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River View Care Centre Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 November 2020

About the service

River View Care Centre is a residential care home providing personal and nursing care to a maximum of 137 people. At the time of the inspection the service was supporting a total of 70 people.

The service provides facilities over three floors, and six units. Five of the units had recently undergone immense refurbishment. The units had been redecorated to meet the needs of people. For example, one unit had been specifically renovated to successfully support people living with dementia remain independent and able to access their room and communal areas freely. Each bedroom was individualised with en-suite facilities. An enclosed garden to the rear of the property was accessible from the ground floor. Relatives of people used this to visit their loved ones within the home.

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

The service had ensured people were kept as safe as possible by identifying, assessing and reviewing risks. Care plans were kept up to date, with actions identified on how to mitigate risk to people.

Medicines were safely managed and audited. Staff trained and assessed as competent administered medicines only.

Recruitment checks were completed for all staff employed at the service, to ensure they were safe to support and care for people. These were regularly audited to ensure compliance with the regulations.

The service had comprehensive infection and control plans in place to help ensure the service managed the pandemic. We saw robust policies and procedures in place. We spoke with the registered manager to ensure all actions were attainable. Where required amendments were made to ensure compliance with the provider’s internal policy. The service was very clean and free of malodour.

People were supported to eat and drink safely. Where required they had their food and fluid safely monitored. Records indicated staff closely maintained an overview of the nutrition and hydration checks. Where appropriate support from external professionals was sought within a timely manner.

Staff had a comprehensive understanding of the MCA. People were encouraged to make choices and retain as much control as possible over their lives and care.

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.

People were supported by a staff team that in turn was well supported by the registered manager and provider. Staff were compliant with all identified training, and had effective strategies of support with one to one chats and supervisions, team meetings and daily handovers.

The service had undergone extensive adaptations to the environment. These reflected and met the needs of people living at River View Care Centre.

The registered manager worked proactively to ensure an open door, transparent and inclusive method of working was attained at the service. This included staff, external professionals, people and relatives.

Feedback was sought and actioned to ensure care and practice was reflective of meeting the needs of people. People, professionals, relatives and staff were extremely complimentary of the registered manager and staff team.

The service was extensively audited. This meant the registered manager had retained a complete overview of the practice, safety and effectiveness of how the care home operated.

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 05 September 2019) and there were multiple breaches of regulation. The provider completed monthly action plans 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 12 (safe care and tr

Inspection areas

Safe

Good

Updated 11 November 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 November 2020

The service was effective.

Details are in our effective findings below.

Caring

Insufficient evidence to rate

Updated 11 November 2020

At our last inspection we rated this key question Requires Improvement. We have not reviewed the rating at this inspection. This is because we only looked at one element during the inspection.

Responsive

Insufficient evidence to rate

Updated 11 November 2020

At our last inspection we rated this key question Requires Improvement. We have not reviewed the rating at this inspection. This is because we only looked at one element during the inspection.

Well-led

Good

Updated 11 November 2020

The service was well-led.

Details are in our well-Led findings below.