Background to this inspection
Updated
28 October 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.
Inspection team
This inspection was carried out by an inspector and an Expert by Experience. 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
Rivelin Care 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. Rivelin Care Home 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 the inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.
During the inspection
We spoke with 6 people who used the service and 4 relatives about their experience of the care provided. We spoke with 7 members of staff including the registered manager, deputy manager, care coordiantor, senior care staff and care staff. We also spoke with 2 professionals who regularly visits the service.
We reviewed a range of records. This included 4 people's care records and numerous medication administration records. We inspected 3 staff files in relation to their recruitment. A variety of other records relating to the management of the service, including audits and policies and procedures, were also reviewed.
We inspected the environment and spent time observing interactions between people and staff, and infection prevention and control practices.
Updated
28 October 2023
About the service
Rivelin Care Home is a residential care home providing personal care to up to 40 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 38 people using the service.
People’s experience of using this service and what we found
Quality monitoring systems were in place which helped to check various areas of the home.
People were happy with the care they received, they felt safe and well looked after.
People had support from staff who had been safely recruited. Staff received training in safeguarding and understood their role and responsibilities to protect people from abuse.
People and staff spoke positively about the management of the service. Staff receive guidance and support from management regularly and when required. The service had enough staff to keep people safe. We observed staff respecting people's privacy and dignity when providing care and support.
People were supported to take their medicines safely as prescribed.
Staff followed care plans and risk assessments which were in place for known risk, up to date, and regularly reviewed.
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 regularly asked their views on the service provided and action had been taken when suggestions were made.
People were supported to have access to healthcare services to monitor and maintain their health and well-being. People were encouraged to maintain a healthy diet, where people had specific dietary requirements, these were catered for.
The provider and staff worked in partnership with other health and social care agencies to deliver good outcomes for people and to ensure their needs were met and reviewed.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 31 August 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this service and when the service was last inspected.
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.
This was a focused inspection and the report only covers our findings in relation to the Key Questions safe and well-led. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.