Background to this inspection
Updated
13 April 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 25 February 2022 and was announced. We gave the service 24 hours’ notice of the inspection.
Updated
13 April 2022
About the service
Riverview Lodge is a residential care home providing personal care to 24 people aged 65 and over at the time of the inspection. The care home can support up to 36 people in three separate units, each of which has separate facilities and communal spaces. People at Riverview Lodge are living with conditions associated with ageing including dementia.
People’s experience of using this service and what we found
People’s care plans had improved since the last inspection. They were more person-centred and included detailed guidance for staff on ensuring that people’s individual needs were met.
Improvements had been made to information regarding people’s ability to make decisions about their care and health needs. People 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.
People’s mealtime experience had improved. We saw that people had been asked about their meal preferences and menus had been adapted as a result. The home had involved other professionals where there were concerns about people’s dietary and eating needs.
Staff received the training and support they needed to do their job well and to effectively meet people's needs.
Improvements and developments had been made to the quality monitoring systems. These were effective in monitoring the service and making improvements when needed.
Suitable infection prevention and control measures and practices were in place to keep people safe and prevent people, staff and visitors catching and spreading infection.
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.
The registered manager was approachable and provided staff with leadership, support and direction.
Staff engaged proactively with external health and social care professionals to ensure people’s needs were met. The registered manager was involved in local networks for care home providers.
People and relatives spoke positively about the care and support provided by staff.
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 requires improvement (published 30 April 2019). There was one breach of regulation. We told the provider to make improvements. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made in the areas where there had been shortfalls, and the provider was no longer in breach of regulation.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Responsive and Well-led.
The rating from the previous comprehensive inspection for the key question not looked at on this occasion was used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.