The Ryan Medical Centre Tender Nursing Care

People's experience of using this service: People told us they felt safe using the service and were kept informed and up-to-date in relation to their family members care. They said care and support was delivered in a way they wanted it to be. They felt involved and were certain their loved one's needs were being met by kind and caring staff. One person told us, "We are very happy with the service and the carers who come here. They are very good indeed. We have no complaints. They are very pleasant and respect my wife as a person. We get the same staff all the time, who have very good attitudes."

Since the last inspection a good range of improved documentation had been introduced, which had enhanced the practices adopted by the service.'Systems to act on allegations of abuse were in place. Risks in general had been managed.

There were no reported accidents or incidents, but a system was in place to record these, should it be necessary. Relatives of the people we visited took on the responsibility of the management of medicines. However, staff had received training in medication awareness and guidance for staff was available. Staff were recruited safely and there was a consistent staff team.

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's needs and choices were assessed and their care and support was delivered to achieve effective outcomes. Staff engaged with people and we were told care workers were kind and caring.

New staff received an induction programme and completed shadow shifts before commencing lone working. A broad range of training had been completed by all staff, who were regularly supervised and appraised each year.

Detailed information was recorded in daily diaries, which demonstrated people were provided with person centred care and support plans were available in people's homes. A system was in place for the management of complaints.

Some audits had taken place and feedback was regularly obtained from those who used the service and their relatives. Senior oversight was ongoing to provide support and drive improvements forward. Team meetings were taking place.