26 July 2022
During a routine inspection
Riverside Place is a residential home registered to provide accommodation for people who require personal and nursing care for up to a maximum of 72 people.
The service provides support to adults who require personal and nursing care and may be living with a physical disability or dementia. At the time of our inspection there were 32 people living at the service.
The service is a purpose-built building. There are four floors, with spacious bedrooms and communal facilities available to all. Each bedroom has en-suite facilities, with additional toilets and bathrooms on each floor. There are large indoor communal spaces, with enclosed balconies and a spacious garden with patio area for people to spend time outdoors.
People’s experience of using this service and what we found
The registered manager and management team had made numerous improvements within the service since our last inspection. Quality assurance systems in place were robust. The wide range of checks and audits completed ensure all areas of the service were monitored closely.
Feedback about the atmosphere, culture and management at the service was positive. There were opportunities for people, relatives and staff to provide feedback on the service. The registered manager had taken steps to improve communication with relatives. There was an open culture for sharing information and learning lessons when thing went wrong which promoted a safe environment for people and staff.
People received safe care and support. The provider had systems and processes in place to safeguard people. Staff were trained and knew how to report any concerns they may have.
Assessments were completed in response to any risks identified to people's health, safety and wellbeing. Guidance was in place for staff, so they knew the actions they needed to take to reduce potential harm. Any incident, accident or untoward event that occurred at the service was investigated by the registered manager.
There were enough members of staff to meet people’s needs. The registered manager monitored the staffing levels via observations, feedback from people and staff and by reviewing the response times to call bells. Safe recruitment procedures were followed.
Staff spoke positively about the induction process and the training provided. Staff felt supported by the registered manager and told us they were provided with opportunities to progress. Regular supervisions and team meetings were held with all staff.
Medicines were managed safely and administered as directed by the prescriber. Regular audits and checks were completed on all aspects of medicine administration.
Infection control measures were followed, and staff had access to sufficient PPE.
People had their needs assessed prior to moving to the service and were supported to express their views and make decisions about their care. Care plans were accurate and reflected people's needs. Appropriate referrals had been made, and health professionals involved, when people experienced a deterioration in their health or a change in their 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.
People were complimentary about the care they received. They told us their needs were met and staff were kind, caring and responsive. People’s privacy, dignity and independence was promoted by staff in all aspects of care.
People and their relatives felt they could speak with staff if they had any concerns and felt they would be listened to. A robust complaints procedure was available to all.
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
This service was rated requires improvement (published 07 October 2019).
At the last inspection, the service was not rated (published 01 October 2020).
The provider completed an action plan after the rated 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
The inspection was prompted, in part, due to concerns received about the provider’s approach to visiting, responding to concerns and risk of a closed culture. A decision was made for us to inspect and examine the concerns across a range of Caring Homes services.
We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, responsive and well-led sections of this full report.
We also 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.