Ryedale Reablement service

Updated 17 October 2017

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 comprehensive inspection took place on 15 August 2017 and it was announced. The provider was given 48 hours’ notice because the location provided a domiciliary care service and we needed to be sure that someone would be in the office.

The inspection was carried out by one adult social care inspector and an expert-by-experience. The inspector visited the service office and completed visits to people’s homes with their permission. The expert-by-experience carried out pre-arranged telephone calls to other people who used the service. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Prior to our inspection we looked at the information we held about the service, which included notifications sent to us since the last inspection. Notifications are when providers send us information about certain changes, events or incidents that occur within the service. We also contacted North Yorkshire County Council (NYCC) safeguarding and commissioning teams. We had not requested the provider to submit a provider information return (PIR). The PIR 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.

At this inspection we spoke with the manager and four members of staff. We visited two people who used the service who said they would be happy to meet and speak with us. We also spoke with a further six people on the telephone.

We looked at two people’s care records, including their initial assessments, care plans and risk assessments. We looked at medication administration records (MARs) where staff were responsible for administering medicines. We also looked at a selection of documentation pertaining to the management and running of the service. This included quality assurance information, audits, recruitment information for two members of staff, staff training records, policies and procedures, complaints and staff rotas.

Updated 17 October 2017

North Yorkshire County Council operate Ryedale House. This service is registered to provide personal care to people in their own homes within the communities of Malton, Pickering and the surrounding areas. The service can provide support for a maximum period of six weeks after referral to help people rehabilitate and increase their independence or long term to help people stay at home. At the time of the inspection the service was supporting 15 people in the community.

At the last inspection, the service was rated ‘Good’. At this inspection we found the service remained ‘Good’.

There was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like 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. Throughout this report we will refer to the registered manager as ‘the manager’.

People told us they felt safe and well supported by staff from the service. The provider followed robust recruitment checks, to employ suitable staff, and there continued to be sufficient care staff employed to ensure home visits were carried out in a timely way. People’s medicines were managed safely.

Staff continued to receive appropriate training to give them the knowledge and skills they required to carry out their roles. This included training on the administration of medicines and on how to protect people from the risk of harm. Staff received regular supervision to fulfil their roles effectively, and had yearly appraisals to monitor their work performance.

People were supported to have choice and control of their lives and the policies and systems in the service supported this practice.

Where staff prepared and cooked meals for people, people told us they enjoyed good food. People and their relatives gave us positive feedback about staff and described them as “Friendly, kind and considerate.”

Staff knew about people’s individual care needs and care plans were person-centred and detailed. We were told staff treated people who used the service with compassion, dignity and respect.

People told us that the service was well managed and organised. The manager assessed and monitored the quality of care provided to people. People and staff were asked for their views and their suggestions were used to continuously improve the service.

Further information is in the detailed findings below