Risedale at Aldingham Nursing Home provides accommodation for up to 31 people who need nursing or personal care due to physical or mental health needs.
We spoke with people who lived in the home in their rooms and in the communal areas of the building. We also spoke in private with visitors to the home and the staff who were on duty. Some of the people who lived in the home were not easily able to tell us their views about the home and the support they received. We used the Short Observation Framework for Inspection to assess how well the service met their needs.
We considered our inspection findings to answer questions we always ask;
' Is the service safe?
' Is the service effective?
' Is the service caring?
' Is the service responsive?
' Is the service well-led?
This is a summary of what we found -
Is the service safe?
People who lived at Risedale at Aldingham Nursing Home were protected from the risk of abuse. People told us they felt safe living in the home. All the staff we spoke with showed that they had a good understanding of their responsibility to protect people. They said they had received training in safeguarding people from abuse. They told us they would not tolerate abuse in any form but would report this immediately. All the staff showed they knew how they could report concerns.
The staff in the home knew the actions to take to protect people. We saw that risk assessments had been carried out to identify hazards to individuals' safety and to reduce and manage risks. Where people had complex care needs additional risk assessments had been completed including around moving and handling, pressure area care and nutrition.
People were provided with nutritious meals and snacks which they told us they enjoyed. This ensured they were protected against the risk of malnutrition and dehydration.
The home had appropriate policies and procedures regarding The Mental Capacity Act 2005 deprivation of liberty safeguards. The manager of the home was knowledgeable about the Mental Capacity Act 2005 and the Mental Capacity Act Codes of Practice. This meant people could be confident that their rights would be protected.
Is the service effective?
People we spoke with told us the staff knew the support they required and provided this when they needed it. From our observations we saw that there were enough staff, with the appropriate skills, to meet people's needs and to provide a high standard of care. The staff told us they had completed a range of training to give them the skills to meet people's needs.
The home employed a range of ancillary staff including an activities coordinator, domestic staff, kitchen staff and a maintenance person. This ensured people were provided with activities and meals which they enjoyed and a clean and well maintained environment to live in.
Throughout our inspection we found the home was clean and free from odour. The domestic staff we spoke with showed that they understood this was important in maintaining the dignity of people who lived in the home. A visitor to the home told us, 'This is one of the cleanest homes I've been in, there's never any smell, that was important to us'.
Is the service caring?
Everyone we spoke with told us that people were well cared for in this home. One person said, 'The staff know what support I need and are very caring'. A visitor to the service said, 'The staff are all lovely, they really do care about people'.
All the staff on duty during our inspection took the time to speak to people. We saw many positive interactions which supported individuals' wellbeing. The staff were patient and considerate when supporting people. We saw that people were comfortable and confident with the staff who were on duty.
Is the service responsive?
People told us they were happy living at Risedale at Aldingham Nursing Home. One person told us, 'I like it here' and another person said, 'It's grand'. We saw that people were treated with respect and given choices about their daily lives.
We looked at a sample of the records the home held about people. We saw that people and their families had been asked about their preferences about their lives and care. The staff on duty were knowledgeable about individuals' preferences and ensured people received support as they wanted it.
People were provided with a range of activities which took account of their preferences and needs. Visitors to the home told us they were made welcome and could visit at any time, as they chose. People were supported to maintain relationships with their families and other people who were important to them.
Is the service well-led?
People who lived in the home, their families and health professionals who supported people all said the manager was 'very visible' and 'approachable'. Visitors to the home told us they 'felt comfortable' with the manager and said they would be confident speaking to them if they had any concerns.
Staff we spoke with told us the home was well managed. One person told us, 'This is the best the home has ever been'. The staff told us they felt supported by the manager and knew they had high expectations of the service.
The home provided accommodation to people who required personal and nursing care and the registered manager of the home was a qualified nurse.
The registered provider for the service had good management support systems which ensured senior managers had a good oversight of the quality of the services it provided.