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Archived: Ryecroft Private Residential Care Home Inadequate

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Inspection report

Date of Inspection: 26 June 2014
Date of Publication: 1 August 2014
Inspection Report published 01 August 2014 PDF | 84.07 KB

Overview

Inspection carried out on 26 June 2014

During a routine inspection

An adult social care inspector carried out this inspection. The focus of the inspection was to answer five key questions; is the service safe, effective, caring, responsive and well-led?

As part of this inspection we spoke with two people who lived at the home, one relative, the registered manager, the deputy manager, two members of the care team and a medical professional. We also reviewed records relating to the management of the home which included three care records, daily written records, records relating to the safety and maintenance of the premises, audit records and records relating to feedback on the quality of service provided and its management.

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at.

Is the service safe?

People had been cared for in an environment that was safe and satisfactorily maintained. The home offered a pleasant, homely environment for people to live in. There were formal maintenance arrangements in place to ensure electrical, gas and fire alarm systems met recognised industry standards of safety.

We had concerns with the provider’s call bell system used by people who lived at the home to summon staff assistance. We identified that staff could only see information in relation to who was calling for help from the ground floor. This meant if staff were on the 1st or 2nd floor when the call bell was rung, they had to go back downstairs to the ground floor to find out who was calling or where the call was coming from. This meant there was a risk that people’s calls for help would not be met in a timely and responsive manner. Staff told us that to counteract this, they undertook regular checks on people to ensure their assistance needs were met. We spoke to the provider about the call bell system. They provided evidence that they were currently in discussions with the supplier of the call bell system to resolve this.

During our inspection of the home in February 2014 we found that people’s care records did not contain clear or sufficient information on people’s needs, risks or care. Information in relation to the involvement of other healthcare professionals in the person care was also disjointed. At this inspection, we found that sufficient improvements had been made.

Records showed that people’s needs and care were now clearly identified, assessed and regularly reviewed to ensure they remained effective and safe. Information in relation to the appointments people attended and the advice given by other healthcare professionals in relation to their care, was clearly documented and easy for staff to understand.

Is the service effective?

The people we spoke with as part of our visit told us that they were happy with the care they or their relative received. They told us staff looked after them well. The relative we spoke with said they were “Very pleased” with the care their relative received. They told us staff understood the person’s needs, monitored their health and well- being and respected the person’s choices in relation to their care. It was clear from what we saw and from speaking with staff that they understood people’s care and support needs and that they knew them well.

Is the service caring?

People were supported by kind and attentive staff. We saw that interactions between staff and people were positive and there was a warm, homely atmosphere at the home. People were relaxed and comfortable in the company of staff and the two people we spoke with said that staff treated them nicely and with respect.

Is the service responsive?

People’s needs were assessed both before and on admission to the home. Records confirmed people’s preferences and interests had been recorded and that care and support had been provided in accordance with their wishes. We saw records to indicate the service worked well with other healthcare professionals to ensure that people received the health and social care support they required. For example, we saw evidence that GPs, chiropodists, district nurse, continence and assistive technology services were all involved in people’s care and that their professional advice was followed by the home when it was given.

Is the service well led?

There was no registered manager post at the time of our visit. A new manager had been appointed and commenced employment at the home in March 2014. They recently submitted an application to the Care Quality Commission to become the registered manager. This application was still in progress at the time of our visit.

We reviewed the quality monitoring systems at the home that managed the risks to people’s health, safety and welfare and monitored the quality of the service. We found there were some systems in place to ensure that risks to people’s health, safety and welfare were effectively managed and that the service provided was a safe and of a satisfactory standard. For example, health and safety audits, home inspection checks and weekly meetings between the manager and the provider were carried out to plan for and act upon any improvements the service required. We noted however that some of the processes in place were inconsistent in terms of frequency and raised this with the new manager. The new manager told us about their plans to introduce some new quality checks at the home. They told us they had just introduced a new medication audit and had plans in place to commence regular care plan audits.

We saw that an annual satisfaction survey was conducted in February 2014 with people who lived at the home and/or their relatives in order to gain their feedback on the quality of the service provided. We saw their feedback was positive. Overall we found the home and its staff were satisfactorily managed. The two people and the relative we spoke with agreed with this. Comments included “No complaints about anybody or anything” and the new manager is “Absolutely brilliant”.