• Care Home
  • Care home

Rivermede Court

Overall: Good read more about inspection ratings

The Avenue, Egham, TW20 9AD (01784) 220060

Provided and run by:
Egham Care Limited

Latest inspection summary

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Background to this inspection

Updated 16 December 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and a regulatory coordinator.

Service and service type

Rivermede Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Rivermede Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we held about the service and the service provider. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We looked at the notifications and any safeguarding alerts we had received for this service. Notifications are information about important events the service is required to send us by law. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service, 2 family members, 1 healthcare professional and 10 staff members. This included carers, the registered manager and deputy manager. We spent time observing people and staff interactions with them in different areas of the service. We reviewed a range of records which included people's care records and medication records. We reviewed 4 people’s records and looked at 5 staff files in relation to the recruitment practice followed. Records relating to the management of the service were also reviewed, this included, health and safety records, quality audits and notes of meetings. We also received written feedback from 10 relatives.

Overall inspection

Good

Updated 16 December 2023

About the service

Rivermede Court is a purpose-built residential care home providing personal care to up to 80 people. The service provides support to older people with age-related frailties and people living with dementia. At the time of our inspection there were 54 people using the service.

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

People and family members told us the service provided safe care and they were comfortable to speak with staff or management if they had any worries or concerns. Staff received safeguarding training and understood how to prevent and report allegations of abuse. Staff told us they were confident the registered manager would act on any disclosures.

People received medicines from trained and competent staff. The service was clean, and staff practised good infection control to help protect people from the risk of infectious diseases. Our observations confirmed this.

People's health risks were assessed and managed safely. Where people required equipment to move and position, staff followed care plans to ensure they were supported safely. Detailed guidance was in place for staff to follow, for example, where people required support to safely manage their diabetes.

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 observed staff frequently asking for consent before supporting people whilst respecting their autonomy.

Quality assurance processes were effective in identifying areas for improvement, shortfalls were addressed at the time or shortly following audits. Management listened to and acted upon feedback from people, family members and staff.

Staff and the management team worked with health and social care professionals to improve people's care and well-being. Staff spoke of a good working relationship with external agencies and visiting professionals spoke positively of the service.

Rating at last inspection

The last rating for this service was good (published 15 June 2021)

Why we inspected

We received concerns in relation to safe care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains good.

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

Follow up

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