Ryver House

Updated 8 February 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

The inspection team consisted of one inspector.

Service and service type

Ryver House 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. Ryver 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 inspection

We reviewed information we had about the service. We used this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

During the inspection we spoke with two people who used the service as well as observing care. We spoke with the registered manager and three staff. We reviewed a range of records. This included three people’s care records, medicine records and a variety of records relating to the management of the service including audits, meetings, policies and procedures. We also looked at two recruitment and supervision files.

Updated 8 February 2023

About the service

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Ryver House is an adapted residential care home providing personal care for up to three people. The service is registered to provide support to younger adults with a learning disability and/or autistic people who may have care needs around their physical disability or sensory impairment. At the time of the inspection three people were living at Ryver House. The service had been developed and designed specifically for the individuals living there. The premises consist of a large open-plan communal kitchen, dining and lounge area, three large bedrooms with ensuite’s facilities and a level enclosed garden area.

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

Right Support:

People received exceptional care because staff and the management team were passionate about providing people with high quality person centred care that placed people’s goals and aspirations at the centre of the service they provided. Staff worked with people continuously to improve the quality of their life and promote their well-being. People received support from a dedicated team of staff who in some instances had been specifically recruited to work with individuals, and who knew people extremely well. Staff continuously looked for ways to enhance the quality of people’s lives. Staff were passionate about their roles and provided exceptional support.

Comprehensive and meaningful care records were written in consultation with people. These detailed people’s goals and aspirations as well as information about their lives and risks associated with their care needs. Risks were assessed and action was taken to help ensure people benefited from positive risk taking. This ensured people had the freedom to make choices about how they lived their lives and to support their independence and well- being.

People’s privacy and dignity were met in an exceptionally understanding way which promoted people’s independence and choice in how their care needs were met. Staff were trained to a very high standard to ensure people’s individual needs were continuously met. 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. Staff demonstrated they understood people’s diverse needs and respected their equality such as age, disability and gender.

The services design and facilities promoted people’s safety and comfort and people referred to it as their home. Comprehensive and effective systems were in place to manage and monitor people’s medicines to ensure people received their medicines as prescribed.

Right Care:

People told us they felt listened to and staff were exceptionally kind and caring. The registered manager and staff team were passionate about people’s well-being and went above and beyond to help people achieve their goals and aspirations such as gaining work experience, building their confidence by breaking down barriers to increase independence. People told us they received excellent personalised care and support that met all their needs and preferences.

The registered manager and staff team were focused on enabling people to live active fulfilling life’s and ensured people were involved in every aspect of the service. The service had facilitated a holiday and supported people to participate in numerous activities and interests which enhanced their quality of life and provided them with new skills to enable them to gain employment opportunities.

People were supported to express their views and opinions in various ways. People living at the service had different ways of communicating and staff understood how best to share information for people to make their own choices and decisions.

Right Culture:

The registered manager and provider were visible and exceptionally supportive to both people and staff. They were instrumental in continually developing the service to meet people’s needs. The culture of the service was extremely friendly, open and transparent where people’s and staff voices were listened to in order to continually improve the quality of care.

Quality assurance processes were pivotal in the continuous improvement of the service and quality of care to an outstanding level. Auditing systems were in place that enabled the registered manager to have effective and responsive oversight of the service and the care delivery which enabled them to identify any improvements needed. Lessons were learnt when things did not go well and any complaints, incidents, accidents and safeguarding’s were investigated and responded to and shared to continually improve the service provided and prevent reoccurrence.

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 21 January 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service and to provide a rating.

We 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.