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Inspection carried out on 15 August 2019

During a routine inspection

About the service

Riverdale is a residential care home providing personal care and accommodation for up to 32 people aged 65 and over. At the time of our inspection 12 people were using the service. The care home accommodates people across three floors in one new purpose built premises. One unit located on the lower ground floor, specialises in providing care to people living with dementia

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

The registered manager and provider shared a clear vision and strong values. They led by example and were committed to providing good quality, individualised care and support. They demonstrated a strong commitment to continuous improvement. People’s views were listened to and were at the heart of how the service was provided.

Systems were in place for the safe storage and supply of medicines. Prescribed creams and lotions were administered by care staff but signed for on administration records by senior staff. We recommended further work was needed to ensure prescribed creams and lotions once administered were signed for by the member of staff who carried out this task. The current system in place did not comply with good practice guidance.

Risk assessments detailed people's individual risks such as, mobility, risk of falls, malnutrition and managing behaviours that may present a risk to the individual and others. However, further work was needed to ensure robust assessment and monitoring for people with a catheter in place.

People received care from staff who knew them well. People told us staff were kind, caring in their approach and supported their independence. People, their relative’s and staff were positive regarding the management of the service.

There was an open and transparent culture within the management team demonstrated throughout the inspection. There were systems in place to monitor the quality and safety of the service. Incidents and accidents were investigated, trends analysed, and actions were taken to prevent recurrence.

People had access to a complaints process and provided with the information they needed to raise a concern should they need to do so. We have recommended that this is produced in accessible formats.

People's feedback was considered through a range of systems such as surveys, care reviews and meetings.

There were enough staff to support people, meet their needs and keep them safe. People were supported by skilled staff with the right knowledge and training.

Personalised care plans had been developed, which provided the staff team with guidance about the needs of people and how these needs were to be met. Further work was needed to ensure planning to maintain people’s oral health care 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. We recommended further work was needed to gather information as to people’s cultural and spiritual needs as well as life history.

People had access to a variety of nutritious meals and snacks. Meals were freshly prepared and pleasantly presented.

There was a varied range of social activities on offer. Staff encouraged people to participate in group and one to one activities of interest to the individual.

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 25/09/2018 and this is the first inspection.

Why we inspected

This was the first inspection for this service since registration.

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.