Background to this inspection
Updated
15 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the registered 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.
Inspection team
The inspection was carried out by one 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
Riverside Point is a 'care home.' People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
We gave the service less than 24 hours notice of the inspection. This was because it is a small service and we needed to make sure that people would be available to talk with us and provide information.
What we did before the inspection
Before the inspection we reviewed the information we held about the service. This included documents sent to us by the registered provider about incidents and events that had occurred at the service. This is information about important events which the service is required to send to us by law. We also contacted local commissioners of the service to gain their views. This information helps support our inspections. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with the deputy manager, adult service manager, quality assurance manager, positive behavioural support lead/safeguarding lead, integrated practitioner/ best interest assessor, three members of support staff, three people living at the service and seven relatives. We looked at care records of three people receiving support, two staff recruitment files, medication records and other records and documentation relating to the management and quality monitoring of the service.
Updated
15 February 2020
About the service
Riverside Point is a residential home owned and managed by Bright Futures Care. It is registered to provide accommodation and personal care for up to eight people with physical and learning disabilities. The accommodation comprises of four linked three-story terraced properties each house providing living accommodation for two people. It is located close to local amenities in the community. At the time of the inspection eight people were living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The outcomes for people promoted choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People who used the service and their relatives spoke of the outstanding care delivery. They told us the provider and staff of the service went above and beyond to ensure they received a person-centred service.
The service was exceptional in placing people at the heart of the service and its values. It had a strong person-centred ethos. Staff and managers told us how important the services' shared values were to them. They were passionate about providing outstanding individualised care to people.
Professional feedback was extremely positive about the service and the results they had achieved regarding the outcomes to people's quality of life. The service provided individualised care and support in accordance with best-practice. People’s quality of life had improved significantly. People developed in their self-confidence, independence and their self-esteem.
The provider and staff had an excellent understanding of managing risks and supported people to achieve their aspirations and full potential. The provider constantly adapted their support to promote each person's skills. This included supporting people to transition into moving to their own property, attending college and gaining employment.
The service had developed creative ways of ensuring people led fulfilling lives and were supported with choices with their lifestyle. 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.
The manager, provider and staff promoted an open, positive culture with a focus on exceptionally high-quality, person-centred care. The manager and provider made effective use of audits and other sources of information to continually reflect, review and improve practice. The provider funded additional support to their specialist staff teams. This included external services and specific training for staff to help them provide positive influences and outcomes to the people living at Riverside Point.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was outstanding. (published in June 2017.)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.