• Care Home
  • Care home

Four Rivers Nursing Home

Overall: Good

Bromfield Road, Ludlow, Shropshire, SY8 1DW (01584) 813500

Provided and run by:
Shropshire Council

Latest inspection summary

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Background to this inspection

Updated 22 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by an adult social care inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone

who uses this type of care service.

Service and service type:

Four Rivers Nursing Home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection site visit was unannounced and took place on 25 April 2019.

What we did:

The provider submitted a provider information return (PIR) prior to this inspection. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service such as previous inspection reports and statutory notifications. A statutory notification is information about important events, which the provider is required to send us by law.

We asked the local authority, commissioners and Healthwatch for any information they had which would aid our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services. No concerns were raised by the professionals we contacted.

During the inspection we spoke with 10 people who lived at the home and seven relatives to ask about their experiences of the care provided. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. The registered manager was not present at this inspection. We spoke with the deputy manager and six members of staff which included nurses and care staff. We looked at four people’s care and medication records, staff training records and records relating to the management of the home.

Overall inspection


Updated 22 May 2019

About the service: Four Rivers nursing home is a residential care home registered to accommodate up to 40 people. Accommodation is set out in four self-contained units. At the time of this inspection the service was providing personal and nursing care to 39 people some of whom were living with dementia.

People’s experience of using this service:

•People and their relatives were positive about the care and support provided. One person said, “I love all the staff. I am very happy here.” A relative told us, “The staff are incredible and they have transformed my [relative’s] life.”

•The provider had made improvements to the service since our last inspection.

•Governance of the service had improved. Effective checks and audits were carried out to determine the quality of the care. The provider had acted promptly to address areas identified for improvement.

•The provider had informed us of significant events and Deprivation of Liberty authorisations in accordance with their legal responsibilities.

•There were safe systems for the management and administration of people’s prescribed medicines. People received their medicines when they needed them from staff who were trained and competent.

•Risks to people were monitored and procedures were in place to help keep people safe.

•People were supported by adequate numbers of staff who were safe and competent to work with them.

•People were protected from the risks associated with the control and spread of infection.

•Staff understood the importance of ensuring people’s rights were understood and protected.

•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 health care and nutritional needs were monitored and understood by staff.

•People told us staff understood their needs and were kind, caring and compassionate.

•People had opportunities for social stimulation and were able to maintain links with the local community.

Rating at last inspection: The service was rated Requires Improvement at the last inspection in April 2018 (Report published May 2018).

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk