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CQC report explained · a residential care home

What the CQC found at Ryton Towers

Goodpublished 21 July 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, safe medicines management, enough trained staff and appropriate infection control.
Effective?
Good
The report does not give a separate rating for this question. It says staff were trained, worked effectively with health professionals and followed the principles of the Mental Capacity Act.
Caring?
Good
People and relatives gave very positive feedback about staff's kindness and understanding. People were involved in decisions and supported to maintain their dignity and independence.
Responsive?
Outstanding
Care was tailored to people's needs and preferences. Inspectors highlighted exceptional end-of-life care, detailed care planning, varied activities and support to maintain relationships and community links.
Well-led?
Good
Inspectors found a positive culture and supportive management. Audits, action plans and staff and residents' meetings were used to monitor quality and make improvements.
The latest report, explained

What inspectors found, July 2023

Rated Good overall, with Outstanding responsive care and especially strong support at the end of life.

The inspection was unannounced and took place on 10 May 2023. Two inspectors and an Expert by Experience visited. They spoke with six people living there, 10 relatives and eight staff, observed care and checked care, medicine, recruitment and management records.

Inspectors found people were safe. Risks were assessed, medicines were managed properly and there were enough trained staff. People were treated with kindness, dignity and respect, and staff understood their needs and preferences.

The home was rated Outstanding for being responsive. Inspectors found highly personalised support, including detailed end-of-life plans, varied activities and strong links with the local community. Safe, caring and well-led were rated Good.

The overall rating remained Good, as it was at the previous inspection published on 17 May 2018. The responsive rating improved from Good to Outstanding.

What inspectors praised
  • End-of-life support

    People and families were involved in planning how end-of-life care should be provided. The home also offered practical and emotional support to families and staff.

    “People received exceptional care at the end of their lives.” from the report
  • Activities and community life

    People were helped to follow their interests and take part in activities suited to them. This included links with a local school, a community choir and a weekly Gentleman's Club.

    “People were actively supported to be part of the community in the service and the local area.” from the report
  • Kind and respectful care

    People and relatives described staff as kind, caring and knowledgeable. Inspectors observed people being treated with dignity and supported to remain independent.

    “People and relatives said staff were kind, caring and knew people's needs and preferences well.” from the report
  • Safe medicines and staffing

    Medicines records were accurate, staff had their competence checked and audits were completed. Inspectors also found enough appropriately trained staff to care for people safely.

    “Medicines were managed and stored safely. Medicines records were accurate.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you use the end-of-life questionnaire to record and follow my relative's wishes?
  2. 02Which activities and community links would be suitable for my relative's interests and abilities?
  3. 03How would staff use the electronic care planning and daily handover system to share my relative's changing needs?
  4. 04What staffing arrangements would be used if there were short-notice staff absences?
  5. 05What dementia information or training is available for relatives?

This was an unannounced inspection covering the overall service and the Safe, Caring, Responsive and Well-led questions; the report does not give a separate Effective rating. This explanation was written from the published report of 21 July 2023 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.

An earlier report, explained

What inspectors found, February 2021

Overall rating remained Good; this targeted inspection was not rated and found good infection control and incident management.

The inspection took place without warning on 19 January 2021. One inspector reviewed infection prevention and control, incident records and staffing levels after an incident in December 2020.

Inspectors found the home clean and tidy. Staff had suitable protective equipment and used it properly. The home was managing testing, visitors, social distancing, admissions and possible outbreaks.

The provider recorded and reviewed accidents and incidents. The findings were used to look for patterns and learn lessons.

This was a targeted inspection, not a full review. The service was inspected but not rated, so the previous overall rating of Good remained unchanged. The previous inspection was published on 30 June 2018.

What inspectors praised
  • Infection control

    The home was clean and tidy, and staff had and used the protective equipment they needed.

    “Staff had access to the personal protective equipment (PPE) they needed and used this appropriately.” from the report
  • Managing infection risks

    Inspectors were assured that the home had arrangements for visitors, testing, admissions, social distancing and managing outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Learning from incidents

    The provider recorded accidents and incidents, analysed them and used the results to look for patterns and learn lessons.

    “Incidents and accidents were analysed. The findings were used to help identify trends and learn lessons.” from the report
  • Contact with relatives

    The provider supported people to keep in contact with their relatives.

    “The provider supported people to keep in contact with relatives.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What happened after the December 2020 incident, and what changes were made as a result?
  2. 02How do you check that infection prevention and control procedures remain up to date and are followed by staff?
  3. 03What staffing levels are in place on each shift, and how have you responded to the previous anonymous concerns about staffing?
  4. 04How are accidents and incidents reviewed, and how will you tell families about lessons learned?
  5. 05How can residents keep in contact with their relatives, including during infection outbreaks?

This was an unannounced targeted inspection of infection prevention and control, incident management and staffing levels; it did not assess the whole service, so the previous ratings remained in place. This explanation was written from the published report of 12 February 2021 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 Ryton Towers

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. July 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Ryton Towers →

  2. February 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Ryton Towers →

  3. June 2018Goodstayed Good
    Safe: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. January 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 28 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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