You are here

Riverside Place Requires improvement

Reports


Inspection carried out on 26 August 2020

During an inspection looking at part of the service

About the service

Riverside Place is a residential care home providing personal and nursing care to 23 people aged 65 and over at the time of the inspection. The service can support up to 72 people.

Riverside Place is a purpose-built care home. It offers accommodation over three floors.

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

There were measures in place to ensure people were safe. Staff carried out hourly checks for people if they were in their bedrooms. Checks were increased in frequency, if needed, for people who were identified as high risk of falls and if they were unable to summon assistance when they needed it. When people were in communal areas staff were present to ensure people got the assistance when needed.

The provider had implemented robust infection control measures in the home. Staff were wearing appropriate personal protective equipment (PPE) in the home and washed their hands regularly. Visitors at the home were received by a receptionist, who checked their temperature and oxygen level and provided them with the required PPE, before entering the home. Visitors were required to complete a health care questionnaire with contact details so that they could be alerted in case of an outbreak.

There were policies and procedures in the home to minimise the spread of infections.

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

Rating at last inspection

The last rating for this service was requires improvement (published 07 November 2019).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

The inspection was prompted by a notification of a specific incident. Following which a person using the service sustained a serious injury and died. This incident is subject to a criminal investigation. As a result, this inspection did not examine the circumstances of the incident.

We found no evidence during this inspection that people were at risk of harm from this concern.

CQC have introduced targeted inspections to follow up on enforcement notices or breaches or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

Please see the safe section of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Riverside Place on our website at www.cqc.org.uk.

Follow up

The rating for this service remains unchanged. 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 carried out on 3 September 2019

During a routine inspection

About the service

Riverside Place is a nursing home providing personal and nursing care to 22 people aged 65 and over at the time of the inspection. The service can support up to 72 people.

Riverside Place is a new purpose-built care home. It offers accommodation over three floors.

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

People told us they felt safe in the home. People experienced delays in answer to their call bells from 10 minutes to 44 minutes, and at times their call bells were not working. Medicines were not always managed safely and people experienced delays at times in receiving their medicines.

Risks to people were not always mitigated effectively. For people at high risk of developing pressure ulcers, preventative measures were not always taken in a timely way and some people developed sores. Where people were at risk of dehydration or malnutrition staff monitored their food and fluid intake, however this was not done consistently.

Staff used effective infection control measures to protect people from the risk of infections. Appropriate equipment was in place where needed for people to receive support in a safe way.

People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. People’s changing health needs were not always promptly identified by staff. People had access to visiting health care professionals.

People’s dietary needs were catered for and they were happy with the quality of the meals. Activities were offered to people, however some people were not satisfied with these and the opportunities provided to avoid boredom and preferred to sit in their bedrooms. The environment was homely, clean and welcoming.

Staff received training to develop in their roles and they felt supported by their managers. Some staff were trained to become Champions in their areas of interest and they mentored newly employed staff to develop the necessary skills for their role.

People told us staff were kind and caring. Their privacy, dignity and independence were promoted. People felt listened to and involved in decisions about their daily lives.

The providers governance system was not always used effectively to drive improvement where it was needed. Where issues were identified these were not effectively resolved as there were re-occurring themes. Analysis of complaints, incidents or accidents was not effective in identifying trends and patterns to help prevent them from happening again. Information was not always shared effectively, and lessons learnt process was not embedded in staff’s practice.

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

Rating at last inspection

This service was registered with us on 14 September 2018 and this is the first inspection.

Why we inspected

This was a planned inspection based on when the service registered with us.

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.