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River View Care Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 September 2019

About the service:

River View Care Centre is a care home with nursing. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home provides facilities over three floors. There were six units in the home across these three floors. At the time of the inspection, two of the units were closed for refurbishment work. People have their own bedrooms with en-suite facilities and use of an enclosed private garden. Some of the people supported at the home live with dementia and other health related conditions. The service is registered to provide accommodation with personal and nursing care for up to 137 people. At the time of our inspection there were 77 people living there.

People’s experience of using this service and our findings:

The service assessed risks to the health and wellbeing of people who use the service and staff. However, care was not always delivered by staff in line with people’s care plans to mitigate these risks.

Safe recruitment practices were not always followed to make sure, as far as possible, that people were protected from staff being employed who were not suitable.

Staff failed to consistently monitor food and fluid intake or take appropriate action in line with people’s care plan. Care records did not evidence that people’s nutrition and hydration needs were always met.

People were not always treated respectfully or in a way that promoted their privacy and dignity.

People did not always have person-centred plans to guide staff on how to meet people's needs. Some staff practice was not always person centred.

Care records were not always up to date and accurate. Governance systems were not always effective and did not always identify actions for continuous improvements.

There was an activity programme and some people were involved in activities. However, people were not consistently provided with social and recreational activities that met their individual needs and enhanced their lives.

We have made a recommendation that the provider explores all relevant guidance and best practice on how to ensure they make environments used by people living with dementia more dementia friendly.

We have made a recommendation that the provider review staff knowledge and understanding of the Mental Capacity Act (2005) and its application in relation to decision making and consent.

People were assisted to take their prescribed medicines by staff who were assessed as competent to do so. Where people required their medicines at a specific time or with food, this need was met. Storage and handling of medicine was managed appropriately.

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 understood their responsibilities to raise concerns and report incidents or allegations of abuse. They felt confident issues would be addressed appropriately. People and their relatives knew how to complain and knew the process to follow if they had concerns. People, relatives and staff felt they could approach management with any concerns they may have.

People had their healthcare needs identified and were able to access healthcare professionals such as their GP, when needed. The service worked well with other health and social care professionals to provide effective care for people.

The service had regular residents and relatives' meetings as well as staff meetings to ensure there was opportunity to feedback about the home and that there would be a consistency in action taken. The staff team had handovers and daily meetings to discuss matters relating to the service and people’s care.

Rating at last inspection:

At the last comprehensive inspection which took place in Septemb

Inspection areas

Safe

Requires improvement

Updated 5 September 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 5 September 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 5 September 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 5 September 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 5 September 2019

The service was not well led

Details are in our Well led findings below.