Ryedale Homecare

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture based on openness, inclusion and delivering person-centred care. Staff understood their roles and worked together to support people to achieve positive outcomes.

Staff meetings, audits and quality assurance processes were used to reinforce expectations, promote accountability and drive continuous improvement.

The provider's approach reflected the principles of Right Support, Right Care, Right Culture. Staff were encouraged to support people to maintain independence, access their community and make choices about how they lived their lives. One staff member told us, "We all work very well together both as a team and with the people we support."

The provider had inclusive leaders who understood the needs of people using the service and led with openness, honesty and integrity. Leaders had the skills, knowledge and experience to support staff and drive improvements within the service.

We found leaders had responded positively to feedback and implemented improvements which addressed the concerns identified at the previous assessment. The registered manager demonstrated a good understanding of people's needs, the service's performance and the actions required to sustain improvement.

Feedback about leadership was consistently positive. One relative told us, "[Registered manager’s name] is amazing and goes above and beyond, they are more than just a care agency." Staff also described the registered manager as approachable, responsive and supportive.

The provider fostered a positive culture where people, relatives and staff felt able to speak up and have their voices heard. People were provided with opportunities to share feedback about their care and the service they received.

We found leaders had strengthened oversight arrangements and actively sought feedback through reviews, questionnaires, audits and regular communication with staff, people and relatives. Evidence showed feedback was used to support improvements across the service.

Staff consistently told us they felt comfortable raising concerns and were confident they would be listened to. One staff member said, "We can all talk to each other, and the registered manager is very approachable."

The provider valued diversity in their workforce and worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.

Leaders promoted an inclusive culture through training, policies and staff support processes. Staff received training in equality, diversity, disability awareness and bullying and harassment, helping to ensure people and staff were treated fairly and with respect.

Policies and procedures supported equality and inclusion within the workplace, and staff told us they felt valued and supported in their roles. This helped create a positive culture that enabled staff to deliver person-centred care.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on information about risk, performance and outcomes to drive improvement.

The provider had implemented robust governance systems, including audits of care records, medicines, staff competencies and daily notes, which identified issues, tracked actions and monitored completion.

The provider maintained a detailed action plan in response to the previous assessment and was able to demonstrate how improvements had been embedded into everyday practice. These systems provided effective oversight of the service and gave assurance that risks were identified and addressed promptly.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated to improve outcomes for people.

The provider worked closely with healthcare professionals, relatives and other agencies to ensure people received coordinated care. Records demonstrated regular communication with GPs, district nurses, occupational therapists, speech and language therapists and local authority professionals where required.

Staff supported people to maintain community links, access activities and remain connected with those important to them. During our visit, we observed people discussing outings, shopping trips, family visits and activities they enjoyed within their local community, demonstrating a culture focused on supporting people to live full and meaningful lives.

The provider focused on continuous learning, improvement and innovation across the organisation. Leaders used feedback, audits and monitoring systems to identify areas for improvement and drive positive change.

The provider had implemented comprehensive quality assurance processes and maintained a detailed action plan in response to the warning notice issued after our last assessment. Audit findings were used to improve record keeping, staff practice and care delivery, with actions monitored through to completion.

Staff told us improvements were regularly discussed and shared through meetings, audits and supervision. The improvements identified at the previous assessment had been embedded into practice, resulting in better oversight of care, improved record keeping and more effective governance.