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CQC report explained · a residential care home

What the CQC found at Rivendell View

Goodpublished 15 December 2022, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from harm and abuse, medicines were managed safely, and inspectors found enough competent staff. Infection prevention arrangements were also assessed as effective.
Effective?
Good
People's needs were assessed and reviewed, staff were trained, and care was delivered with support from other health professionals. There had been delays in receiving some formal Deprivation of Liberty Safeguards outcomes.
Caring?
Good
Staff treated people with respect, supported independence and involved people and relatives in decisions about care. Inspectors saw positive relationships and a range of activities.
Responsive?
Good
Care plans reflected people's needs, communication preferences and wishes. People were offered activities seven days a week and complaints were recorded, investigated and followed up.
Well-led?
Good
The manager was described as approachable and open. Staff, people and relatives were involved in giving feedback, and audits and an improvement plan were used to monitor the service.
The latest report, explained

What inspectors found, December 2022

Rated Good in all five areas; inspectors found safe, kind and personalised care, with some delays in formal liberty safeguards decisions.

This was the first unannounced inspection of this newly registered care home. One inspector, a specialist nurse and an Expert by Experience spoke with 11 people, 14 relatives and eight staff. They reviewed care records, medicines records, recruitment files and management information.

The inspectors found people were safe, treated with dignity and supported by enough trained staff. Medicines were managed safely. Care plans were personalised and regularly updated, and staff worked with health professionals when people's needs changed.

People and relatives said staff were kind, approachable and listened to them. There were activities every day, support to maintain relationships and attention to people's wishes, including at the end of life. All five areas were rated Good. This was the home's first inspection, so there was no earlier rating to compare with.

What inspectors praised
  • Safe staffing

    Inspectors found enough competent staff on duty, with staffing levels calculated using people's needs. Recruitment checks were also in place.

    “There were enough competent staff on duty. Staff had the right mix of skills to make sure that practice was safe, and they could respond to unforeseen events.” from the report
  • Personalised care

    Care plans were based on people's needs, choices and goals. They were reviewed when people's needs or wishes changed.

    “People received care that was personalised to them. People had been involved with and agreed to the content of their care plans.” from the report
  • Respect and independence

    People said their privacy, dignity and independence were respected. Staff supported people to make choices and remain as independent as possible.

    “People told us their privacy, dignity and independence were respected and staff ensured confidentiality was maintained.” from the report
  • Activities and relationships

    The home provided activities throughout the week and also spent one-to-one time with people who did not want group activities. Staff supported people to maintain relationships and pursue personal interests.

    “The provider ensured there was a full activity programme available 7 days per week.” from the report
  • Open management

    People, relatives and staff were encouraged to give feedback through meetings, calls and forms. Inspectors found regular audits and an action plan for improvement.

    “The registered manager had a clear action plan for ongoing improvements to the service that was constantly reviewed through daily and weekly audits and shared with staff.” from the report
What inspectors were concerned about
  • Delays in formal safeguards decisions

    minor

    The home had experienced delays in receiving some Deprivation of Liberty Safeguards outcomes. The manager chased the applications, kept families updated and used best-interest decisions where needed.

    “The registered manager had made the appropriate applications for DoLS, however, they had experienced delays in receiving those outcomes.” from the report
Questions to ask them, based on this report
  1. 01Are there currently any delays with Deprivation of Liberty Safeguards decisions, and how will you keep our family updated?
  2. 02How do you calculate the staffing level for the people living here, and what happens if people's needs increase?
  3. 03How will my relative's care plan be reviewed, and how will our family be involved when their needs or wishes change?
  4. 04What activities could my relative take part in if they do not want to join group activities?
  5. 05How do you work with doctors, nurses and other professionals if my relative's health changes?

This was an unannounced first comprehensive inspection covering all five key questions, including infection prevention and control; there were no previous ratings because the service was newly registered. This explanation was written from the published report of 15 December 2022 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.

The story over the years

Every inspection of Rivendell View

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. December 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rivendell View →

  2. May 2021

    Registered with the Care Quality Commission on 28 May 2021.

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.

Next steps

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