Rivendale Lodge EMI Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Care plans were person centred and detailed. Care records were reviewed each month and updated when any changes occurred. People and their relatives were involved in planning how people received their care and support. Relatives told us, “The staff appeared to know my [relatives name] well and kept me updated on any changes to their health promptly. Their communication was excellent, and I always felt reassured that they were in good hands.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care documentation included a number of assessment tools. This ensured evidence based practice and standards were met. Staff knew people well and were able to understand and anticipate their needs. People were supported to continue to do things that were important to them and encouraged to make decisions and choices regarding their care.

People’s weights were monitored regularly and nutritional needs were assessed and reviewed with referrals made to SALT if required. People’s dietary preferences were met and those who had specific dietary needs, for example pureed or fortified meals, had these provided.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff worked well as a team. We observed staff supporting each other to provide safe and effective care and to meet people’s needs promptly. The registered manager and staff worked closely with other health professionals to ensure peoples care needs were met. Referrals to specialist teams had taken place, appropriate information was available and shared with professionals when needed.

Several staff at Rivendale Lodge had worked at the service for many years and were proud to show inspectors their long service certificates displayed in the main lounge area. All staff we spoke to shared how much they enjoyed working at the home and that they felt supported by the registered manager.

Health professionals told us, “I have seen nice interactions, staff talk about residents with respect, ask questions to try and improve their care and understand triggers.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff knew people really well and were able to anticipate when a person needed assistance, for example, staff recognised quickly when a person needed to support to use the bathroom. We saw people chatting to staff and many positive interactions between staff and people living in the home. Staff were observed to respond quickly to people when they became anxious or upset and provide distractions or support by sitting and talking to the person, or holding their hand when they became upset.

Feedback from relatives was positive. One told us, “The manager and staff are so lovely and welcoming. The home is so relaxing, my [relative] is so happy there the staff cannot do enough.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

People’s physical and mental health needs were assessed and reviewed. Staff worked closely with other health professionals and teams involved in people’s care. This included Community nurses, GPs and mental health teams. Referrals had taken place to specialist falls teams when needed and other specialists involved in people care to ensure care and support needs were maintained to a high standard. Any advice or feedback from specialists was used to further enhance care plans and documentation.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

We observed staff asking people’s consent before they provided any care or support. People were provided with choices throughout the day.

Staff were able to tell us about people’s needs and staff were aware how to provide care which met peoples needs as well as taking into consideration their individual personalities and preferences. For example, one person chose to spend their time resting in the communal lounge. The person was able to mobilise with a zimmer frame but chose to spend their time resting in this location. Staff knew this was how the person wanted to spend their day and the person’s family were supportive of this. We observed staff encouraging the person to move to another area for their meals to ensure they mobilised regularly and were sat up to eat. The person was seen to choose to walk back to the seating area after their meal and continue relaxing in their preferred manner.