Background to this inspection
Updated
17 November 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 was planned to check 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 24 and 26 October 2017 and the first day was unannounced.
The inspection team consisted of an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Before the inspection, we asked the provider to complete a 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.
We also reviewed other information we held about the service, which included notifications they had sent us. A notification is information about important events which the provider is required to send us by law. We also contacted the commissioners of the service and Healthwatch Nottinghamshire to obtain their views about the care provided by the service. This information was used to help us to plan our inspection.
During the inspection we observed care and spoke with four people who used the service, six visiting relatives or friends, one visiting healthcare professional, the cook, a cleaning staff member, a laundry staff member, a wellbeing staff member, two care staff, the deputy manager, the registered manager and the provider. We looked at the relevant parts of the care records of four people who used the service, three staff files and other records relating to the management of the service.
Updated
17 November 2017
This inspection took place on 24 and 26 October 2017 and the first day was unannounced.
Ryland Residential Home was last inspected in September 2015 and was rated Good. At this inspection, the service remained Good.
The provider is registered to provide accommodation for up to 17 older people in the service over two floors. There were 16 people using the service at the time of our inspection.
A registered manager was in post and was available throughout 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.
Risks were not always managed so people were fully protected from avoidable harm. Sufficient staff were not always deployed to meet people’s needs and medicines management practices required improvement.
Staff knew how to keep people safe and understood their responsibility to protect people from the risk of abuse. Staff were recruited through safe recruitment practices. The service was clean and staff followed correct infection control practices.
Staff received induction and training. Staff had not received individual supervision and appraisal recently but had received group supervisions and did feel supported. People’s rights were protected under the Mental Capacity Act 2005.
People received sufficient to eat and drink. External professionals were involved in people’s care as appropriate and adaptations had been made to the design of the home to better support people living with dementia.
Staff were kind and knew people well. People and their relatives were involved in decisions about their care. Advocacy information was made available to people.
People received care that respected their privacy and dignity and promoted their independence. People could receive visitors without unnecessary restriction.
People received personalised care that was responsive to their needs. Care records contained sufficient information to support staff to meet people’s individual needs. A complaints process was in place and staff knew how to respond to complaints.
People and their relatives were involved or had opportunities to be involved in the development of the service. Staff told us they would be confident raising concerns with the management team and appropriate action would be taken.
The registered manager and provider were meeting their regulatory responsibilities. There were effective systems in place to monitor and improve the quality of the service provided. New more detailed audit tools were to be introduced to further improve monitoring of the quality of the service.