Riverview Nursing Home

Updated 26 November 2019

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 Care Act 2014.

Inspection team

The first day of the inspection was carried out by one inspector, an assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who use this type of care service. The second day of the inspection was carried out by one inspector.

Service and service type

Riverview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced on both days.

What we did before the inspection

We reviewed the information we received about the service since the last inspection. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We asked for feedback from the local authority and commissioning teams. We used all of this information to plan our inspection.

During the inspection-

We spoke with four people and three relatives about their experience of the care provided. We spoke with 12 staff including the registered manager, deputy manager, clinical lead, nurse, seven care workers and the cook. We spoke with one social care professional and two health care professionals. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 26 November 2019

About the service

Riverview is a residential nursing home situated in Ilkley. The home provides accommodation, personal care and nursing care for up to 45 older people and people living with dementia. On the first day of the inspection there were 26 people living at the home. On the second day there were 27 people living at the home.

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

People’s care needs were assessed, and they received good quality person centred care from staff who understood their needs well. People and relatives said they felt safe. They praised the standard of care and said staff were caring and kind.

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. Improvements were needed to documentation to fully evidence compliance with the Mental Capacity Act (MCA).

The home and grounds had been designed to meet people’s needs. The environment had recently had a major refurbishment and creative improvements to the communal space included a tea room, sensory area and dementia friendly activity spaces. The changes provided people with a wider range of choices and opportunities. Staff told us this had a positive impact on people’s health and wellbeing.

Staff were knowledgeable about people and the topics we asked them about. They received a range of training, supervision and appraisal. The home had recently introduced ‘champion roles’ on a range of subjects and the staff team were empowered and enthused about ongoing quality developments.

Medication was managed safely. There were close links with health professionals and other agencies to ensure people’s health needs were met and changes responded to promptly.

The registered manager provided people with leadership and promoted an inclusive and supportive team culture. They maintained good oversight through communication with people and the team and a detailed schedule of audits. They were passionate about continuing to improve the service. There was an inclusive and welcoming atmosphere throughout.

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): The last rating for this service was requires improvement (published 13 November 2018) and there was one breach of regulation. The provider completed an action plan after the last 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

This was a planned inspection based on the previous rating.

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.