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Scenario Management - Riversmede Good

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Inspection report

Date of Inspection: 4 June 2014
Date of Publication: 24 June 2014
Inspection Report published 24 June 2014 PDF

Overview

Inspection carried out on 4 June 2014

During a routine inspection

On the day of our visit we spoke with the owner/manager, staff, relatives and people who used the service (although they had limited verbal communication and we were unable to have a detailed conversation) and relatives. They helped answer our five questions; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, observing interaction with staff and people living in the house and from looking at records. We also had responses from external agencies including social services .This helped us to gain a balanced overview of what people experienced.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

A relative we spoke with told us they felt their rights and dignity for their relative were respected. They said, �They are all really caring and we feel he is safe and well looked after by people who are well trained.�

We saw systems were in place to make sure the management and staff learned from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced risks to people and helped the service to continually improve.

The service had policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards. The deputy manager had been trained to understand when an application should be made and how to submit one. This meant that people would be safeguarded as required.

Is the service effective?

People�s health, support and care needs were assessed with them and their relatives. Support plans were developed with the best interest of the person using the service. This meant people were able to be supported within their home and out in the community to follow their chosen interests.

A relative we spoke with said, �They are always out with him and provide support and help so that he can achieve what he wants to every day. They are all lovely people.�

The manager and staff members we spoke with had a good awareness of people�s care needs. We discussed with staff the individual needs of people. Comments included, �We have supported the three men for a long time now and have developed good relationships so that we understand the complex support they need.�

Is the service caring?

We spoke with relatives about the service. We asked them for their opinions about staff who supported people who lived there. Comments were positive and included, �They are all fantastic, we are so happy knowing W� is cared for so well.� Also, �They keep us informed of anything that goes on. The owner and staff are wonderful.�

We spent part of the day in the home observing staff interaction with people as they were preparing to go out for the day. People were supported by kind and attentive staff. We saw staff showed patience and gave encouragement when supporting people

When speaking with staff it was clear they genuinely cared for people they supported. One staff member said, �We have a family atmosphere here. We have staff who had worked here for years and all support each other.�

Is the service responsive?

The service worked with other agencies including social services, nurses and healthcare professionals to make sure people received care and support in a coherent way. This meant people received the right care and support to remain as independent as possible even though receiving 24 hour care.

We saw literature informing people of the complaints procedure. The manager told us a recording system was in place to investigate, record and reach outcomes for any complaints they received. People could therefore be assured complaints would be investigated and action taken as necessary, if any issues were raised. However no complaints had been received by the service. We also spoke with relatives who confirmed they have never had to make a complaint.

Is the service well-led?

There were a range of audits and systems put in place in by the management team to monitor the quality of the service being provided. This helped to ensure people received a quality service at all times.

We had responses from external agencies including social services .They told us they had a working relationship with the manager and staff to make sure people received their care and support they required.