The inspection of the service took place on 04 and 04 July 2018. This was the first inspection of the service since it was registered under a new provider in December 2017.

Ryland View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Ryland View accommodates up to 144 people across five separate units, each of which have separate adapted facilities. Mamby unit provides short term step down support for people, Palethorpe unit is specifically for younger adults with physical disabilities, Heronville unit alongside Bloomfield unit provides Dementia care and Haines Unit is for people who require general nursing care. At the time of the inspection there were 135 people living across the five units.

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.

People were supported by staff who understood how to act on concerns about abuse and manage risks to keep them safe. There were sufficient numbers of appropriately recruited staff available for people. There were good infection control practices in place and medications were given in a safe way.

People were supported by staff who received training in their role. Gaps in training had been identified and acted upon by the provider. People were supported to eat and drink and had access to healthcare services where required. People’s rights had been upheld in line with the Mental Capacity Act although staff knowledge around Deprivation of Liberty safeguards varied. The design and decoration of the service met peoples needs.

People were supported by staff who were kind and caring. People were treated with dignity and respect and had their communication needs met. Advocacy services were available for people where required.

The availability of activities varied across units which meant some people had more meaningful experiences than others. People’s care needs were assessed and reviewed. Care records held personalised information about people and staff knew people well. Complaints made had been investigated and resolved.

People, relatives and staff spoke positively about the leadership at the service. Audits were in place to monitor the quality of the service and people were given opportunity to feedback on their experience of the service.