Background to this inspection
Updated
16 April 2021
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.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 12 March 2021 and was announced.
Updated
16 April 2021
This comprehensive inspection took place on 18 and 20 December 2017. The first day was unannounced. This was our first inspection of the service since its change of ownership.
Riverview Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Riverview Care Home accommodates up to six adults with a learning disability. There were six people living there when we inspected. Accommodation is situated on the ground and first floors of a house in a rural area on the outskirts of Bournemouth. The kitchen and lounges are on the ground floor. The first floor is accessed by stairs.
The service is managed by its owner, supported by a team of staff.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
People, relatives and professionals were pleased with the standard of care and support at Riverview Care Home. The spoke highly of the caring approach of the provider and staff.
People were treated with kindness and compassion in their day-to-day care. The provider and staff knew people well and showed concern for people’s wellbeing in a caring and meaningful way.
People were encouraged to express their views and be involved in decisions about their care. Where appropriate their relatives were also involved. The provider and staff had a clear understanding of people’s care needs and preferences, and respected these. People and those important to them had opportunities to feed back their views about the home and quality of the service they received.
People were given the information and explanations they needed, in a format they could understand. Care records flagged up where people had sensory impairments or communication difficulties. These issues were addressed in care plans, which were followed.
People’s rights were protected because the provider and staff followed the requirements of the Mental Capacity Act 2005, including the Deprivation of Liberty Safeguards. Wherever people were able to give consent to various aspects of their care, this was obtained. People’s privacy was upheld.
People’s independence was promoted. Risks to people’s personal safety had been assessed and plans were in place to manage these risks in a way that minimised any restrictions.
People were supported to follow their interests and take part in social activities, education and work opportunities.
There were good links with the local community. People were encouraged and supported to develop and maintain relationships with people who mattered to them.
People had the support they needed to manage their health. The service communicated well with health and social care professionals.
People liked the food provided and made choices about what they had to eat. Their dietary needs and preferences were catered for. People had free access to the kitchen, with staff to support them.
Medicines were managed and administered safely.
People were protected against hazards such as slips, trips and falls, and from the spread of infection. The premises and equipment were kept clean and tidy. They were checked regularly and any necessary repairs were undertaken. Accidents and incidents were recorded and the provider monitored these to ensure necessary action had been taken to prevent further injury or harm.
People were protected against abuse. Staff had the knowledge and confidence to identify safeguarding concerns and acted on these to keep people safe.
There were sufficient staff on duty to provide the care and support people needed in the way they preferred.
There was a stable staff team, who had the skills, knowledge and understanding needed to carry out their roles effectively. They were well supported. Recruitment checks had been undertaken before they started employment to ensure they were of good character and suitable to work in a care setting.
The provider sought to foster a positive culture that was person-centred, open, inclusive and empowering. They had a well-developed understanding of equality, diversity and human rights, and worked regularly alongside staff to put this into practice.
People and staff had confidence the provider would listen to their concerns, which would be received openly and dealt with appropriately.
Quality assurance systems were in place to monitor the quality of service being delivered.
The provider had notified CQC about significant events. CQC uses such information to monitor the service and ensure they respond appropriately to keep people safe.