The Riders

The Riders is a nursing care home providing personal and nursing care for up to 18 people. The service provides support to younger and older adults living with physical disabilities and/or mental health needs, including people living with dementia. At the time of our inspection there were 14 people using the service.

The Riders provides en-suite bedrooms across two floors in an adapted building. People had access to communal areas, including a garden, dining room and two lounges.

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

People were safeguarded from risks of abuse and staff understood their responsibility to report signs of abuse or neglect. The service managed risks in relation to infection control, including risks associated with COVID-19. Systems were in place to learn lessons when incidents occurred and staff understood people’s needs and how to manage risks. We have made recommendations in relation to maintaining accurate records for the disposal of medicines and risk management.

People were supported by sufficient numbers of safely recruited and trained staff to meet their needs. Staff treated people with dignity and respect. Feedback from relatives included, “The staff are very nice, very pleasant” and “They [staff] seem very caring. I can see them sitting there, holding their hands. I am observing that each time I come.”

People’s needs were assessed prior to the delivery of care. People were supported to access health care services and staff communicated with people in ways which met their individual needs. People were supported to participate in meaningful activities and staff understood what was important to people.

Staff told us they were supported by the management of the service. The service and provider had processes in place to monitor the quality and safety of the service. We found however these systems had not been fully effective in identifying the concerns we found and the service had not notified CQC of certain incidents it was required to. We also made recommendations in relation to meeting people’s nutritional needs and the design of the service to meet the needs of people living with dementia.

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 in the service supported this practice. We have made a recommendation in relation to evidencing how representatives are involved in decisions, including where people hold legal authority such as powers of attorney.

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 4 June 2021 and this is the first inspection.

Why we inspected

This was the first inspection of the service since its registration with CQC.