We carried out a review of the data available to us about Ryedale House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Ryedale House, you can give feedback on this service.
Ryedale House is a residential care home which provides care and support to people with mental health needs. It is registered to provide care for up to seven people. At the time of our inspection there were seven people living at the home.
People’s experience of using this service and what we found:
People received safe care and were protected against avoidable harm, neglect and discrimination. There were systems in place to make sure the service was safe, with good staffing levels and skilled staff to deliver good quality care.
Risks to people were fully assessed and well managed. People were supported to take positive risks, to make sure they had greater choice and control of their lives. The positive risk-taking approach showed that staff respected people's right for independence and their right to take risks.
Staff had been safely recruited to meet people's needs. Peoples medicines were safely managed, and systems were in place to control and prevent the spread of infection.
People's care needs were assessed before they received a care package. Staff received an induction and ongoing training that enabled them to have the skills and knowledge to provide effective care.
People were supported to eat and drink enough. Staff supported people to live healthier lives and access
healthcare services when required.
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.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of their care and support. People's privacy and dignity was maintained at all times.
Care plans supported staff to provide personalised care. People were encouraged to take part in activities and interests of their choice. There was a complaints procedure in place and systems in place to deal with complaints effectively. The service provided appropriate end of life care to people.
The service continued to be well managed. The provider had systems in place to monitor the quality of the service. Actions were taken, and improvements were made when required. Staff felt well supported and said the registered manager was open and approachable. The service worked in partnership with outside agencies.
Rating at last inspection.
The last rating for this service was Good (published 5 July 2017)
Why we inspected
This was a planned inspection based on the previous rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ryedale House on our website at www.cqc.org.uk.
Follow up
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.
Ryedale House is a residential home which provides care to people with mental health needs. It is registered to provide care for up to seven people. At the time of our inspection there were six people living at the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People using the service and relatives we spoke with said they thought the home was safe. Staffing levels were sufficient to ensure people's safety. Staff had been trained in safeguarding (protecting people from abuse) and understood their responsibilities in this area.
Staff were subject to checks to ensure they were appropriate to work with the people who used the service. People's risk assessments provided staff with information on how to support people safely, though some assessments were not fully in place.
People using the service told us they thought their medicines were given safely and on time and this had been the case when we checked.
Staff had been trained to ensure they had the skills and knowledge to meet people's needs. Staff understood their main responsibility under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) to allow, as much as possible, people to have an effective choice about how they lived their lives.
People had plenty to eat and drink and everyone told us they liked the food served.
People's health care needs had been protected by referrals to health care professionals when necessary.
People told us they liked the staff and got on well with them. We saw many examples of staff working with people in a friendly and caring way. People and their representatives were involved in making decisions about their care, treatment and support.
Care plans were individual to the people using the service and covered their health and social care needs. Activities were organised to provide stimulation for people and they took part in activities in the community if they chose.
People and their relatives told us they would tell staff if they had any concerns and were confident these would be followed up.
People, staff and most relatives we spoke with were satisfied with how the home was run by the registered manager. Management carried out audits and checks to ensure the home was running properly to meet people's needs, though not all essential issues had been audited.
Ryedale House is a residential home which provides care to people with mental health needs. It is registered to provide care for up to seven people. At the time of our inspection there were seven people living in the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. The registered manager responsible for nursing was managing the service at the time of the inspection.
People using the service we spoke with said they thought the home was safe. Staff had been trained in safeguarding (protecting people from abuse) and understood their responsibilities in this area.
People's risk assessments provided staff with information of how to support people safely.
People using the service told us they thought medicines were given safely and usually on time.
Staff were not always subject to checks to ensure they were appropriate to work with the people who used the service. The registered manager was following up a reference to obtain more detail to be able to properly assess risk to people living in the service.
Staff had been trained to ensure they had the skills and knowledge to meet people's needs though more training was needed so staff were in a position to meet people's needs.
Staff were not always aware of their responsibilities under the Mental Capacity Act 2005 (MCA) so that people had an effective choice about how they lived their lives. The service had not always obtained legal approval for limiting people's choices when necessary for their best interests. There was no system in place to assess people's capacity to make their own decisions which meant people's choices to follow their own lifestyles could be limited.
People had plenty to eat and drink, everyone told us they liked the food served and people were assisted to eat when they needed help.
People's health care needs had been protected by referral to health care professionals when necessary.
People we spoke with told us they liked the staff and got on well with them, and told us of many times where staff supported them in a friendly and caring way.
People and their representatives were involved in making decisions about their care, treatment and support.
Care plans were individual to the people using the service and covered their health and social care needs.
There were sufficient numbers of staff to ensure that people's needs were responded to in good time.
Activities were available to provide stimulation for people though this provision needed to be reviewed to offer more community activities for people.
People told us they would tell staff if they had any concerns and were confident they would be followed up to meet people's needs.
People, staff and professionals were satisfied with how the home was run by the registered manager.
Statutory notifications of incidents had not been submitted to allow us to assess risk to the welfare of people living in the service
Management had carried out audits and checks to ensure the home was running properly to meet people's needs, though not all essential systems and been audited to provide assurance that people's needs had always been met.
We inspected parts of the home with the manager. We saw the decor was clean and fresh and the premises well maintained. We saw the outside garden area was attractive with a small pond, bedding plants, various seating areas, and chickens in an enclosed area. One person told us they had helped staff build a chicken run outside and enjoyed feeding the chickens. Staff told us a number of people regularly smoked and were able to smoke in the garden in a covered area.
People told us,
" I had egg on toast for breakfast."
" It's a nice place with nice staff."
" I like my keyworker."
"I am going fishing with staff."