Ribble View

Updated 1 June 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

The inspection was carried out by 2 inspectors.

Service and service type

Ribble View 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. Ribble View 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 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 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 information gathered as part of our monitoring activity to help plan the inspection and inform our judgements. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people who used the service and 10 members of staff including 2 agency nurses who work regularly in the home, 3 senior carers, an activity coordinator, the chef and 4 care workers. We also spoke with the registered manager, deputy manager / clinical lead and the provider’s regional operations manager.

We reviewed a range of records. These included 4 people’s care records relating to risks. A range of records relating to the management of the service, including staff training and lessons learned from accident and incident records.

Updated 1 June 2023

About the service

Ribble View is a nursing home providing accommodation and personal care for up to 30 people. The service provides support to adults with multiple health needs, people living with a brain injury, people with mental health needs and people with physical disabilities. At the time of our inspection there were 18 people using the service.

The building has three floors which are all kept secure with key code locks. The middle floor is not yet in use although the service has begun to take referrals for people to move in.

People’s experience of using this service and what we found

People were kept safe from the risk of abuse and relatives said people were well cared for. A relative said, “I turn up unannounced, so I know (my relative) is safe.” Staff had good knowledge about people’s needs and people benefitted from a positive and caring atmosphere. One person said, “I love it here” and a relative said, “I can’t fault the staff, they are great.”

People were protected as the management team used safe recruitment processes. We have made a recommendation about the storage of some medicines.

People benefitted from an effective management team that were committed to improving the service. The registered manager used different ways to talk to people and staff and encouraged people to provide feedback. Staff enjoyed working at the service and were enthusiastic about their roles.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and/or who are autistic.

The environment itself was a nursing home which could limit opportunities for independence. However, staff valued and upheld people’s dignity and privacy. Staff took the time to find out what was important to people and supported them to take part in their interests and hobbies.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 8 August 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.