Archived: Ryedale Care Centre

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.

People and their relatives told us they were well looked after and that their health and welfare needs were met. One person said "they are so kind to me here. They are lovely. I never want to be anywhere else." A relative told us "they are kind and caring, they look after her well." The care records we reviewed contained a range of assessments and care plans outlining how to support people using the service.The staff worked with other professionals, for example the tissue viability nurse and speech and language therapist to ensure that people's health needs were met.

We found that staff received the training they needed to provide a safe and appropriate service to people. They were aware of their responsibility with regard to safeguarding vulnerable adults. People were protected from the risks of unsafe or inappropriate care because accurate and appropriate records were maintained.

We saw that people were assisted with their personal care and were being supported in accordance with their individual care plan. One person told us "they ask me and involve me in everything, from what I want to eat, to whether I want to go out." Another said "the staff are more attentive and caring. They always listen to me and ask me before they do anything."

A relative told us " we reviewed the care plan and updated it. I haven't got anything but praise for the way she is looked after."

Although people we spoke with were satisfied with the care and support they received from the staff, we found that care plans did not always accurately reflect people's needs leaving them at risk of receiving unsafe or inappropriate care and support.