Background to this inspection
Updated
8 July 2023
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Rydal Mount is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rydal Mount is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
We gave an hour’s notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spent time with the people who lived at the home talking to them about their activities and lifestyle and observed their support. We spoke to 2 relatives.
We spoke with 5 staff including the registered manager, service leaders and support staff. We contacted 13 staff by email for their views.
We reviewed a range of records. This included 2 people’s care records and medicine records. We looked at 2 staff files in relation to recruitment. We also viewed a variety of records relating to the management of the service, including audits, policies and procedures.
Updated
8 July 2023
About the service
Rydal Mount is a residential care home providing personal care to 4 people with a learning disability. Rydal Mount is a small bungalow set in its own ground in a residential area.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support
People were supported by staff to pursue their interests. Staff focused on people’s strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.
Right Care
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. Staff understood how to protect people from poor care. The service worked well with other agencies to do so. The service gave people opportunities to try new activities that enhanced and enriched their lives. Where appropriate, staff encouraged and enabled people to take positive risks.
Right Culture
People received good quality care and support and treatment because trained staff could meet their needs. Staff knew and understood people well and were responsive to any changes in needs. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. The provider continuously monitored the service but in-house checks needed to be more robust to identify areas for improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 19 October 2017).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding.
This report only covers our findings in relation to the key questions Safe and Well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rydal Mount on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation about supporting staff to have training and guidance to carry out in-house audits in a constructive and critical way.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.