Riverside Place

Riverside Place is a residential home registered to provide accommodation for people who require personal and nursing care for up to a maximum of 72 people.

The service provides support to adults who require personal and nursing care and may be living with a physical disability or dementia. At the time of our inspection there were 32 people living at the service.

The service is a purpose-built building. There are four floors, with spacious bedrooms and communal facilities available to all. Each bedroom has en-suite facilities, with additional toilets and bathrooms on each floor. There are large indoor communal spaces, with enclosed balconies and a spacious garden with patio area for people to spend time outdoors.

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

The registered manager and management team had made numerous improvements within the service since our last inspection. Quality assurance systems in place were robust. The wide range of checks and audits completed ensure all areas of the service were monitored closely.

Feedback about the atmosphere, culture and management at the service was positive. There were opportunities for people, relatives and staff to provide feedback on the service. The registered manager had taken steps to improve communication with relatives. There was an open culture for sharing information and learning lessons when thing went wrong which promoted a safe environment for people and staff.

People received safe care and support. The provider had systems and processes in place to safeguard people. Staff were trained and knew how to report any concerns they may have.

Assessments were completed in response to any risks identified to people's health, safety and wellbeing. Guidance was in place for staff, so they knew the actions they needed to take to reduce potential harm. Any incident, accident or untoward event that occurred at the service was investigated by the registered manager.

There were enough members of staff to meet people’s needs. The registered manager monitored the staffing levels via observations, feedback from people and staff and by reviewing the response times to call bells. Safe recruitment procedures were followed.

Staff spoke positively about the induction process and the training provided. Staff felt supported by the registered manager and told us they were provided with opportunities to progress. Regular supervisions and team meetings were held with all staff.

Medicines were managed safely and administered as directed by the prescriber. Regular audits and checks were completed on all aspects of medicine administration.

Infection control measures were followed, and staff had access to sufficient PPE.

People had their needs assessed prior to moving to the service and were supported to express their views and make decisions about their care. Care plans were accurate and reflected people's needs. Appropriate referrals had been made, and health professionals involved, when people experienced a deterioration in their health or a change in their needs.

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 complimentary about the care they received. They told us their needs were met and staff were kind, caring and responsive. People’s privacy, dignity and independence was promoted by staff in all aspects of care.

People and their relatives felt they could speak with staff if they had any concerns and felt they would be listened to. A robust complaints procedure was available to all.

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

This service was rated requires improvement (published 07 October 2019).

At the last inspection, the service was not rated (published 01 October 2020).

The provider completed an action plan after the rated 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

The inspection was prompted, in part, due to concerns received about the provider’s approach to visiting, responding to concerns and risk of a closed culture. A decision was made for us to inspect and examine the concerns across a range of Caring Homes services.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, responsive and well-led sections of this full report.

We also looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

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.

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.