Archived: Ryland Residential Home

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.

We spoke with four people about the care and support they received from staff. All four of them were happy and they told us the staff were very kind and supportive and they were looked after well.

Everyone we spoke with felt safe living at the home.

We spoke with two people about their medicines. Both of them told us that the staff looked after their medicines for them and they got these when they needed them.

There had been on-going environmental improvements and people were living in a well maintained and safe environment.

We spoke with four people about the staffing levels. They all told us they felt there were sufficient staff available to meet their needs and they did not have to wait for assistance. However two people did express anxiety about there only being one member of staff awake during the night and one person told us they sometimes had to wait for assistance during the night. We discussed this with the manager and the manager told us they would speak with people and reassure them about the arrangements.

We also spoke with the manager and assistant manager and consulted with two members of staff in respect of their job roles and the support they offered to people using the service.

People told us they were happy and settled living at the home. They told us they had been involved in the care planning process and any decisions that were made about their care and treatment. They all felt that their needs were met and staff were kind and caring towards them. One person said, 'I feel involved in my care, I can do things for myself and maintain my independence but the staff help me if I need it.' Another person said, 'The staff are very caring, they look after me as I like and I am very happy here.'

People told us the staff looked after their medicines and they received these as needed.

People told us they felt the staff were well trained and good at their jobs.

No one expressed any concerns and they felt staff would listen to them if they did. One person said, 'I have no complaints, if I did I know who to speak with and I know they would listen.' Another person said, 'It is very good care here, I have no complaints at all.'