RivaHealth Clinics

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. This is the first assessment for this service. This key question has been rated as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

A comprehensive assessment of each person's needs was conducted before any care and support was offered. These assessments were thorough and included detailed information about the person's physical, emotional, social, and mental health requirements. They also captured what mattered most to each person. For instance, one person expressed that maintaining a connection with their sibling was vital to their emotional wellbeing. Staff actively supported this need by facilitating regular contact, which contributed to the person’s stability.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care plans and risk assessments for people at risk of substance misuse were developed in line with recommended guidance. These care plans outlined both proactive and reactive strategies for staff to follow if a person engaged in substance misuse. Additional protocols were adhered to, including approaches to behaviour change, positive behaviour support, and regular health monitoring.

For people at risk of self-harm, care records were detailed and aligned with current best practice. For example, up-to-date guidance advises against using risk assessments to predict specific instances of self-harm. In response, the provider implemented proactive, preventative measures such as encouraging the person to keep a diary of their feelings and requiring staff to conduct daily observations to identify any signs of escalating risk.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The provider collaborated closely with commissioners and hospital teams to ensure that placements were appropriate and tailored to meet each person’s specific needs. Transitions into the service were unhurried, proceeding at a pace that respected the person’s preferences and best interests. From the very start, people were supported by a consistent team of staff, fostering strong relationships built on trust and familiarity.

Health and social care professionals actively participated in integrated care planning, working together to make sure transitions were seamless and centred around what was best for the person.

The provider supported people to manage their health and well-being to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The staff team consistently supported health promotion. People were encouraged and assisted to purchase and prepare nutritious meals, as well as to participate in physical activities if they wished. For instance, one person sought support to quit smoking, and appropriate smoking cessation resources were being pursued. Another person regularly engaged in substance misuse discussions and was supported by staff to attend specialist substance misuse services. Additionally, people received help to access healthcare, including support to see their GP and attend outpatient appointments as needed.

A staff member told us, “I ensure people’s physical health needs are identified and met by closely following their individual care plans, regularly monitoring their well-being, and promptly reporting any changes or concerns to the senior staff or healthcare professionals.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Ongoing monitoring and regular reviews of people’s care were in place to detect any increase in risk. The provider had clearly identified signs that might indicate a person’s wellbeing was declining and documented specific actions for staff to take in response. For example, when one person was observed disengaging from daily routines which was a potential sign of increased risk, staff implemented brief interventions such as regular check-ins and reinforced positive behaviour support strategies to help maintain their safety and wellbeing.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were fully informed and actively involved in decisions about their care and treatment. Staff sought and obtained consent in a manner that respected each person’s wishes, views, and preferences when developing care and support plans. Where capacity assessments indicated that a person was unable to make specific decisions due to an inability to understand relevant information, the provider ensured that the person’s thoughts and feelings, along with input from health professionals and family members when appropriate, were thoroughly documented. This approach ensured that care and treatment were delivered in the person’s best interests.