The Ridings Care Home

The report says staff recruitment was carried out safely, including the required background checks.

“Staff had been recruited safely. Pre-employment checks had been carried out including Disclosure and Barring Service (DBS) checks.” from the report

Although some medicines were not stored safely, records showed that people's medicines were administered as prescribed.

“People's medicines were administered as prescribed. Medication records correctly reflected the medications people had received and the remaining medications in stock at the service.” from the report

People were supported to use outside healthcare services, and professionals gave positive feedback about working with the home.

“People were supported to access external healthcare support, such as vaccinations, eye tests and chiropody. Professionals gave positive feedback about how the service worked with them.” from the report

The report found clear care plans for some specific health needs, including diabetes, catheter care and modified diets.

“Records showed people with needs such as diabetes, catheter care or modified diets had clear care plans in place.” from the report

Fire doors were propped open, the home contained clutter and hazardous items, and communal bathrooms and storage arrangements were not hygienic. Some staff did not follow good infection control practices.

“We observed fire doors were routinely propped open by staff, and records indicated this had been highlighted by audit systems for several months.” from the report

Potential abuse, unexplained bruising and allegations of harm were not always investigated or reported. The home also did not learn effectively from falls or other incidents.

“We found several incidents of potential abuse had not been reviewed, investigated and, where appropriate, reported to external agencies.” from the report

Some people were unlawfully deprived of their liberty, and conditions on authorisations were not followed. Staff did not always seek consent or make required best-interest decisions.

“This meant the person was unlawfully deprived of their liberty during that time.” from the report

Inspectors saw people being pushed or pulled and observed poor privacy practices. Staff also used language that reduced people to their care needs.

“People did not always receive compassionate care that upheld their dignity. This was a breach of regulation 10 (Dignity and respect)” from the report

Activities and community visits were not offered to everyone. Some people spent long periods alone, and preferences such as meal choices and room use were not always respected.

“One person's records showed that, other than a monthly entertainer, they had not been engaged in any activities for the last 3 months.” from the report

Audits had identified some concerns but did not lead to enough action. The systems used to monitor care, safety, incidents and people's experiences were not effective.

“Quality assurance systems had failed to identify the areas of concern we highlighted during our inspection.” from the report