11 February 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
The inspection was carried out by four inspectors and two Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Risedale at Abbey Meadow is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had four managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with 13 people who used the service and 14 visitors. We spoke with the four registered managers, nine care staff and three ancillary staff. We also spoke with a visiting healthcare professional, the provider’s managing director and their nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We observed how staff interacted with people and used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included 11 people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and training. We also reviewed a range of records relating to the management of the home and how the provider assessed the quality and safety of the service.
After the inspection
We received feedback from a specialist healthcare professional who supported people who lived in the home.
11 February 2020
About the service
Risedale at Abbey Meadow is a purpose built residential care home providing personal and nursing care for up to 93 people, 85 people were using the service at the time of the inspection. The service provides support to adults who have a physical disability, mental health needs, behaviour support needs, dementia and complex nursing needs.
People’s experience of using this service and what we found
People were safe and protected from abuse and avoidable harm. There were enough staff, with the appropriate skills and knowledge, to support people. People received their medicines safely and as their doctors had prescribed. The provider had systems to analyse and learn from incidents to further improve the service.
The provider invested in staff training and development and staff were well-trained and skilled. They provided people with high-quality support, based on best practice. The provider had worked with a specialist supplier to ensure the environment promoted good outcomes for people. The staff had a good understanding of how to promote people’s rights. 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 treated people with kindness and respect and knew how people communicated. They promoted people’s independence and dignity. People made choices about their lives and the staff respected the decisions they made. The staff provided care in an empathic way which promoted people’s wellbeing.
Staff were responsive to people’s needs. They planned and delivered care to meet people’s needs in a holistic, person-centred way. They identified people’s wishes about how they wanted to be cared for at the end of their lives and worked with specialist services to ensure people received a high standard of care. People enjoyed a range of activities which engaged them and promoted their wellbeing. Visitors were made welcome and people could see their friends and relatives at any time they chose. The provider investigated any complaints received to identify if the service could be further improved.
The registered managers provided leadership to the staff team and modelled the values of empathic, holistic, person-centred care. The staff felt well supported and were engaged with the values and ethos of the service. The provider and registered managers monitored the service to ensure people continued to receive good care. People were asked for their views about the home and valued the service provided. The provider was open and honest with people when incidents happened. They had developed a culture where staff were supported to share their views and raise any concerns.
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 13 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.