CQC report explained · a residential care home
What the CQC found at Rye House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable safeguarding, risk management, staffing, recruitment, medicines and infection control arrangements. Building and fire safety concerns found during the previous renovation had been resolved and approved.
- Effective?
- Good
- People had assessments and personalised care plans, and staff had relevant training and supervision. Staff worked with health professionals and supported people's dietary, health and consent needs.
- Caring?
- Good
- People and relatives gave positive feedback. Staff were observed being kind and caring, respecting people's choices, privacy, dignity and independence.
- Responsive?
- Good
- Care was personalised and activities were planned around individual preferences. People could raise concerns, although a relative wanted more opportunities for trips and outside social events.
- Well-led?
- Good
- Inspectors found a positive, person-centred culture and regular checks of the service. Managers had relevant knowledge, and audits, meetings and supervision were being used to oversee and improve care.
What inspectors found, November 2022
Rye House rated Good; inspectors found safe, kind and personalised care, with some areas of the building and activities still needing attention.
The CQC carried out an unannounced inspection in October 2022. One inspector visited on 7 and 10 October, spoke with people, relatives and staff, and checked care records, medicines, recruitment files, training and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received medicines safely, had their health and dietary needs supported, and were treated with kindness and respect.
The home had reopened in April 2022 after renovation. Building and fire safety approvals had been completed. There were four people living there at the inspection, although the home could accommodate up to 16 people with complex needs.
Safe care and medicines
Staff understood safeguarding and risks, medicines records were completed correctly, and the home had suitable safety checks.
“Medicines administration records we reviewed had been completed correctly.” from the report
Kind and respectful staff
People were treated with kindness and their choices, privacy and personal routines were respected.
“We observed staff were kind and caring towards people and there were positive interactions between staff and people throughout our inspection.” from the report
Personalised support
Care plans reflected people's needs and preferences. Activities were arranged around each person's interests.
“Activities were planned on an individual basis, depending on each person's preferences.” from the report
Positive management
Inspectors found good oversight, regular audits and a supportive culture focused on person-centred care.
“There was a positive culture at the service. Staff and the management team worked closely together to provide a supportive, person-centred environment for people.” from the report
Upstairs access
minorThe upstairs corridors were narrow, so moving a mobile hoist or other large equipment could be difficult. No one was living upstairs at the time, but this may need checking if that changes.
“The upstairs corridors were narrow which meant it would be difficult to manoeuvre a mobile hoist or other large equipment.” from the report
Outside space
minorThe outside area needed improvement. Plans were in place to create a garden, so families should ask whether this has happened.
“The outside of the home needed improvement. However, there were plans to redesign the area to provide a garden for people to relax in.” from the report
Trips and social events
minorA relative said they would like more opportunities for trips and social events outside the home. The manager said there were plans to obtain a car for future trips.
“One relative commented to us that they would like to see more opportunities for trips and social events outside of the home.” from the report
- 01Has the planned garden been completed, and what outside space can residents use now?
- 02If more people move into the first floor, how will you safely move a mobile hoist or other large equipment through the narrow corridors?
- 03Have you obtained a car and increased opportunities for trips and social events outside the home?
- 04How has the service changed since the October 2022 inspection, when only four people were living there?
- 05How do you make sure staffing levels remain safe as the number of residents increases?
This was an unannounced first full inspection of the newly registered service, covering all five key questions and infection prevention and control. This explanation was written from the published report of 10 November 2022 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, January 2022
Inspected but not rated; inspectors found serious fire safety and staffing concerns, and residents were moved to alternative accommodation.
This was an unannounced inspection on 14 and 16 December 2021. Inspectors examined specific concerns about staffing, fire safety and infection control. They reviewed care, medicines, staff recruitment and management records, and spoke with the manager and relatives.
The provider did not have a suitable fire strategy. There were also not enough staff on each shift to evacuate everyone safely in an emergency. Staff from other services were used to cover shifts, which made it harder to provide continuity of care.
There were some positive findings. Recruitment checks were completed, equipment servicing was up to date, and infection control arrangements were generally in place. Shortly after the inspection, the local authority moved residents to alternative accommodation, mainly because of the ongoing fire safety concerns.
The service was inspected but not rated. This was a targeted inspection, so CQC did not review the whole Safe question or change the previous rating. The previous rating was Good under the former provider, published in April 2018.
Staff recruitment checks
The provider completed checks before employing staff, including criminal record checks and references.
“Staff were recruited safely. Pre-employment checks were completed to ensure applicants were of suitable character to work with vulnerable people.” from the report
Equipment maintenance
Inspectors found that equipment servicing and regular maintenance checks were up to date.
“Annual servicing of equipment was up to date and regular maintenance checks were completed.” from the report
Infection control
Inspectors were assured about several infection control arrangements, including PPE, testing, visits and managing outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Fire safety
seriousThe home did not have an appropriate fire strategy to protect people and support safe evacuation. Residents were moved to alternative accommodation shortly after the inspection because of ongoing fire safety concerns.
“The provider did not have an appropriate fire strategy in place to ensure the safety of people in the building and their safe evacuation from the premises in the event of an emergency.” from the report
Not enough staff for evacuation
seriousThere were not enough staff on each shift to evacuate everyone safely in a fire or other emergency.
“There were insufficient staff on each shift to ensure people could be evacuated safely from the building in the event of an emergency, such as a fire.” from the report
Lack of familiar staff
needs fixingThe home relied heavily on staff from other services. This made continuity of care more difficult because staff were not always familiar to residents.
“This meant it was difficult to provide continuity of care and people were supported by staff who were not always familiar to them.” from the report
- 01Has the appropriate fire strategy now been completed and checked against fire safety legislation?
- 02Where are residents currently living, and when will the home reopen or complete its renovation work?
- 03How many staff are on each shift now, and are there enough staff to evacuate everyone safely?
- 04How will the home make sure residents are supported by staff who know them and their care needs?
- 05What was the outcome of CQC's follow-up inspection after the renovation work?
This was a targeted inspection of specific parts of the Safe question, including staffing, fire safety and infection control; the other questions were not assessed and the previous ratings were not changed. This explanation was written from the published report of 13 January 2022 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 Rye House
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- February 2020
Registered with the Care Quality Commission on 11 February 2020.
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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