CQC report explained · a residential care home
What the CQC found at Riverside Point
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found enough staff, thorough recruitment checks, good medicines management and effective risk assessments. Staff understood safeguarding and recorded and reviewed incidents.
- Effective?
- Outstanding
- Staff were highly trained and worked with specialist professionals. Inspectors found significant improvements in people's health, wellbeing, confidence and independence.
- Caring?
- Good
- People and relatives said staff were caring and involved people in decisions. Inspectors observed respectful and compassionate support, but this rating had fallen from Outstanding at the previous inspection.
- Responsive?
- Outstanding
- Support was highly personalised and matched people's communication styles, interests and goals. People were helped to take part in activities, develop relationships and become more independent.
- Well-led?
- Good
- Managers used audits and checks to monitor quality and promoted an open, person-centred culture. The provider worked with families and other professionals to improve people's outcomes.
What inspectors found, February 2020
Riverside Point was rated Outstanding; inspectors found highly personalised care and strong outcomes, with caring rated Good.
This was a planned inspection carried out over 29 November, 5 December and 6 December 2019. One inspector and an Expert by Experience spoke with people, relatives, managers and staff. They reviewed care records, recruitment files, medicines records and quality checks.
The home supported eight people with physical and learning disabilities. Inspectors found that people were safe, treated with dignity and given choices. Staff helped people build confidence, independence and skills, with positive effects on their health and quality of life.
The overall rating was Outstanding. Effective and Responsive were Outstanding, while Safe, Caring and Well-led were Good. Caring had fallen from Outstanding at the previous inspection, but the overall rating stayed Outstanding.
Personalised support
The home adapted support around each person's needs, communication, interests and aspirations. People were supported to work, study, volunteer and take part in activities.
“The service provided an exceptionally personalised service for people that met their specific needs and wishes.” from the report
Safe medicines and staffing
Inspectors found enough staff, suitable recruitment checks and medicines records that were completed correctly and regularly audited.
“Medicines were well managed by staff who were trained to safely administer medications. Records were completed correctly and subject to regular audits.” from the report
Specialist support
The provider invested in specialist training and professional support. This helped staff respond to behaviour, health needs and communication difficulties.
“The provider heavily invested in both upskilling their own staff and purchasing additional professional support” from the report
Brief complaint record
minorOne complaint record had very little detail, although inspectors said the complaint had been managed effectively. The provider was taking action to improve complaint recording.
“We noted one complaint in October had very brief details.” from the report
Questionnaire results were not service-specific
minorThe latest questionnaire included feedback from all locations managed by the provider, so it did not show results for this home alone. Managers said they would improve this.
“however it included all locations that the provider managed.” from the report
- 01How will you improve the detail recorded when someone makes a complaint?
- 02How do you gather feedback specifically from people and relatives at this home?
- 03How will you maintain the Good rating for Caring and work towards improving it?
- 04What specialist training and professional support would be available for my relative's particular needs?
- 05How would you support my relative to develop independence, work, study or take part in activities?
This was a planned inspection covering all five CQC questions, with the overall rating and each question rating assessed. This explanation was written from the published report of 15 February 2020 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.
What inspectors found, June 2017
Riverside Point was rated Outstanding overall; inspectors found highly personalised care, with safe medicines and strong support for independence.
This was the first inspection since the home was registered in 2015. The inspection visit took place on 12 April 2017. Inspectors spoke with people living there, relatives, staff and health and social care professionals. They observed care, checked records, reviewed medicines and staffing, and looked around the home.
The home was rated Outstanding overall. Effective, caring and responsive care were rated Outstanding. Safe and well-led were rated Good. Inspectors found that staff understood people's communication, needs and risks, and adapted support as people's confidence and abilities changed.
People were supported to make choices, build skills and become more independent. Inspectors found examples of people moving towards independent living, attending college, gaining employment and developing friendships. Medicines, staffing, safeguarding and risk management were found to be safe.
Personalised support
Staff adapted care to each person's communication, preferences, risks and changing abilities. Families and professionals saw this person-centred approach as a particularly strong feature.
“The staff worked in an extremely person centred way, by responding to the person's individual communication needs” from the report
Progress and independence
People were supported to develop skills and take part in education, employment, community activities and relationships. Some people moved towards more independent living.
“This included people moving to their own property, attending college and gaining employment.” from the report
Kind and respectful care
Inspectors saw staff treating people with dignity, patience and compassion. People appeared relaxed and valued their relationships with staff.
“We saw interactions both verbal and non-verbal between staff and people who used the service were caring and respectful” from the report
Safe medicines and staffing
The medicines records checked were complete and medicines were given as prescribed. Staffing levels were adjusted to people's needs, and recruitment checks were carried out.
“The medicine administration records (MAR) we looked at had been completed correctly with no unexplained gaps.” from the report
Listening to people's views
The home used daily written or pictorial feedback sheets so people, including those with limited verbal communication, could say what had gone well and what could improve.
“This sheet was completed in written or pictorial format and identified what went right and what could be improved upon.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you match staff to my relative's communication needs, personality and interests?
- 02How are risk assessments reviewed when my relative's behaviour, confidence or daily routine changes?
- 03How will you involve my relative and our family in care planning and decisions, including decisions under the Mental Capacity Act?
- 04What education, employment, friendships and community activities could you support my relative to pursue?
- 05How do you check that medicines continue to be given correctly and that records remain complete?
This was the first inspection of the home since registration and it covered all five CQC questions, including the overall rating. This explanation was written from the published report of 16 June 2017 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 report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Riverside Point
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- February 2020Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Good
- June 2017OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Good
- November 2015
Registered with the Care Quality Commission on 19 November 2015.
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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At least 100 live-in carers within about an hour of Warrington
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 £980 to £1,260 a week. 90 can care for a couple. 10 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.