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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

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 26 June 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff, reviewed information given to us by the provider and talked with commissioners of services.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

There were 14 people living at the home on the day of our visit. We spoke with two people who lived at the home and one relative during our visit. Both people with spoke with said they were well looked after. For example, one person who was unwell at the time of our visit told us the staff came in to check on them regularly and ensure they had a drink. Another said they were able to “Do their own thing” and that staff were nice and they were happy at the home.

The relative we spoke with said they were “Very pleased” with the care the person 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.

We reviewed three care records. We saw that people’s needs were assessed prior to and on admission to the home. Care plans were person centred and gave simple but clear guidance to staff on people’s needs and care. For example, information was provided on people’s general health, mobility, medication, dietary and emotional/social needs. The provider may find it useful to note that all of the records we looked at indicated people had dementia type conditions. There was limited information however on how the person’s dementia impacted on their day to day life and the support they required. We spoke to the manager about this on the day of our visit.

People’s preferences in how they wished to be cared for were documented in their care plans and any risks in relation to the delivery of care were assessed and regularly reviewed. For example, there were risk assessments in place for moving and handling, nutrition and pressure area care. This showed us that people’s individual needs and risks were identified and managed in the delivery of care. The provider may find it useful to note that there were no falls risk assessments in place for people with a high risk of falls. This meant that the risks associated with the person’s tendency to fall were not fully identified.

We saw that one person whose care records we looked at, had recently experienced a significant decline in their physical health. An interim care plan had been put into place to provide additional guidance to staff on some of the changes in the person’s needs and care as a result of the ill- health for example personal care and nutritional changes. We noted however that the interim care plan did not update staff in all aspects of the person’s care. We spoke to the manager about this who rectified this immediately on the day of our visit.

We observed that people were relaxed in the company of staff. We noted that interactions between people and staff were positive and jovial which created a warm, homely atmosphere. When people required support, we saw that their needs were met promptly and that they were treated kindly and with respect.

We spoke with two staff. We asked them about the needs of one of the people whose care records we had looked at. Staff we spoke with talked fondly of the people they looked after. They were able to clearly describe people’s preferences, day to day needs and the care they required.

An activities timetable was displayed in the entrance area of the home which provided information on the activities on offer at the home each day. There were a variety of activities on offer. For instance, games, reminiscence, manicures, bingo, musical exercises, quizzes and outdoor walks. On the morning of our visit, one staff member was returning to the home after supporting a person to attend a coffee morning at a local church. In the afternoon we saw that people enjoyed time to relax and watch an old movie, ‘Singing in the Rain’ on the television. This showed that people’s social and activity needs were considered in people’s day to day care.