What the CQC found at West Ridings Care Home

People and relatives gave a lot of positive feedback about staff. Staff were described as respectful, approachable and supportive.

“The staff are very friendly and are approachable, kind and caring.” from the report

People said staff arranged healthcare when needed and with their consent. Records showed that different health professionals were involved in people's care.

“People said staff were proactive in supporting their health needs and arranged any health care they needed promptly and with their consent.” from the report

Inspectors found an effective system for recognising, reporting and monitoring safeguarding concerns. People and relatives said they felt safe.

“Records showed safeguarding allegations and incidents were appropriately identified, reported, recorded and monitored.” from the report

Staff had the training and support needed for their roles. New staff completed an induction that included the Care Certificate.

“Staff received the training and support they required to meet people's needs.” from the report

Some medicines were not securely stored. Refrigerator temperatures were not accurately monitored, creams were in unlocked cupboards, and a controlled drug recording error had not been noticed.

“A medicine trolley in use in the lounge where people were present could not be locked.” from the report

The provider's systems had not reliably identified or managed risks affecting people's health and welfare. This was a breach of good governance requirements.

“The provider had not ensured systems and processes operated effectively to monitor and mitigate the risks relating to the health and welfare of people” from the report

Feedback about staffing was mixed. Inspectors saw people left unsupported in communal lounges at times, and staff said they could feel under pressure.

“Staff told us there were times they felt under pressure to be in more than one place at a time.” from the report

Some people said meals were often cold and there were not enough fresh vegetables. Food and fluid records also needed more detail to show whether people reached their targets.

“We also saw meals were not covered when taken to people who had their meals in their rooms.” from the report

It was not always clear from people's records whether the required legal authorisations were in place. The manager had started a register to improve this.

“It was not always clear in people's individual records if appropriate legal authorisations were in place, where needed, to deprive a person of their liberty.” from the report