Background to this inspection
Updated
21 April 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on the 9 March 2017 and the inspection was unannounced. We last inspected Riddlesden Rest and Convalescent Home in August 2016. At that inspection we found the service was in multiple breach of Regulation and rated the service inadequate overall and placed it in special measures.
The inspection team consisted of one inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. This Expert by Experience was an expert in residential services and people with early stages of dementia.
Before the inspection we reviewed the information we held about the service. This included speaking with the local authority contracts and safeguarding teams and reviewing information received from the service, such as notifications. We had not asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.
We looked at how people were supported throughout the day with their daily routines and activities. We reviewed a range of records about people’s care and how the service was managed. We looked at three care records for people that used the service and three staff files. We spoke with seven people (one of whom struggled to communicate with us), the manager and two support workers. We looked at quality monitoring arrangements, rotas and other staff support documents including supervision records, team meeting minutes and individual training records.
Updated
21 April 2017
We carried out the inspection of Riddlesden Rest and Convalescent Home on 9 March 2017. At the time of our inspection, there were eight people using the service. This was an unannounced inspection.
Riddlesden Rest and Convalescent Home is situated on the outskirts of Keighley providing care without nursing to a maximum of ten people in single rooms. The home is a single storey adapted building. There is car parking to the front of the building and good wheelchair access. The home does not have any gardens but there is a patio area for people to use.
A registered manager was not required as the home was run by the registered provider. 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.
At the last inspection on 25 August 2016 the service was rated Inadequate and in Special Measures. We asked the provider to take action to make improvements in a number of areas and this action had been completed.
Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe. During this inspection the service demonstrated to us that improvements have been made and is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures. However the manager was aware they still had to improve on some areas identified on the day of inspection and show they can sustain the improvements made. For these reasons the service has been rated as Requires Improvement.
People using the service told us they felt safe and well cared for. They expressed a high level of satisfaction with the service provided and of the staff that supported them. They considered there were enough staff to support them when they needed any help.
The manager followed a robust recruitment procedure to ensure all new staff were suitable to work with vulnerable people.
The staff we spoke with knew how to recognise signs of abuse and were clear about their duty of care to report any concern they may have. They had been trained in safeguarding people and had policies and procedures regarding this.
Arrangements were in place to make sure staff were trained and supervised. Staff felt confident in their roles because they were well trained and very well supported by the manager. People using the service had confidence in the skill and knowledge of staff who cared for them.
Medicines were mostly managed safely and people had their medicines when they needed them. Staff administering medicines had been trained to do this safely.
Risks to people's health and safety had been identified, assessed and managed safely.
We found the premises to be clean and hygienic and appropriately maintained. Regular health and safety checks were completed on the environment and on equipment used within the service. Fire safety was managed well and people had a personal evacuation plan staff were familiar with.
Staff were motivated and expressed their commitment to provide a high quality of care. Staff understood the importance of gaining consent from people and the principles of best interest decisions.
The home provided a well maintained, pleasant and homely environment for people who had created their own ‘home from home’ with personal possessions they had brought with them. People told us they were very satisfied with the accommodation and facilities provided.
People were provided with a nutritionally balanced diet that provided them with sufficient food and drink that catered for their dietary needs. Fresh produce was used and meals were homemade. People told us they enjoyed their meals.
People's care and support was kept under review, and people were given additional support when they required this. Referrals had been made to the relevant health and social care professionals for advice and support when people's needs changed.
People using the service had an individual care plan that was sufficiently detailed to ensure people were at the centre of their care. Care files contained a profile of people's needs that set out what was important to each person.
We found staff were respectful to people, attentive to their needs and treated people with kindness and respect in their day to day care. Care plans were written with sensitivity to reflect and to ensure basic rights such as dignity, privacy, choice and rights were considered at all times.
People had their dignity respected most of the time. We found one example where we felt the service could do more to support the dignity of a person.
Activities were varied and appropriate to individual needs and people were supported to live full and active lives as possible.
People using the service and visitors told us they were confident to raise any issue of concern with the registered manager and that it would be taken seriously and the right action taken.
People using the service, relatives, health care professionals and staff considered the management of the service was very good and they had confidence in the manager. Results of quality monitoring surveys completed showed a high satisfaction with the service, the facilities, the staff and manager.
There were systems in place to monitor the quality of the service to ensure people received a good service that supported their health, welfare and well-being. We found regular quality audits and checks were completed to ensure any improvements needed within the service were recognised and the right action to take was planned for.