Dunley Hall and Ryans Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Dunley Hall and Ryans Court provides short and long-term accommodation and care for up to 35 people. There were 29 people living at the home at the time of our visit.At the last inspection in January 2016 the service was rated Good. At this inspection we found the service remained Good. The evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
A registered manager was not in place at the time of our inspection, however, the provider was taking reasonable steps to address this. 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 continued to be cared for in ways which took their individual safety and risks and lifestyle choices into account. Staff understood risks to people’s safety and tailored the support they provided so people’s safety and well-being was enhanced.
There was enough staff to care for people and checks were made on the suitability of staff before they were recruited. People were supported to have the medicines they needed and checks were made to ensure these were administered as prescribed. Processes were in place to reduce the chance of people having infections. Staff reflected on people’s safety needs. This included learning from any untoward incidents.
People’s care needs were considered before they moved into the home and their care planned accordingly. Staff worked with people’s relatives and other health and social care professionals so informed decisions would be made about meeting people’s care needs.
People told us staff knew how to care for them. We found staff were provided with opportunities to develop their skills and knowledge, so they could provide the support people living at the home needed.
Staff acted to ensure people had enough to eat and drink so they would remain well. People and their relatives were complimentary about the choices of meals provided. Staff worked across organisations to ensure people were supported to see health specialists when required. This helped to ensure people had good well-being and health.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Caring relationships had been developed between people and the staff supporting them. We found staff knew what was important to people, and spent time chatting with them about what mattered to them. People were encouraged to make their own decisions about the care they wanted. People’s right to dignity and privacy was understood and promoted by staff.
People’s care was planned to reflect their unique preferences, lifestyle choices and needs. Staff supported people to make their own decisions about their lives and care. The views of friends and family and other health and social care professionals were considered when people’s care was planned. This helped to ensure people’s care was planned in the best way for them.
Systems were in place to encourage people to raise any concerns or complaints they may have. Where complaints were made, these were resolved quickly, so people would continue to enjoy living at the home.
People were encouraged to provide their views on the care they received and staff were confident if they made any suggestions for developing people’s care further these would be listened to. The manager checked the care provided to people, so they could be sure people continued to enjoy living at the home and they received the support they wanted.