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Inspection Summary


Overall summary & rating

Good

Updated 22 September 2018

The inspection took place on 29 August 2018 and was unannounced.

Riverside House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

Riverside House provides accommodation and support to a maximum of 10 younger adults who may have a learning disability or autistic spectrum disorder. At the time of this inspection there were three people using the service full time and two people who used the service for short periods of respite.

At our last inspection in October 2017, we found the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations for Regulation 12: Safe care and treatment, Regulation 17: Good governance and Regulation18: Staffing. We asked the provider to complete an action plan to show what they would do and by when. At this inspection we found the provider had implemented the actions and was no longer in breach of these regulations.

There was a registered manager in place. 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.

People were assessed and supported to take their medicines safely as prescribed by staff who had been checked as competent and who followed national best practice.

The provider had systems and process in place to ensure staff were appropriately recruited into the service. Staff received appropriate induction, supervision, support and training to acquire and update their skills to meet people’s individual needs and fulfil their roles.

We observed there were enough staff on duty to meet people’s needs. People confirmed they received care and support from regular staff who they knew.

The provider completed a range of checks and audits to maintain and improve the service.

People told us they felt safe living at the home and staff understood how to recognise and report any signs of abuse.

At the time of our inspection, everybody living at the home had been assessed as having capacity under the Mental Capacity Act 2005. Management and staff understood their responsibilities under the MCA and were actively promoting people's independence. People had consented to their care and support and this was recorded in their care plans.

People received information in a format they could understand and were supported to communicate their needs, and these were recorded to ensure they were met.

The provider included people or their representatives in discussions regarding their health and wellbeing. Any positive behaviour support plans were evaluated and included input by appropriate health professionals for effectiveness.

Care plans included information to ensure staff were informed and respectful of people's cultural and spiritual needs.

People were supported to maintain a healthy and balanced diet. Care plans contained details

of people's preferences and any specific dietary needs they had, for example, whether they were diabetic, had any allergies or religious needs.

Staff had a good understanding of people's needs and were kind and caring. They understood the importance of respecting people's dignity and upholding their right to privacy.

There was information available on how to express concerns and complaints. People were encouraged and supported to raise their

Inspection areas

Safe

Good

Updated 22 September 2018

The service was safe.

People received support to take their medicines safely as prescribed.

Risks associated with people’s care and support were managed safely without unnecessary restrictions.

Staff had received training to keep people safe from abuse.

Effective

Good

Updated 22 September 2018

The service was effective.

Staff were supported to ensure they had the appropriate skills and knowledge to carry out their role.

Peoples were supported to understand and make informed decisions. Where they were assessed as not having capacity to do this, the provider followed processes under the Mental Capacity Act.

People were supported to maintain and improve their health and wellbeing. Any dietary needs were assessed and supported.

Caring

Good

Updated 22 September 2018

The service was caring.

People were treated with dignity and respect by staff who understood the importance of this.

People were involved in any decisions about their care and support.

Staff understood how to communicate with people in a way they understood.

Responsive

Good

Updated 22 September 2018

The service was responsive.

Care plans included information to ensure staff provided care and support that was individualised.

People were supported to live meaningful lives and enjoy activities of their choosing.

People were supported to raise any concerns or complaints and systems were in place to record and learn from any outcomes.

Well-led

Good

Updated 22 September 2018

The service was well-led.

Audits and checks were completed to maintain and improve the service.

The provider maintained good links with other health professionals to ensure best practice and support people with their individual needs.

The provider completed consultations and used feedback to help shape the service.