The Raikes Residential Home

Updated 3 October 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Our last inspection took place on the 9 May 2016 and at that time we found the service was not meeting one of the regulations we looked at regarding ‘good governance’ and the overall rating for the service was required improvement. This inspection was carried out to see what improvements had been made since the last inspection.

This inspection took place on 7 September 2017 and was unannounced. The inspection was carried out by two adult social care inspectors and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. In this case the expert-by-experience had experience of services for older people and people who lived with dementia

We used a number of different methods to help us understand the experiences of people who used the service. We spent time observing care and support being delivered. We looked at four people’s care records, medicines administration records (MAR) and other records which related to the management of the service such as training records, staff recruitment records and policies and procedures.

Before the inspection we reviewed the information we held about the home. This included looking at information we had received about the service and statutory notifications we had received from the registered manager.

We also asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The registered provider returned the PIR and we took this into account when we made judgements in this report.

During the inspection we spoke with ten people living in the home, five relatives, four care staff, the cook, the activities co-ordinator, the office administrator, the registered manager and the provider. We also spoke with three health professionals who were visiting at the time of the inspection.

Updated 3 October 2017

The Raikes Residential Home is registered to provide residential care for up to 31 people. Most of the people who use the service are older people, some of whom live with dementia. The home is situated just outside the village of Silsden. Accommodation is provided in single rooms on the ground and first floors. Two passenger lifts provide access to the first floor. On the day of inspection 30 people were living at the home.

This inspection took place on 7 September 2017 and was unannounced. At the last inspection on 9 May 2016 we rated the service ‘Requires Improvement’ overall and identified one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. On this inspection we found this regulation had been met and no further breaches of regulation were found.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The home had a safeguarding policy in place which made staff aware of their roles and responsibilities. We found staff knew and understood how to protect people from abuse and harm and kept them as safe as possible. People told us they felt safe because the staff were caring and because the registered manager listened to them and acted quickly if they raised concerns.

There were enough staff on duty to meet people’s needs and staff had undertaken training relevant to their roles. Staff told us there were clear lines of communication and accountability within the home and staff meetings were held to keep them up to date with any changes in policies and procedures or anything that might affect people’s care and treatment.

The home was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and acting within the legal framework of the Mental Capacity Act 2005 (MCA).

People told us they enjoyed the food and we saw people’s weights were monitored to ensure they had sufficient to eat and drink.

We saw the complaints policy had been made available to everyone who used the service. The policy detailed the arrangements for raising complaints, responding to complaints and the expected timescales within which a response would be received.

The care plans in place were person centred and identified specific risks to people health and general well-being, such as falls, mobility, nutrition and skin integrity.

We saw arrangements were in place that made sure people's health needs were met. For example, people had access to the full range of NHS services. This included GPs, hospital consultants, community health nurses, opticians, chiropodists and dentists.

We found medication policies and procedures were in place and staff responsible for administering medicines received appropriate training.

There was a quality assurance monitoring system in place that was designed to continually monitor and identified shortfalls in service provision. Audit results were analysed for themes and trends and there was evidence that learning from incidents took place and appropriate changes were made to procedures or work practices if required.