River Meadows Nursing Home

Updated 19 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 12 November 2018 and was unannounced. The inspection team consisted of one inspector, one assistant 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.

Prior to this inspection, we looked at information that we held about this service. We asked the provider to compete a Provider Information Return (PIR). A PIR is a form that asks the provider to give us some key information about the service such as what it does well and any improvements they need to make. We took this into account when we inspected the service.

As part of the inspection process, we considered the information we already held about the service. We looked at the previous inspection report and notifications. A notification tells us about events that have occurred at the service like deaths, serious injuries and safeguarding's.

During the inspection, we spoke to twelve people, seven relatives, five members of staff and one visiting professional. We spoke with the registered manager and the deputy manager. We looked at one care record and other documents that related to the management of the service such as audits and medication records.

Updated 19 December 2018

River Meadows is a nursing home situated in the village of Edgebolton, Shawbury in Shropshire. The home provides accommodation, nursing and personal care, for a total of up to 44 older people and young adults and is situated over two floors.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive a safe service. The service was making continual improvements to ensure there were enough staff to meet people’s needs. People were protected from the risk of harm and abuse. Staff were able to demonstrate how they kept people safe and risks were assessed and managed well. Medicines were managed safely. Staff took appropriate action to mitigate the risk of the spread of infection.

The service continued to be effective. People received support from suitably skilled staff that worked well together with other organisations and healthcare professionals in order to deliver effective care and support. People had enough food and drink and were given choices in order for people to have their nutritional needs met. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

The service continued to be caring. Staff were kind and promoted people’s independence. People had their dignity and privacy respected.

People continued to receive a responsive service. People were involved in the planning of their care which was individualised and person centred. People were engaged in meaningful activities that were personal to them. People knew how to make a complaint. Complaints were recorded, investigated and responded to in a timely way.

The service continued to be Well-Led. There was an open and honest culture and people said the registered manager was approachable. Systems were in place to monitor the service and identify areas for improvement.

Further information is in the detailed findings below.