Risedale Nursing Home

Updated 20 March 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by one inspector, a Specialist Advisor who had experience of supporting people who required nursing care 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.

Service and service type

Risedale Nursing and Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we held about the home, including significant events the registered managers had informed us about. We asked the local authority commissioners for their views of the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and six visitors about their experience of the care provided. We spoke with eight members of staff including the registered managers, five members of the care team and one member of the ancillary staff. We also spoke with the provider’s nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included six people’s care records and medication records. We looked at three staff files in relation to recruitment and staff training. We also looked at a range of records relating to the management of the service, including how the registered managers and provider monitored the quality and safety of the service.

After the inspection

We reviewed additional information the provider sent us including feedback they had received from people's relatives and healthcare professionals.

Updated 20 March 2020

About the service

Risedale Nursing and Residential home is a residential care home providing accommodation and personal and nursing care to 66 older people at the time of the inspection. The service can support up to 69 people in one adapted building.

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

People were safe and protected from the risk of harm and abuse. There were enough staff, with the appropriate skills, to meet people’s needs. People received their medicines safely and as their doctors had prescribed. The home was clean and free from any unpleasant odours. The staff protected people from the risk of infection.

The staff were trained, skilled and competent to care for people. People were provided with meals, drinks and snacks they enjoyed. The staff worked with local and specialist health services to support people to maintain good health. The provider had developed and adapted the service to meet peoples’ needs. 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 at the service supported this practice.

The staff treated people and their families with kindness and respect. They noticed if people were anxious or distressed and gave them prompt support and reassurance. People were asked for their views and included in decisions about their care. The staff respected people’s privacy and dignity and supported people to maintain their independence.

The staff planned and delivered people’s care to meet their needs and to take account of their wishes. Visitors were made welcome in the home and people were able to maintain relationships that were important to them. People were provided with a range of activities they enjoyed. The provider had a procedure for receiving and responding to complaints. People and their families received high-quality, compassionate support as they reached the end of their lives.

The registered managers were committed to providing people with high-quality, person-centred care. They asked people for their views and made changes in response to their feedback to further improve the service. The provider maintained oversight of the quality and safety of the service.

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 good (published 29 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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