Archived: Ryedale Care Centre

Updated 10 November 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 4 October 2016 and was unannounced.

The inspection was completed by one inspector.

Prior to the inspection we gathered and reviewed information from the local authority commissioning and safeguarding team. We also reviewed information from notifications we had received including deaths and falls. We also reviewed the completed Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with nine people, two relatives and a visiting hairdresser. We interviewed nine staff including the chef, activities coordinator, two staff, the deputy manager, the manager, two domestic staff, the hair dresser and the nominated individual. We observed care for a minimum of 90 minutes in each of the two main care settings and saw how staff interacted with people who used the service.

We looked at three care plans, seven fluid and food charts, five medicine administration records and six topical medicine administration records. We also reviewed nine staff files, 10 supervision records, maintenance records and the training plan for the year.

Updated 10 November 2016

This inspection was unannounced and took place on 4 October 2016. We found four breaches of legal requirements at the last inspection on 8 September 2015. During this inspection significant improvements had been made. However, we found shortfalls in the current supervision program and made a recommendation. In addition, the premises and equipment were not always clean and well maintained. This was a breach of a legal requirement. You can see what action we have asked the provider to take at the end of the report.

Ryedale Care Centre provides care to a maximum of 70 older people with varied health conditions including people living with Dementia. On the day of our visit there were 19 people using the service.

At the time of our inspection there was a manager who was in the process of registering with the Care Quality Commission as they had started working at the service two and half months prior to the inspection. 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 told us they felt safe living at Ryedale. They were treated with dignity and respect by staff who understood their needs.

Staff had received safeguarding training and were able to explain the steps they would take to protect people from avoidable harm. Risks to people and the environment were assessed and steps taken to mitigate the risks were clear and known by staff in order to keep people safe.

Medicines were administered safely by staff that had been assessed as competent.

People thought there were enough staff to meet their needs. Call bells were answered promptly and kept within people’s reach.

Staff received appropriate training. They were able to demonstrate knowledge of the Mental Capacity Act 2005 (MCA) and how they applied it in their daily work.

People and their relatives told us they were able to complain and felt their views were heard. They told us they were supported to maintain a balanced diet and were offered food that met their individual preferences. Activities were based on people’s hobbies and interests and helped reduce the risk of social isolation.

Care plans were person centred and reflected people’s physical social and emotional needs. They were reviewed regularly with input from people and their relatives

People and their relatives thought the service was well led by an approachable manager. There was a quality assurance system in place to ensure care was delivered safely. However, some records were not always accurate and did not always reflect care given. We have made a recommendation about record keeping.