CQC report explained · a nursing home
What the CQC found at Rivelin House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were supported by staff who understood safeguarding responsibilities. Inspectors found safe medicines systems, suitable staffing levels, suitable recruitment checks and reviewed risk assessments.
- Effective?
- Good
- Staff had relevant training, supervision and appraisals. People were supported with their health, diet, consent and legal safeguards.
- Caring?
- Good
- Staff were kind, patient and respectful. They knew people's histories, preferences and communication methods, and supported privacy and dignity.
- Responsive?
- Good
- Support plans were personalised, detailed and reviewed monthly. People were offered activities suited to their needs and preferences, and an accessible complaints procedure was available.
- Well-led?
- Good
- The service had a positive and inclusive culture, with regular handovers, staff meetings and quality checks. Some audits were not completed at the frequency set out in the provider's guidance.
What inspectors found, December 2018
Rated Good; inspectors found safe, kind and personalised care, with some audit timing issues being addressed.
The inspection was unannounced on 20 November 2018. One inspector reviewed records, observed care, spoke with people, relatives and staff, and contacted local organisations for information.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were treated kindly, medicines were managed safely, staff were trained, and support plans were personalised and up to date.
The Well-led rating improved from Requires improvement at the previous inspection in March 2016. Records and management systems had improved. Some audits were not completed as often as the provider's guidance said, and the most recent feedback survey was from February 2017.
Kind relationships
Inspectors saw frequent friendly interactions. Staff were patient, respectful and attentive to people's wellbeing.
“We saw in all cases people were cared for by staff who were kind, patient and respectful.” from the report
Safe medicines
Medicines records, storage and controlled drug checks were in order. Staff had been trained and observed to check their competence.
“We checked three people's medication administration records (MAR.) These had been fully completed.” from the report
Personalised support
Support plans included people's communication, interests, preferences and daily routines. They were reviewed every month.
“They contained a range of information that covered all aspects of the support people needed.” from the report
Improved leadership
The previous concerns about organisation, records and oversight had been addressed. Inspectors found records well organised and a positive team culture.
“At this inspection we found records were well organised.” from the report
Activities and choice
People were supported to make choices about food, daily life and social activities. Activities included trips and events matched to individual preferences.
“Records of activities showed these were provided according to individual need and preference.” from the report
Audit timing
needs fixingAudits were being carried out, but some were not happening as often as the provider's own guidance required. A new schedule was created during the inspection.
“Whilst audits were undertaken regularly, some were not at the frequency identified in the registered providers guidance.” from the report
Recent feedback
minorThe most recent survey of people, relatives and staff was from February 2017. The service said it would prioritise an annual review for 2018.
“The peripatetic manager gave assurances that they would prioritise an annual review so that people's views had been obtained in 2018.” from the report
- 01How often are medicines, support plans and health and safety audits completed now, and can families see the latest findings?
- 02Did the planned 2018 annual survey take place, and what changes were made as a result of people's and relatives' feedback?
- 03How has the new manager's registration and management of the home progressed since the inspection?
- 04How do you make sure support plans reflect each person's communication methods, preferences and changing needs?
- 05How are staffing levels maintained when permanent nursing staff are unavailable and agency nurses are needed?
This was an unannounced inspection covering all five CQC questions; the report says the shorter format was used because the overall rating remained Good. This explanation was written from the published report of 11 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Rivelin House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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90 live-in carers within about an hour of Sheffield
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,270 a week. 76 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Beatrice was a talent dementia carer whose professionalism and dedication allowed mums wishes to remain in her own her come true.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.