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Rivendell Care & Support Good

Inspection Summary


Overall summary & rating

Good

Updated 4 September 2019

About the service

Rivendell Care and Support is a domiciliary care agency providing personal care to 25 people living in their own homes, some living with dementia, physical and learning disabilities.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and coordinated person-centred support that is appropriate and inclusive for them.

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

Staff were kind, compassionate and caring. The service promoted people's dignity, privacy and independence.

Risks associated with people's care had been assessed and guidance was in place for staff to follow.

Medicines were managed safely.

People were supported by enough staff who had been safely recruited.

Care plans were detailed, person centred and evidenced that people and their relatives were consulted around their care preferences.

Staff received appropriate induction, training and support and applied learning effectively in line with best practice. This led to good outcomes for people and supported a good quality of life.

Improvements made following the last inspection had been sustained and embedded. There were quality monitoring systems and processes in place to identify how the service was performing and where improvements were required.

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.

Staff supported people to meet their health and nutritional needs. People were supported and encouraged to maintain their independence. Staff worked with health care professionals to maintain people's wellbeing.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 17 September 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection areas

Safe

Good

Updated 4 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 4 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 September 2019

The service was well-led.

Details are in our well-Led findings below.