You are here

Reports


Inspection carried out on 25 November 2019

During a routine inspection

About the service:

The Ridings Care Home is an 83 bed care/nursing home supporting people with dementia. At the time of our inspection there were 81 people living at the home. The building is divided into six separate households. The six households are situated on three floors and divided into areas to support people with different dementia related care and support needs. This included; three dementia care unit for older people, two dementia care units for people of a working age and one nursing unit.

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

People were supported by staff that were caring, compassionate and treated with dignity and respect. Any concerns or worries were listened and responded to and used as opportunities to improve. Staff were aware of the risks to people and how to manage those risks.

People received person centred care and support based on their individual needs and preferences. Staff were aware of people's life histories and individual preferences. They used this information to develop positive, meaningful relationships with people. Staff were very knowledgeable about people’s changing needs and people and their relatives confirmed that changing needs were addressed.

People told us they felt well cared for by staff who treated them with respect and dignity and encouraged them to maintain relationships and keep their independence for as long as possible. People could maintain friendships and contact with families, and when needed had access to advocates.

People were supported by staff who had the skills and knowledge to meet their needs. Staff understood and felt confident in their role. People told us the atmosphere at the home was relaxed and calm. People told us their cultural and religious needs were being met.

Staff liaised with other health care professionals to ensure people's safety and meet their health needs. Where people lacked capacity, staff worked with the local authority to make sure they minimised any restrictions on people's freedom for their safety and wellbeing.

Staff spoke positively about working for the provider. They felt well supported and that they could talk to management at any time, feeling confident any concerns would be acted on promptly. They felt valued and happy in their role. Staff had received an induction that provided with the training, information and support they required to effectively and safely meet people’s needs.

Audits were completed by staff and the registered manager to check the quality and safety of the service. The registered manager worked well to lead the staff team in their roles and ensure people received a good service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: The last rating for this service was Good (published 10 July 2017).

Why we inspected: This was a planned comprehensive inspection based on the rating of good at the last inspection.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection carried out on 23 May 2017

During a routine inspection

This inspection took place on 23 and 24 May 2017 and was an unannounced comprehensive rating inspection. At the last inspection on 21 January 2015, the service was rated ‘Good’ overall, with a rating of ‘Requires improvement’ in the key question of ‘is the service ‘Well-Led’. At this inspection we found the provider had made improvements and were now rated as ‘Good’ in all key questions.

The Ridings Care Home is an 83 bed care/nursing home supporting people with dementia. At the time of our inspection there were 81 people living at the home. The building is divided into six separate households. The six households are situated on three floors and divided into areas to support people with different dementia related care and support needs. This included; one dementia care unit for older people, two dementia care units for people of a working age and three nursing units.

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.

People were kept safe and secure, and relatives believed their family members were safe from risk of harm. Potential risks to people had been assessed and managed appropriately by the provider.

People received their medicines safely and as prescribed and were supported by sufficient numbers of staff to ensure that risk of harm was minimised.

Staff had been recruited appropriately and had received relevant training so that they were able to support people with their individual care and support needs.

Staff sought people’s consent before providing care and support. Staff understood when the legal requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) should be followed.

People’s rights to privacy and confidentiality were respected by the staff that supported them and their dignity was maintained.

People had a variety of food, drinks and snacks available throughout the day. They were able to choose the meals that they preferred to eat.

People were supported to stay healthy and had access to health care professionals as required. They were treated with kindness and compassion and there were positive interactions between staff and the people living at the location.

People’s choices and independence were respected and promoted. Staff responded appropriately to people’s support needs. People received care from staff that knew them well and benefitted from opportunities to take part in activities that they enjoyed.

Relatives and staff were confident about approaching the manager if they needed to. They provider had effective auditing systems in place to monitor the effectiveness and quality of service provision. People and relatives views on the quality of the service were gathered and used to support service development.

Inspection carried out on 21 and 22 January 2015

During a routine inspection

The inspection took place on 21 and 22 January 2015 and was unannounced.

We last inspected The Ridings in February 2014. At that inspection we found the provider was not meeting all the regulations in relation to the care and welfare of people who use services. Following our February 2014 inspection the provider sent us an action plan telling us about the improvements they were going to make. During this inspection we found that these improvements had been made.

The Ridings is an 83 bed nursing home supporting people with dementia including working age dementia. The building is divided into six separate units referred to as ‘households’.

The Ridings is required to have a registered manager. 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 the legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A registered manager was in post

People who could tell us told that they felt safe living at the home. Relatives that we spoke with told us that their family member was safe and well cared for at The Ridings. Staff understood their responsibility to take action to protect people from the risk of abuse and harm because the provider had systems in place to minimise the risk of abuse.

The manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and had taken action and where needed. Staff spoken with had an understanding of the MCA and DoLS and had received training so they knew how to protect people’s rights in line with this legislation.

During our inspection we saw many positive interactions between staff and people that lived at the home.

Staff knew about people’s needs. Staff received the appropriate training to enable them to deliver care safely and effectively.

People, relatives and staff told us that there were enough staff to care for people and keep them safe. However, we saw that the staffing arrangements at mealtime on one household meant that some people waited to get the staff support they needed.

People received their medication as prescribed and medication was stored safely.

People were supported to take part in individual hobbies and interests.

Arrangements were in place so that the manager responded to people’s complaints and took action to improve the service.

There were some systems in place to assess, monitor and develop the quality of the service. This included seeking the views of people and their relatives. Some improvements were needed to medication administration systems and the arrangements in place to ensure all people received timely support at meal times.

Inspection carried out on 26, 27 February 2014

During a routine inspection

People we met, relatives, staff and visiting health professionals all gave positive feedback about the service offered at The Ridings. One relative we spoke with said; "I have my room booked here, it is lovely."

We were told that people living at the home were helped to stay clean and look nice each day. We saw staff offer this care with compassion. We found that people were helped to stay healthy but that for some people records to support all aspects of their care were not available.

People were being supported by staff to take their prescribed medicines at the required times. We found medicines were safely stored and administered by staff who were trained to handle them. Comments about medicine management included;"The medicines are well organised" and "I am confident medicines are well managed."

We found that staff had opportunities to attend training. New staff were offered training and support before they started work in the home. Staff we spoke with said;"I do feel well supported. My manager and the home manager are approachable." One relative said; "All the staff are very friendly, they chat to people as they come and go."

There were systems in place to ensure that The Ridings was a safe place to live, work and visit. We found there were opportunities to make suggestions about how the service could be improved. One person living at the home said; �I have nothing to complain about, when I�m here I�m always happy.�

Reports under our old system of regulation (including those from before CQC was created)