CQC report explained · a nursing home
What the CQC found at Risedale Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough suitably skilled staff, safe medicines, thorough recruitment checks and a clean home.
- Effective?
- Good
- Staff were trained and competent. People received suitable food, drinks and healthcare support, and staff involved people in decisions about their care.
- Caring?
- Good
- Staff treated people and their families with kindness, dignity and respect. People were involved in decisions and supported to remain independent.
- Responsive?
- Good
- Care plans reflected people's needs, choices and preferences. People could maintain relationships, take part in activities and receive compassionate end of life support.
- Well-led?
- Good
- Managers were committed to person-centred care. The provider used feedback, audits, incident reviews and unannounced visits to monitor and improve the home.
What inspectors found, March 2020
Rated Good; inspectors found safe, kind and personalised care across all five areas.
Inspectors visited the home without notice on 30 January 2020. They spoke with eight people, six visitors and eight staff. They also reviewed care, medicine, recruitment, training and management records.
The home was rated Good overall. Safe, Effective, Caring, Responsive and Well-led were all rated Good. Inspectors found enough skilled staff, safe medicines, clean surroundings and suitable infection control.
People were treated with kindness and respect. Staff supported people's choices, independence, health needs, activities, relationships and end of life care. The home had also improved its care planning and monitoring since the previous inspection.
Enough skilled staff
Inspectors found enough staff with the right skills to meet people's needs. A qualified nurse also worked in a supernumerary role to oversee nursing care.
“There were enough staff, with the appropriate skills, to meet people's needs.” from the report
Kind and respectful care
Staff supported people's dignity, privacy, choices and independence. They also noticed when people were distressed and offered prompt reassurance.
“The staff treated people and their families with kindness and respect.” from the report
Strong end of life support
The home worked with specialist organisations and had achieved Gold Standard Framework accreditation for end of life care.
“People and their families received high-quality, compassionate support as they reached the end of their lives.” from the report
Activities and relationships
Visitors were welcomed and people could maintain important relationships. The home provided group and individual activities.
“Visitors were made welcome in the home and people were supported to maintain relationships that were important to them.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's specific nursing needs, and who would oversee that care?
- 02How would you support my relative to remain independent and make choices about their daily life?
- 03Which activities would suit my relative's interests, communication needs and abilities?
- 04How would you involve our family and local health services if my relative became unwell?
- 05How would you support our family if my relative needed end of life care?
This was an unannounced planned inspection covering all five CQC questions, and both the premises and care provided were looked at. This explanation was written from the published report of 20 March 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, July 2017
Risedale Retirement and Residential Home is rated Good; inspectors found safe, kind and responsive care across all five areas.
Inspectors carried out an unannounced comprehensive inspection on 29 June 2017. They spoke with 17 people living in the home, six visitors and staff. They also observed care and checked care, staff and safety records.
The home was supporting 55 people, including older people, people living with dementia and people with physical disabilities. Inspectors found enough trained staff, safe medicines arrangements, suitable care plans and good support with meals and health care.
People were treated kindly and respectfully. They were involved in decisions, supported to remain independent and offered activities and visits that matched their wishes. The home had systems to monitor quality and respond to people's views.
The overall rating was Good, and each of the five areas was also rated Good. This means inspectors found the service met the relevant standards at the time of this inspection. The home had also been rated Good at the previous inspection.
People felt safe
People and visitors told inspectors they felt safe. Staff had been trained to recognise and report abuse, and risks were recorded and managed.
“People felt safe and well cared for living in the home.” from the report
Safe medicines and staffing
Inspectors found enough staff and secure medicines arrangements. Records showed medicines were given as prescribed.
“Medicines were handled safely and people received their medicines as their doctors had prescribed.” from the report
Kind and respectful care
Staff were attentive and responded when people were anxious or unwell. They protected privacy and dignity and encouraged people to do things for themselves.
“Throughout our inspection we saw that the staff treated people in a kind and caring way.” from the report
Choice and activities
People were involved in decisions about their routines, care and activities. Visitors were welcome and activities reflected people's preferences.
“Activities were provided to take account of people's likes and preferences.” from the report
Quality monitoring
The manager and provider used surveys, meetings and checks to monitor the service. Inspectors saw that action had been taken in response to people's suggestions.
“The registered manager and registered provider had good systems to monitor the quality and safety of the service.” from the report
Manager not clear to everyone
minorTwo people were initially unclear about who the manager was. Inspectors also saw that they knew the manager and were confident speaking with her, so this was a minor issue.
“Two people were unclear about who the registered manager was.” from the report
- 01How do you make sure there are enough staff when a person's needs increase?
- 02How are medicines checked and recorded for each person?
- 03How are care plans updated when a person's needs or choices change?
- 04What activities are currently available for people living with dementia and people with different interests?
- 05How can families raise concerns, and how will the home show what action was taken?
This was an unannounced comprehensive inspection covering all five questions, and all five ratings were Good. This explanation was written from the published report of 29 July 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Risedale Nursing Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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9 live-in carers within about an hour of Westmorland and Furness
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8 can care for a couple. 10 years' experience on average.
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