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Inspection Summary


Overall summary & rating

Requires improvement

Updated 9 May 2019

About the service:

Rydal House is a residential care home that was providing accommodation and personal care to seven people in the service. People had support needs such as having a learning disability and those on the autistic spectrum and those who need support with their mental health.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

Systems were not always effective or consistent at ensuring areas for improvement were identified or rectified promptly. People were not always supported in line with the Mental Capacity Act 2005 so their rights might not always be protected. The environment was not always enhanced when it had been identified that improvements were needed.

People were supported by a sufficient amount of safely-recruited staff. Risks were assessed and planned for and people were kept safe by staff who knew their needs and who understood their safeguarding responsibilities. Medicines were managed and administered safely. People were protected from the risk of cross infection and lessons were learned when errors had been identified.

Staff received training and support to be effective in supporting people. People had access to a range of other health professionals to keep them healthy. People enjoyed the food and had a choice.

Staff were kind and caring and people had a good relationship with them and each other. People were supported to be independent and relatives could visit whenever they wished. People were treated with dignity and respect.

People had personalised care which catered for their preferences. A range of activities and events were available for people to partake in. There was a complaints procedure in place and the registered manager was aware of their responsibility to respond to complaints. No one was receiving end of life care, but the service had previously worked to support people nearing the end of their life.

The registered manager and management team were well thought of by people, relatives and staff. They felt the registered manager was approachable and ran the service well. The previous rating was being displayed as required.

Rating at last inspection:

At the last inspection the service was rated Good (report published 20 August 2016).

Why we inspected:

This was a routine inspection planned on the last inspection rating.

Recommendations:

• We have recommended the complaint policy or procedure is in an accessible format for people who used the service.

Enforcement:

We identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Action we told the provider to take can be seen at the end of the full version of the report.

Follow up:

We will continue to monitor the service and check improvements have been made at our next inspection.

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

Inspection areas

Safe

Good

Updated 9 May 2019

The service was safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 9 May 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Good

Updated 9 May 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 9 May 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 9 May 2019

The service was not always well-led

Details are in our Well-Led findings below.