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Seven Rivers - Care Home with Nursing Physical Disabilities Good

Inspection Summary


Overall summary & rating

Good

Updated 10 November 2018

This inspection took place on the 25 July 2018 and was unannounced.

Seven Rivers is registered as a care home with nursing providing accommodation for up to 29 people who require nursing care. At the time of our inspection there was 29 people using the service.

There was a registered manager. 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.

At our last inspection in June 2017 the overall rating of this service was requires improvement. This is because we found the environment within the care home remained in need of refurbishment and redecoration. In addition, actions were required to mitigate the risks of potential harm to people from the risk of falls from windows, and call bell response times. We also found shortfalls in the support and training provided to overseas volunteers to meet people’s needs and ensure they had the skills and knowledge to protect people from the risk of harm.

At this inspection we found improvements had been made, notably a new service lift had been installed, people’s room and communal areas had been redecorated. In addition, on-going support and training was now being provided to overseas volunteers this included periodic progress reviews.

People and relatives valued the relationship they had with the management team and told us they found them approachable and supportive. Staff were kind, caring and there were systems in place to ensure that people’s human rights were respected and their rights to dignity and independence promoted.

People and or their representatives, where appropriate, were involved in making decisions about their care and support. People’s care plans had been tailored to the individual and contained information about how they communicated, plans to achieve people’s goals and aspirations and their ability to make decisions.

The service was flexible and responded positively to people’s requests about their care and how it should be provided. People were supported to access social activities according to their personal choice, wishes as to how they lived their daily lives and preferences as to how their care was delivered.

The culture of the service was open, inclusive, empowering and enabled people to live as full a life as possible. The management team provided effective leadership to the service and enabled people to air their views through care reviews, meetings and their involvement in the recruitment of new staff.

Inspection areas

Safe

Good

Updated 10 November 2018

The service was safe.

There were sufficient numbers of qualified, skilled and experienced staff to meet people�s needs. Call bells were responded to in a timely manner to meet people�s needs for personal care.

The provider operated a safe and effective recruitment systems to ensure that the staff they employed were skilled and of good character.

We found the downstairs environment within the care home had undergone refurbishment and decoration.

Effective

Good

Updated 10 November 2018

The service was effective.

Consent to care and treatment was consistently sought in accordance with the legislative requirements of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS).

Staff were supported in their role through supervision and appraisal and had the necessary skills and experience to support people effectively.

People were supported to have enough to eat and drink to maintain their health and wellbeing and had access to healthcare services as required.

Caring

Good

Updated 10 November 2018

The service remains Good.

Responsive

Good

Updated 10 November 2018

The service remains Good.

Well-led

Good

Updated 10 November 2018

The service was well led.

Staff felt valued and were provided with the support and guidance to provide a high standard of care and support.

The service had a number of quality monitoring processes in place to ensure the service maintained its standards.