Your Ryedale Care Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, well-being and communication needs with them.

People’s needs were assessed and person-centred care records were in place. We discussed with the provider that whilst the people they currently supported were able to verbalise their care needs and staff knew them very well; records needed to be improved with more detail; including specifics about likes, dislikes and preferences. Also to include people’s health conditions, and how they may impact the person and the support staff needed to provide.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People lived in their own homes, so could choose what they ate and drank. The provider and staff placed great importance on supporting people well with their food and drink. People’s nutrition and hydration preferences were identified and supported where needed. Care records did not give detailed information about people’s food likes and dislikes, but both staff were able to tell us people’s preferences.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Relatives told us that, when needed, staff worked closely with health and social care professionals and kept them fully informed about any changes. Staff were also flexible and able to support people to health appointments.

The provider supported people to manage their health and well-being to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Relatives told us staff were very prompt at responding if they had any concerns about people’s health.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. As the provider worked with people most days reviews of care and support were on going. People were listened to and relatives told us any changes were identified and responded to promptly. Care records were updated when people’s’ needs changed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider was meeting the requirements of the Mental Capacity Act 2005 (MCA). People were involved in all decisions about their care and support. People who currently used the service, had capacity to make decisions about their care and support. However, we found whilst staff could describe how they gained people’s consent, they had only a basic understanding of the MCA and did not all have an understanding of best interest decisions. The provider said they would ensure appropriate training was undertaken.