Archived: Rye Villa Nursing and Care Home

We found that staff gave people choices at the point of providing care but people's consent was not always recorded. Staff also needed better awareness of the law in respect of consent and the protection of people who lacked capacity.

We saw people received appropriate care but there were gaps identified in assessments and care planning that meant there was a risk people may not receive the care that protected their safety and ensured their health care needs were met. People expressed satisfaction with the care they received and a relative told us, 'Can't fault the care".

Appropriate arrangements were not always being undertaken in order to manage the risks associated with the unsafe use and management of medicines.

We found not all appropriate checks were carried out for new staff to ensure they were safe to work with vulnerable people.

We found the staffing levels had improved which meant staff were better able to respond to people's needs. One person said, 'Yes, they come quickly if you need them'.

We spoke with three people who lived at the home, one visitor, two staff and the manager during our inspection. We observed how people were cared for and supported by staff. We looked at three people's records and other records that supported the running of the service.

We saw that risks we identified within the service's rear patio area had been minimised and there was evidence that the environment was been redecorated. We saw that audits were carried out by the provider to make sure that any risks to people were identified. One person told us they liked the new paint colours and were, 'Happy with my bedroom'.

We saw the home had effective systems in place to ensure the safety of the environment and accuracy of record keeping was checked. A relative told us the manager was approachable and, 'Staff do care well'.

We saw that people's care records were accurate and reflected what staff knew. We saw people were supported by staff in accordance with their care plan.

We spoke with four people that lived at the home, four visitors, three staff, the manager and area manager during our inspection. As some people were not able to clearly express their views we observed how people were cared for by staff.

We saw people were more involved with their care and treatment. People told us that 'Staff always explain what's happening'.

We saw care people received reflected their needs and choices. People we spoke with said they were not kept waiting for assistance and the care they received had improved.

We saw that the systems for promoting infection control had improved.

People who used the service, and others were not always protected against the risks of unsafe or unsuitable premises. This was due to some hazards not being identified prior to this inspection.

People said they liked staff one saying, "No problem with staff, all very good". Staff told us they felt better supported and trained.

The home's systems for monitoring of their own performance so as to quickly identify risks to people were better but still needed to be more robust.

Some people's care records did not accurately reflect the care and treatment they should or had received.

We saw that people's needs were assessed but care plans had not always reflected health conditions they had. This meant information for staff about how they should support people with was not always clear. One relative told us they had "no complaints about the care'. Another said that they 'don't have piece of mind that she is being looked after and is going to be ok'.

People were cared for by staff who were not always supported to deliver care and treatment safely and to an appropriate standard. People told us that the 'staff are pretty good but not enough of them'. The provider had increased staffing levels since our last inspection. A visitor said 'staff are better now but still room for improvement'.

The provider did not have effective systems in place that identified, assessed and managed risks to the health, safety and welfare of people who used the service and others. People were not always protected from the risk of infection because effective systems to reduce the risk and spread of infection were not in place.