Updated 13 August 2022
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
One inspector, one inspection manager and one Expert by Experience carried out this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
The Riders 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. The Riders is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since its registration with CQC on 4 June 2021. We sought feedback from the local authority. 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 three people who used the service and 10 relatives about their experience of the care provided. Where people were unable to speak with us, we spent time observing people's body language, facial expressions and vocalisations, to help us understand their experiences of using the service.
We spoke with 15 members of staff, including one support worker, three senior support workers, one domestic staff, one chef, the head chef, maintenance staff, one receptionist, one nurse, the deputy manager, registered manager, head of care and quality and head of operations. We also received feedback from two additional members of staff via email.
We reviewed a range of records. This included eight people's care records, either in full or in part, and seven people's medicine administration records. We looked at three staff files in relation to recruitment and supervision. A variety of records relating to the management of the service were reviewed, including files relating to compliments and complaints, accidents and incidents, safeguarding, staff training, minutes of staff, relative and resident meetings, audits, staff handover records, and evidence relating to the health and safety of the premises.
After the inspection
We continued to seek clarification from the service to validate evidence found. We looked at policies and procedures. During and after our inspection we received feedback from several professionals including a GP, occupational therapist, two pharmacists and two local authorities.