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CQC report explained · a nursing home

What the CQC found at Ryecourt Nursing Home

Outstandingpublished 11 August 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found high staffing levels, safe premises, accurate medicines records and good monitoring of accidents and incidents. They noted that some risk assessments were generic rather than specific to potential concerns.
Effective?
Outstanding
The home used detailed assessments and care plans that were regularly changed as people's needs changed. Staff had extensive training, including specialist training in dementia, nutrition and health conditions.
Caring?
Outstanding
Inspectors observed respectful, empathetic and dignified care. Staff supported people as individuals and involved relatives in care planning and daily life.
Responsive?
Outstanding
Care plans included different options and were updated when people's needs changed. People received personalised activities, strong social support and sensitive end of life care.
Well-led?
Outstanding
The management team used audits, surveys and feedback to monitor quality and improve care. Staff said they were valued, supported and encouraged to raise ideas or concerns.
The latest report, explained

What inspectors found, August 2018

Rated Outstanding overall; inspectors found exceptionally caring, effective and responsive care, with safety rated Good and generic risk assessments needing further development.

Inspectors visited the home without announcing it on 23 May 2018. They spoke with people, relatives, staff and a health professional. They observed care, checked the building and reviewed care, staff and safety records.

The home was rated Outstanding overall. Effective, caring, responsive and well-led were all rated Outstanding. Safe was rated Good. Inspectors found high staffing levels, accurate medicines records, detailed care planning and staff who treated people with dignity and respect.

The home had improved from Good at the previous inspection in September 2015. Inspectors found strong leadership, excellent staff training, personalised activities and sensitive end of life care. They also noted that some risk assessments were generic rather than specific to possible concerns.

What inspectors praised
  • Kind and respectful care

    Staff consistently treated people with dignity and showed empathy. Inspectors saw staff communicate in ways that supported people's feelings and individual realities.

    “Staff were highly skilled communicators and able to engage with profound empathy and respect.” from the report
  • High staffing levels

    Inspectors found very high staffing levels and suitable skill mixes. This meant staff could spend time with people and respond promptly to their needs.

    “Rotas we looked at evidenced very high numbers and skill mixes of staff who worked each shift.” from the report
  • Personalised care

    Care plans contained detailed information about people's histories, preferences and needs. They gave staff different options when an approach did not work.

    “Care plans gave multiple options so that staff had alternatives if something did not work.” from the report
  • Strong leadership and oversight

    The management team used many audits, surveys and review systems to monitor people's welfare, safety and the quality of care.

    “The management team had considerable and exhaustive procedures to assess the quality of the service, people's welfare and everyone's safety.” from the report
What inspectors were concerned about
  • Some risk assessments were too general

    needs fixing

    Inspectors found that some staff risk assessments were generic instead of being specific to possible concerns. The provider said these would be developed further.

    “We found these were generic rather than specific to potential concerns.” from the report
Questions to ask them, based on this report
  1. 01Have the generic risk assessments identified by inspectors been replaced with individual, specific assessments?
  2. 02How are medicines records and medicine risk assessments checked now?
  3. 03How will you keep us informed about changes in our relative's care plan and treatment?
  4. 04What activities are available for someone who does not want to join group activities?
  5. 05What end of life support can you provide, including support for relatives?

This was an unannounced inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 11 August 2018 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.

The story over the years

Every inspection of Ryecourt Nursing Home

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. August 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Ryecourt Nursing Home →

  2. February 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 20 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.

Next steps

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