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Inspection carried out on 20 October 2017

During a routine inspection

This inspection took place on 20 October 2017. The service is registered to provide accommodation for up to seven people with mental health needs who require nursing or personal care. Ryecroft Apartments is a 24 hour staffed step down service that is fully supported by a multidisciplinary team also operated by the same provider. At the time of our inspection there were six people living at the location.

At the last inspection, in October 2015, the service was rated Good. At this inspection we found that the service continued to be rated as Good.

There was a registered manager in post when we inspected. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 2008 and associated regulations about how the service is run.

People's needs continued to be safely met. People's needs were assessed prior to moving in to the home and people's care plans reflected their individual needs and preferences in relation to the support provided.

Assessments were in place and appropriately acted upon to promote positive risk taking and effectively manage risks to people's health and welfare. Staff had received training to provide them with the skills and knowledge they needed to provide people with safe care. There were sufficient numbers of staff available to meet people's needs in a timely way.

Staff recruitment processes protected people from being cared for by unsuitable staff and all new staff completed a thorough induction training programme. Staff understood the importance of protecting people from abuse and avoidable harm. They knew what action they needed to take to report any concerns about people's safety or well-being.

People's support was provided by a staff team that were caring, friendly, and responsive to people's changing needs. People were treated with dignity and their right to make choices about how they preferred their support to be provided was respected.

People were supported to eat a healthy diet and to have prompt access to health services to improve their health and well-being. Staff followed the advice of healthcare professionals in meeting people's needs. Staff ensured that people who required support to manage their medicines received their medicines as prescribed.

The service had a positive ethos and an open culture. The registered manager was a visible role model in the home. People and staff told us that they had confidence in the manager's ability to provide high quality managerial oversight and leadership to the home.

People's views about the quality of their service were sought and acted upon. There were systems in place to assess and monitor the on-going quality of the service.

Inspection carried out on 14 September 2015

During a routine inspection

This unannounced inspection took place on 14 September 2015. The service provides support for up to five people with Mental Health needs and is a step down service from a larger home that provides more structured support. At the time of the inspection there were four people living at the service, some of whom may have a mental health diagnosis.

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 2008 and associated Regulations about how the service is run.

People told us that they felt safe in their own flats. Staff understood the need to protect people from harm and abuse and knew what action they should take if they had any concerns. Staffing levels ensured that people received the support they required at the times they needed. We observed that on the day of our inspection there were sufficient staff on duty. The recruitment practice protected people from being cared for by staff that were unsuitable to work at the home. 

Care records contained risk assessments to protect people from identified risks and help to keep them safe. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.

People were supported to take their medicines as prescribed. Records showed that medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.

People were actively involved in decision about their care and support needs There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). People felt safe and there were clear lines of reporting safeguarding concerns to appropriate agencies and staff were knowledgeable about safeguarding adults.

Care plans were in place detailing how people wished to be supported and people were involved in making decisions about their care. People participated in a range of activities both in the home and in the community and received the support they needed to help them do this. People were able to choose where they spent their time and what they did.

Staff had good relationships with the people who lived at the home. Complaints were appropriately investigated and action was taken to make improvements to the service when this was found to be necessary. The registered manager was visible and accessible. Staff and people living in the home were confident that issues would be addressed and that any concerns they had would be listened to.