We carried out this inspection on 29 June 2017. The inspection was unannounced.

Risedale Retirement and Residential Home provides accommodation for up to 69 people who need support with their personal care. The service provides support to older adults, people living with dementia and people who have a physical disability. The home has been adapted for its current use and has a range of equipment to meet people’s needs and to promote their independence. There are two units, one on the ground and one on the first floor, which provide accommodation for people who are living with dementia. There were 55 people living in the home when we carried out this inspection.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People felt safe and well cared for living in the home. There were good systems in place to identify and manage risks to people’s safety and people were protected against abuse and avoidable harm.

There were enough staff, with the appropriate skills, to support people.

Medicines were handled safely and people received their medicines as their doctors had prescribed.

The staff were well trained and supported to carry out their roles.

People enjoyed the meals provided and were supported to maintain good health.

People agreed to the care they received and their rights were protected.

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

People knew and liked the staff who worked in the home. The staff treated people in a kind and caring way. People were supported to maintain their independence and their privacy and dignity were protected.

Care was planned and provided to meet people’s needs.

Visitors were made welcome in the home. People were supported to build and maintain relationships that were important to them.

People were provided with a range of activities that they enjoyed and that took account of their individual preferences.

There were suitable arrangements for the management of the service. People knew the registered manager and were confident approaching her as they needed.

The registered manager checked on the quality of the service, including by asking people for their views.

Further information is in the detailed findings below.

We carried out this inspection on 31 October 2014. The inspection was unannounced.

We last inspected this home in October 2013. At that inspection we found the service was meeting all of the regulations that we assessed.

Risedale Retirement and Residential Home provides accommodation for up to 69 people who need personal care. The service mainly provides support to older people and to older people who have a dementia. The home is a two-storey building, which has been extended and modernised. There was a range of equipment to support people to move around the home independently and to ensure their safety. There were 57 people living in the home at the time of this inspection. There was a registered manager employed at the home. 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 and associated Regulations about how the service is run.

Everyone we spoke with told us this was a good service. People said they felt safe in the home and told us that they received the support they needed, at the time they needed it.

Staff in the home were well trained and competent to carry out their duties safely. They understood how to protect people and how to report any concerns about a person’s safety or wellbeing.

There were enough staff to support people. Safe systems were used when new staff were employed, to ensure that they were suitable to work in a care service.

Medicines were handled safely and people received their medicines as their doctors had prescribed. People were supported to see their doctor and other health services as they needed. This helped people to maintain good health.

People agreed to the support they received and care was only provided with their consent. The registered provider had policies and procedures around meeting the requirements of the Mental Capacity Act Code of Practice and Deprivation of Liberty Safeguards, (DoLS). This helped to ensure that people’s rights were protected.

People enjoyed the meals provided in the home. They told us that meal times were pleasant and sociable occasions. People were supported to eat and drink enough to maintain their health.

People were well cared for and were treated with consideration, kindness and respect. They were asked about how they wanted their care to be provided and about the things that were important to them in their lives. They staff knew the choices people had made about their care and respected the decisions people made.

The staff were patient when supporting people and gave individuals the time they needed to carry out tasks for themselves. People’s independence, privacy and dignity were promoted.

Visitors were made welcome in the home. People chose when and where they saw their visitors. People were able to maintain relationships with their families and friends as they chose.

People were asked for their views about the service and their comments were taken into account in how the service was provided. The registered provider had a formal procedure that people could use if they wanted to complain about the service they or their relative received.

The registered manager and registered provider carried out checks on the facilities and service provided to ensure that people received a good quality service and were protected against the risk of harm.

Everyone we spoke with told us they were happy living at Risedale Retirement and Residential Home and said they felt safe there. People told us that the staff in the home “always” treated them with respect and encouraged them to make decisions about their lives.

People told us they enjoyed the meals and activities provided and made many positive comments about the staff who supported them.

Throughout our inspection we saw that people received the support they needed at the time they needed it. The staff in the home were knowledgeable about the support individuals required and about the choices they had made about their lives and the care they received.

Some people who used this service had advanced dementia and were not able to make important decisions about their lives. We saw that appropriate people had been included in making decisions on their behalf. The decisions made were in the individuals’ best interests and maintained their safety with the least possible restriction on their liberty and independence.

People told us,

"The staff are all lovely, you can have a laugh and a joke with them",

"This is a lovely home",

and one person said, "There’s always of choice of meals but if I don’t like what’s on the menu they will always get me something else.”

Some of the people who lived in the home could not easily express their views about the service or their preferences about their care. We observed people in communal areas and saw that people were treated with respect and were given choices about their lives. We saw that people were well cared for and were comfortable and confident around the staff working in the home.

We spoke in private with three people who visited the home regularly. They all said they had never noticed anything of concern during their visits to Risedale Retirement and Residential Home.

People we spoke with told us the care provided in Risedale Residential and Retirement Home was “brilliant” and said they and their families were included in making all decisions about their lives in the home.

People made many positive comments about the staff in the home and told us they provided a good quality of care.

People told us:

“The place is wonderful”.

“The staff are lovely”.

And said,

“I feel totally safe here”.