We carried out a review of the data available to us about The Ryan Medical Centre Tender Nursing Care 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 The Ryan Medical Centre Tender Nursing Care, you can give feedback on this service.
People’s experience of using this service: People told us they felt safe using the service and were kept informed and up-to-date in relation to their family members care. They said care and support was delivered in a way they wanted it to be. They felt involved and were certain their loved one's needs were being met by kind and caring staff. One person told us, "We are very happy with the service and the carers who come here. They are very good indeed. We have no complaints. They are very pleasant and respect my wife as a person. We get the same staff all the time, who have very good attitudes."
Since the last inspection a good range of improved documentation had been introduced, which had enhanced the practices adopted by the service.’Systems to act on allegations of abuse were in place. Risks in general had been managed.
There were no reported accidents or incidents, but a system was in place to record these, should it be necessary. Relatives of the people we visited took on the responsibility of the management of medicines. However, staff had received training in medication awareness and guidance for staff was available. Staff were recruited safely and there was a consistent staff team.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs and choices were assessed and their care and support was delivered to achieve effective outcomes. Staff engaged with people and we were told care workers were kind and caring.
New staff received an induction programme and completed shadow shifts before commencing lone working. A broad range of training had been completed by all staff, who were regularly supervised and appraised each year.
Detailed information was recorded in daily diaries, which demonstrated people were provided with person centred care and support plans were available in people’s homes. A system was in place for the management of complaints.
Some audits had taken place and feedback was regularly obtained from those who used the service and their relatives. Senior oversight was ongoing to provide support and drive improvements forward. Team meetings were taking place.
Rating at last inspection: The last inspection was rated good in all key questions and good overall. The report was published on 30 August 2016.
Why we inspected: This was a scheduled inspection based on the previous ratings.
Follow up: The service will be re-inspected as per our inspection programme. We will continue to monitor any information we receive about the service. We may bring the next inspection forward if we receive any concerning information.
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 of the Health and Social Care Act and associated regulations about how the service is run.
We last inspected Tender Nursing Care on 11 November 2013, when the service was meeting all regulations we assessed at that time.
This inspection was conducted on 24 and 25 May 2016. The registered manager was on duty when we visited the agency office. She provided all the records we requested in a timely manner and was co-operative throughout the inspection.
At the time of this inspection there were seven people in the community who were receiving overnight care and support from Tender Nursing Care. There were three nursing staff appointed and five care assistants.
There were thorough processes in place to keep people safe. Staff members were well trained and had good support from the management team. They were confident in reporting any concerns about a person’s safety and were competent to deliver the care and support needed by those who used the services of Tender Nursing Care. The recruitment practices adopted by the agency were robust. This helped to ensure only suitable people were appointed to work with this vulnerable client group.
Assessments had been conducted within a risk management framework. This helped to promote people’s safety and well-being and protect people from harm.
The planning of people’s care was based on an assessment of their needs, conducted before a package of care was arranged. We found the plans of care to be person centred, providing staff with clear guidance about people’s needs and how these were to be best met. Changes in individual needs were appropriately recorded. Staff we spoke with were easily able to discuss the needs of people in their care.
People were helped to maintain their independence as far as possible. Staff were kind and caring towards those they supported. Care was provided in a dignified manner and people's wishes were respected.
Records showed that staff received a broad range of training programmes and those we spoke with provided us with some good examples of modules they had completed. Evidence was available to demonstrate that supervision sessions were conducted for staff, as well as annual appraisals, which enabled them to discuss their work performance and training needs with their line managers.
Consent had been obtained from people who used the service. Staff spoken with told us they felt well supported by the registered manager of the agency.