- Care home
Archived: Two Rivers Care Home
Report from 8 February 2024 assessment
Contents
Ratings
Our view of the service
Date of assessment 14 February to 1 March 2024 We completed this assessment because we had previously rated the service as inadequate following a responsive inspection on 23 September to 6 September 2023 which led to 8 breaches of the regulations, placing the service in special measures, and issuing warning notices to the provider warning them they needed to make significant improvements. At this inspection on 14 February to 1 March 2024 we found only marginal improvements, the provider had not taken effective action and made significant improvements to the quality of the care people received. We found 5 breaches in relation to keeping people safe, promoting choice, not reviewing restrictions to people’s freedoms, not ensuring staff were trained and competent, and a lack of quality checking to ensure the staff, managers, and provider was providing a good service to people. The provider was still not following our statutory guidance of Right Support, Right Care, Right Culture (RS,RC,RC). This is a set of known values we assess services for people who are autistic and people who have a learning disability against. We expect health and social care providers to guarantee autistic people and people with a learning disability 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.
People's experience of this service
People were unable to communicate in ways which we could understand. So, we spent time at the home to try and understand people’s experience of living there. People looked happy around the staff and the staff were attentive to people’s care needs. But staff did not know how to engage with people, often sitting in silence with them or repeatedly saying the same statement to people. Managers and the provider had made no improvements to people’s social experience of living at the home. We found people were not treated as individuals, with their interests being explored and developed.