Background to this inspection
Updated
1 September 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
This inspection was completed by one inspector.
Service and service type
Riversdale Nursing Home 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. Riversdale Nursing Home is a care home registered to provide nursing care; the home had previously provided nursing care and had applied to change their registration as they no longer provided nursing care for people. 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 not a registered manager in post. A new manager was in post and had submitted an application to register. We are currently assessing this application.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 8 people who were staying at the home, and we spoke with 3 people's relatives. We also spoke with 12 members of staff including an area manager, an interim manager, the newly appointed home manager, care staff and other support staff. We also reviewed 5 people’s care records and medication records along with other records relating to the management of the service.
Updated
1 September 2023
Riversdale Nursing Home is a residential care home providing personal care and accommodation for up to 40 people, over three floors in one adapted building. The service provides support to older people and people living with dementia. At the time of our inspection 22 people were using the service.
People’s experience of using this service and what we found
People and their family members told us they felt safe at the home. One person said, “I feel safe here. Staff are nice to me.” One person’s family member told us about their relative, “We are not worried about anything here, she is safe.” People were safeguarded from the risk of abuse.
People praised the approach of staff at the home. There was a warm, friendly, and good-humoured atmosphere at the home. It was clear that people were relaxed and comfortable; and they had positive relationships with staff members.
The provider had been effective in managing risk at the home. A series of checks took place that helped ensure the building, environment and equipment used was safe and fit for purpose. The home was clean, and we were assured that the provider was supporting people living at the home to minimise the spread of any infections.
We have made a recommendation regarding fire doors at the home.
Any risks that were anticipated during people’s stay at the home and arising from their care and support were assessed and plans were in place to reduce these risks. The risk assessments in place were person centred, thorough and gave clear information for staff on how to support people to reduce these risks.
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 told us they felt listened to and were consulted regarding choices at the home. One person told us, “[The manager] helps me; she sits down and explains things and works them out with me.”
There were enough suitably qualified and experienced staff deployed at the home. People told us there was enough staff; they were provided with care when they needed it.
The provider had effective oversight of the safety and quality of the service being provided for people; and the provider and interim manager were responsive if anything went wrong at the home.
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 11 October 2021). 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
We carried out an unannounced comprehensive inspection of this service on 16 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions; ‘Is the Service Safe?’ And ‘Is the Service Well-led?’ which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Riversdale Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.