the home. They said people 'are well looked after. Staff are really good, brilliant'.

18, 19 February 2013

During a routine inspection

The location consisted of five houses which provided accommodation for between 10 and 16 people with their own manager and staff teams. We spent time in all five houses. In total we spoke with 13 of the 53 people who were living at the home. They all said that they were 'very happy' and that they were able to make day to day decisions about their lives. People were positive about the staff with comments such as 'they help me, they are very nice'. People were able to name their key workers and told us that their key workers 'sorted things out for them'.

Not all people were able to tell us about their experiences. We therefore also spent time observing care and interactions in communal areas. We found that people had positive experiences. We observed that staff were courteous and respectful of people's views. Choices were offered and where necessary informal consent was obtained. We spoke with 17 staff who were knowledgeable about the individual care needs of people. The support that we saw being given to people matched what their care plan said they needed.

We also spoke with four external health care professionals. They all were very positive about the home and care people received. We found that care plans were relevant to people and care records were well maintained. We also found that appropriate staffing levels were provided and these had been determined based on people's needs. The provider had systems in place to monitor the quality of service provided.