Updated 31 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector, one Expert by Experience and one nurse specialist. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
The Rylands Nursing Home is a 'care home' and provides nursing care. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The Rylands Nursing Home accommodates up to 44 older people in one adapted building.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
What we did:
Before our inspection, we reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the provider is required to send us by law.
We asked the local authority for any information they had which would aid our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality.
We spoke with ten people who used the service and five relatives. We spoke with 10 staff, which included the regional manager, care staff, nursing staff, housekeeping, kitchen and maintenance staff, the registered manager and the deputy manager. We also spoke with one district nurse, one physiotherapist and one occupational therapist. We observed care and support in communal areas of the home to assess how people were supported by staff.
We viewed care records for seven people, including medicine records. We confirmed the training and safe recruitment of three staff members and reviewed records relating to quality monitoring, health and safety, compliments and complaints and other records relating to how the service was managed.