Ryland View Care Home

Ryland View is a residential care home providing personal and nursing care and accommodation for up to 144 people across five separate units, each of which have separate adapted facilities.

Manby unit provides short-term step-down support for people, Palethorpe unit is specifically, for younger adults with physical disabilities, Heronville unit alongside Bloomfield unit provides Dementia care and Haines Unit is for people who require general nursing care. At the time of the inspection the service was supporting 127 people across the five units.

People’s experience of using this service and what we found

There was not always enough staff to meet the needs of people in a timely manner. Staff met peoples core needs, but support was task focused and staff did not appear to have any other quality time with people. People received their medicines when they needed them. Systems were in place to protect people from the risk of abuse. Overall, we were assured measures were in place to prevent the spread of infection. Action was taken following our inspection to address any equipment which presented an infection control risk to people.

A manager who is registered with CQC was not in place at the time of the inspection. There has been changes to the management of the service and a new manager has now commenced in this role. Staff morale was reported to be low. The provider was seeking feedback from staff, people and relatives and had actions plans in place in order to move the service forward and to make improvements.

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 03 September 2018).

Why we inspected

We received concerns in relation to staffing levels, poor quality care, infection control, and record keeping. As a result, we undertook a focused inspection to review the key questions of safe and well led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ryland View on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified a breach in relation to the lack of staffing provided to people. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Ryland View 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.

Ryland View accommodates up to 144 people across five separate units, each of which have separate adapted facilities. Mamby unit provides short term step down support for people, Palethorpe unit is specifically for younger adults with physical disabilities, Heronville unit alongside Bloomfield unit provides Dementia care and Haines Unit is for people who require general nursing care. At the time of the inspection there were 135 people living across the five units.

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 were supported by staff who understood how to act on concerns about abuse and manage risks to keep them safe. There were sufficient numbers of appropriately recruited staff available for people. There were good infection control practices in place and medications were given in a safe way.

People were supported by staff who received training in their role. Gaps in training had been identified and acted upon by the provider. People were supported to eat and drink and had access to healthcare services where required. People’s rights had been upheld in line with the Mental Capacity Act although staff knowledge around Deprivation of Liberty safeguards varied. The design and decoration of the service met peoples needs.

People were supported by staff who were kind and caring. People were treated with dignity and respect and had their communication needs met. Advocacy services were available for people where required.

The availability of activities varied across units which meant some people had more meaningful experiences than others. People’s care needs were assessed and reviewed. Care records held personalised information about people and staff knew people well. Complaints made had been investigated and resolved.

People, relatives and staff spoke positively about the leadership at the service. Audits were in place to monitor the quality of the service and people were given opportunity to feedback on their experience of the service.