You are here

Ryedale Homecare Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 February 2021

About the service

Ryedale Homecare is a domiciliary care service providing personal care to younger adults and older people who may be living with a physical disability, dementia, a learning disability or autistic spectrum disorder. At the time of our inspection 28 people were using the service.

Not everyone who used the service received personal care. The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People praised the kind and caring support staff provided and how management were responsive and worked well with other professionals to help meet their needs. However, improvements were needed to make sure people’s medicine were managed and administered safely.

Clear and complete records were not always available to demonstrate the service was effectively managed. People’s care plans and risk assessments did not always contain enough person-centred information to support staff to provide safe care. Although no one had been harmed because of the concerns we identified, the provider did not have a robust system of audits and checks to monitor the quality and safety of the service. This put people at increased risk of harm.

The provider needed to update their policies and procedures to reflect current best practice guidance and develop a training plan to help monitor and make sure staff had the training required to safely meet people’s needs.

People praised staff’s reliability and punctuality. Staff wore appropriate Personal Protective Equipment (PPE) to keep them and other safe. People felt safe with the support staff provided and were confident management would respond to any issues or concerns they had.

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 11 November 2017).

Why we inspected

The service was involved in a planned pilot virtual inspection. The pilot looked at new and innovative ways of fulfilling CQC’s regulatory obligations and responding to risk in light of the COVID-19 pandemic. During this pilot, we identified concerns about risk management, auditing and the governance of the service. 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. You can see what action we have asked the provider to take at the end of this full report.

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

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.

Inspection areas

Safe

Requires improvement

Updated 5 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 5 February 2021

Caring

Good

Updated 5 February 2021

Responsive

Good

Updated 5 February 2021

Well-led

Requires improvement

Updated 5 February 2021

The service was not always well-led.

Details are in our well-led findings below.