Risedale Rest Home Limited

Updated 13 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 11 March and was announced.

Updated 13 April 2021

About the service: Risedale Rest Home provides personal care and accommodation to up to 17 older people across three floors in one converted residential terrace. There were 14 people living at the service at the time of our inspection, some of whom were living with dementia.

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

The registered manager had made a range of improvements to care planning documentation, record keeping and to the fabric of the building. Rooms that were previously undecorated and in need of repair had been renovated and there were new bathroom facilities. The laundry was still in need of improvement; the registered manager agreed to pursue these as a priority with the owners.

Care plans had been completely rewritten where necessary and reviewed on a continual basis.

Risk assessments had also been reviewed and contained improved person-centred information. Daily recording information was accurate and up to date. The registered manager had implemented an electronic care records system, which was working well, although some staff were not yet fully proficient in it. People were kept safe through good staff knowledge and awareness.

The registered manager worked proactively in with external healthcare professionals.

The home felt welcoming and vibrant. Feedback was positive regarding the compassionate, affectionate and sensitive approach of staff.

The registered manager ensured people were involved in the planning of their care. They used a variety of meetings, one to one time and surveys to involve people in how the service was run.

People ate well and had a choice of meals and snacks. ‘Hydration stations’ had been set up in the dining areas so people could help themselves.

People’s rooms were clean and well decorated; refurbishment of communal spaces had continued.

Staff received training relevant to people’s needs. They had received end of life care training and the registered manager had ensured strong links were in place with external healthcare professionals in this regard.

Access to and involvement in activities had improved, with a dedicated member of staff in place.

The registered manager worked well with staff and there was a strong team ethic built on hard work and mutual respect. The registered manager was open and supportive with staff. They were appreciative of the support of a dedicated staff team.

Clear systems were in place for the review and audit of all aspects of the service. The registered manager was aware of a number of benefits the electronic care records system could offer them and staff in future and they planned to utilise it more.

Medicines were managed safely, in line with best practice. The administration of covert medicines and medicines to be given ‘when required’ had been improved, with clearer instructions in place. The premises were well maintained, and appropriate health and safety checks were in place. Emergency procedures and contingency plans were in place.

People’s capacity was assumed unless there were reasons to consider otherwise, and staff acted in line with the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

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 requires improvement (published 28 September 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.