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Archived: Rider House Care Centre Requires improvement

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Reports


Inspection carried out on 2 September 2015

During a routine inspection

We inspected this service on 2 September 2015. The inspection was unannounced. At our previous inspection in May 2013, the service was meeting the regulations that we checked.

Rider House Care Centre provides accommodation residential, nursing and palliative care for up to 41 older people. There were 34 people who used the service at the time of our visit.

The service had 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.

The home was in need of repair and refurbishment to ensure it met people’s needs and improved their wellbeing.

Mental capacity assessments had not been undertaken for a person who was unable to make decisions and people’s consent was not always gained before care interventions were delivered.

People’s preferences regarding meals were not always sought or considered and staff did not always support people to maintain their dignity effectively. Activities were available but these does not always meet people’s hobbies or interests.

Assessments were in place that identified risks to people’s health and safety and care plans directed staff on how to minimise these identified risks. However staff were not always following these to ensure people’s safety was maintained.

The needs of people and the staffing levels in place had an impact on the timeliness of support people received.

The provider sought people’s views but this was not done on a regular basis and feedback was only given to the registered manager if concerns were identified.

People we spoke with told us they felt safe living in the home. Staff demonstrated a good awareness of the importance of keeping people safe. They understood their responsibilities for reporting any concerns regarding potential abuse.

Plans were in place to respond to emergencies to ensure people were supported appropriately.

Staff were suitably recruited to ensure the risks to people’s safety were minimised. Processes were in place to ensure people received their medicines in a safe way. The staff team received training to meet people’s needs and were supported by the registered manager.

People were supported to maintain good health and accessed the services of other health professionals when they needed specialist support.

People and their relatives were involved in planning and agreeing how they were cared for and supported. People felt comfortable raising concerns which demonstrated that a transparent and open management approach was in place. People knew how to make a complaint and we saw these were investigated.

The registered manager undertook audits to identify risks and take action as needed to promote people’s safety and wellbeing.

We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Inspection carried out on 12 May 2013

During a routine inspection

We carried out this inspection to check on the care and welfare of people using this service. The inspection was unannounced which meant the provider and the staff did not know we were coming. We spoke with eight people using the service, six staff and three relatives.

We saw the staff provided sensitive support and people using the service were treated with respect. People told us they were happy with the support provided and one person told us, �It is excellent, I couldn�t wish for better. Good food, good room and good staff, I have no complaints.� We observed people receiving care and support that had been planned for. One person told us, �I have settled in, it is home from home. I like it here, they look after me well.�

We found people using the service received appropriate nutrition. People told us they were happy with the meals provided. One person said, �The food is lovely and there is always a good choice.�

We looked at medication management and saw that suitable systems were in place to manage medicines.

We checked records were stored safely and correctly and found systems were as required. This ensured people�s confidential information was stored appropriately.

Inspection carried out on 11 June 2012

During a routine inspection

We carried out this inspection to check on the care and welfare of people using this service. We visited Rider House in order to up date the information we held and to establish that the needs of people using the service were being met. The visit was unannounced which meant the provider and the staff did not know we were coming. We spoke with six people using the service, seven staff on duty and four visitors during our visit.

We found that people�s needs were assessed and care and treatment was planned and delivered in line with their individual care plan. The home was warm, clean and well maintained with no malodours. We saw people had the necessary equipment in place to provide a safe environment. Bedrooms were personalised and suitably furnished.

People spoke well of the home, one person told us, �They do everything I want.� Another person said, �They are good, I am happy enough, I can�t grumble it�s home from home.�

We observed people being cared for in a clean environment, but further written evidence was required to validate suitable practices regarding infection control.

People using the service and their visitors confirmed they could speak with the staff if they had a concern or a complaint. This meant people felt able to voice their concerns and were listened to.

We looked at ways in which the home assessed it own quality and safety and saw suitable systems were in place. This meant Rider House ensured that people continued to receive effective and appropriate care.

Reports under our old system of regulation (including those from before CQC was created)