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Riverhead Hall Residential Care Home Requires improvement

We are carrying out a review of quality at Riverhead Hall Residential Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 March 2021

About the service

Riverhead Hall Residential Care Home is a 'care home' providing personal care for up to 45 older people in one adapted building. At the time of our inspection there were 27 people living at the service.

People’s experience of using this service and what we found

Safe infection prevention and control (IPC) practices were not followed. The IPC Team had visited the service prior to our inspection and highlighted IPC practices that required improvement. Our inspection identified some of the same issues. The provider took measures to improve these areas during our inspection.

Risks to people were not always managed effectively. Care plans and risk assessments were not always in place or did not reflect people’s current needs. Medicines were not always managed safely. Some people did not receive their medication as prescribed.

Systems in place to monitor the service had not been effective as they had failed to identify and address areas that required improvements. Records were not always accurate and up to date.

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.

We received positive feedback from people's relatives about the care delivered and the caring nature of 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 Good (Published 14 September 2018).

Why we inspected

We undertook this Infection Prevention and Control Inspection to follow up on information received from the Local Authority in relation to a coronavirus outbreak. A decision was made for us to inspect and examine potential risks. We inspected and found there were some concerns with IPC practices, records and the overall management, so we widened the scope of the inspection to a focused inspection which included the key questions of safe and well-led.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating 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.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Riverhead Hall Residential Care Home on our website at www.cqc.org.uk

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Since the last inspection we recognised that the provider had failed to notify CQC of serious injuries and allegations of abuse. This was a breach of regulation. Full information about CQC’s regulatory response to this is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to

Inspection areas

Safe

Requires improvement

Updated 11 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 11 March 2021

Caring

Good

Updated 11 March 2021

Responsive

Good

Updated 11 March 2021

Well-led

Requires improvement

Updated 11 March 2021

The service was not always well-led.

Details are in our well-led findings below.