Dunley Hall and Ryans Court

Dunley Hall and Ryans Court is a residential care home providing personal care to up to 35 people. The service provides support to people aged 18 and over, some of whom live with dementia, physical disability and/or sensory impairment. At the time of our inspection there were 29 people using the service.

People’s experience of the service and what we found:

Overall, systems to monitor the quality and safety of the service were effective, but some areas for improvement were identified during our inspection in relation to the environment and staff training.

People told us they felt safe and were supported by a consistent and caring staff team. Relatives spoke positively about the home and were happy with the care and support given to their loved ones.

Risks to people had been assessed and recorded so staff knew how to keep them safe. People received their medicines as prescribed and these were reviewed regularly. Accidents and incidents were recorded and analysed to ensure risks were identified and mitigated and lessons were learnt.

Relatives were able to view their family members care records, see photographs of them enjoying activities and send messages through the 'Relatives Gateway'.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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 31 October 2018).

Why we inspected

We undertook this inspection due to the length of time since our last comprehensive ratings inspection. We undertook a focused inspection to review the key questions of Safe and Well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

At the last inspection in January 2016 the service was rated Good. At this inspection we found the service remained Good. The evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

A registered manager was not in place at the time of our inspection, however, the provider was taking reasonable steps to address this. 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.

People continued to be cared for in ways which took their individual safety and risks and lifestyle choices into account. Staff understood risks to people’s safety and tailored the support they provided so people’s safety and well-being was enhanced.

There was enough staff to care for people and checks were made on the suitability of staff before they were recruited. People were supported to have the medicines they needed and checks were made to ensure these were administered as prescribed. Processes were in place to reduce the chance of people having infections. Staff reflected on people’s safety needs. This included learning from any untoward incidents.

People’s care needs were considered before they moved into the home and their care planned accordingly. Staff worked with people’s relatives and other health and social care professionals so informed decisions would be made about meeting people’s care needs.

People told us staff knew how to care for them. We found staff were provided with opportunities to develop their skills and knowledge, so they could provide the support people living at the home needed.

Staff acted to ensure people had enough to eat and drink so they would remain well. People and their relatives were complimentary about the choices of meals provided. Staff worked across organisations to ensure people were supported to see health specialists when required. This helped to ensure people had good well-being and health.

People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Caring relationships had been developed between people and the staff supporting them. We found staff knew what was important to people, and spent time chatting with them about what mattered to them. People were encouraged to make their own decisions about the care they wanted. People’s right to dignity and privacy was understood and promoted by staff.

People’s care was planned to reflect their unique preferences, lifestyle choices and needs. Staff supported people to make their own decisions about their lives and care. The views of friends and family and other health and social care professionals were considered when people’s care was planned. This helped to ensure people’s care was planned in the best way for them.

Systems were in place to encourage people to raise any concerns or complaints they may have. Where complaints were made, these were resolved quickly, so people would continue to enjoy living at the home.

People were encouraged to provide their views on the care they received and staff were confident if they made any suggestions for developing people’s care further these would be listened to. The manager checked the care provided to people, so they could be sure people continued to enjoy living at the home and they received the support they wanted.

People that we spoke with told us that they were happy with the home and the staff. One person told us; 'I have no complaints whatsoever". Another person said; "They look after me well".

Staff knew about the needs of the people they were caring for. We looked at care plans for four people and found that these contained varying levels of guidance for staff on how to meet people's needs. We saw that people's needs were reviewed regularly and other professionals had been asked to attend it they had any concerns about people's health needs.

People told us that they felt safe living at the home and knew who to speak to if they had any concerns. Staff had received training on how to recognise signs of abuse and knew how to report concerns.

We saw that staff were supported to be trained to an appropriate standard although some parts of their training had not been refreshed recently.

We looked at records which showed that the provider was regularly monitoring the quality of its service.