1 March 2022
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.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 10 February 2022 and was unannounced.
1 March 2022
Risedale at Lonsdale Nursing Home is a residential care home providing personal and nursing care. There were 85 people living in the home when we inspected.
The home accommodates up to 93 people across three units. One unit specialises in supporting people who are living with dementia.
People’s experience of using this service and what we found
There were enough staff to support people. The provider used thorough recruitment procedures to check new staff were suitable to work in the service. All staff were trained in how to identify and report abuse. The provider identified and managed risks to people’s safety. The provider had systems to learn from incidents to further improve the safety of the service. The staff handled medicines safely and people received their medicines as their doctors had prescribed.
The staff were trained and competent to support people. People received support to enjoy their meals and to maintain a healthy diet. The staff worked effectively with other services to ensure people received the care they needed to maintain good health. The staff and registered managers understood their responsibilities under the Mental Capacity Act 2005 and people’s rights were respected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The staff were kind to people and attentive to their needs. They supported people to be involved in decisions about their care and to express their views and wishes. The staff respected people’s privacy and dignity and promoted their independence.
The staff planned and delivered care to meet people’s needs and to take account of their wishes and preferences. People were able to see their visitors as they wished and were provided with a range of activities they could take part in. The provider had a procedure for receiving and responding to complaints and people knew how they could complain about the service. People received high-quality support as they reached the end of their lives and were asked for their wishes regarding their end of life care.
People received person-centred care which focused on what was important to them and took account of their preferences. The provider and registered managers were committed to the continuous improvement of the service. People valued the service and said they would recommend it. The staff worked with other services to ensure people received appropriate care promptly as their needs changed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 6 July 2017).
Why we inspected
This was a planned inspection based on the previous rating. Before we inspected we received concerns about a serious allegation of abuse. This incident is subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the incident. We looked at how the provider protected people from the risk of abuse. We found no evidence during this inspection that the provider had failed to take appropriate actions to protect people from the risk of harm from this concern. Please see the safe section of this full report.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.