CQC report explained · a residential care home
What the CQC found at Riverside & Roseberry Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, risks were assessed and reviewed, staffing met people's needs, and medicines were managed safely. The home was clean and staff had safeguarding and emergency procedures.
- Effective?
- Good
- Staff had the training, supervision and experience needed to support people. People received support with food, healthcare, communication and decision-making, including appropriate mental capacity procedures.
- Caring?
- Good
- People and relatives spoke positively about the care. Staff treated people with kindness and respect, listened to them, and supported their relationships, interests and independence.
- Responsive?
- Good
- Care plans reflected people's needs and preferences. People were supported with communication, activities, holidays, community links and relationships, although informal complaints were not being recorded.
- Well-led?
- Good
- People, relatives, staff and professionals gave positive feedback about the management. Audits, feedback, staff meetings and partnership working were used to monitor and improve the service.
What inspectors found, October 2019
Riverside & Roseberry Lodge was rated Good; inspectors found safe, kind and person-centred care, with informal complaints not always recorded.
This was an unannounced planned inspection on 04 September 2019. One inspector spoke with people living there, relatives, staff and visiting professionals. They also observed care and checked care, medicines, recruitment, training and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe and happy, staff knew them well, and people were supported to make choices, build independence and take part in activities.
The home was registered for 13 people and all 13 places were in use. It was larger than current best practice guidance, but inspectors said the design and location reduced the risk of this having a negative impact. Informal complaints were not being recorded at the time, and the manager said this would change.
People felt safe and happy
People told inspectors they felt safe and very happy living in the home. Relatives also gave positive feedback about the environment.
“People told us they felt very safe and very happy living at the service.” from the report
Kind and respectful care
Staff knew people well and provided reassurance when people were anxious. They supported people to make choices and develop independent living skills.
“Kind and caring support was provided by staff.” from the report
Good support for independence
People were encouraged to take positive risks, learn new skills and be involved in decisions about the home and their care.
“People were encouraged to live full lives.” from the report
Activities and community links
People took part in a wide range of activities, holidays and local groups. Staff supported people to maintain important relationships.
“People were supported to access a wide range of activities.” from the report
Safe medicines management
Medicine records were complete and did not have errors or unexplained gaps. The home followed guidance aimed at avoiding unnecessary over-medication.
“Medicine records were completed fully without errors or unexplained gaps.” from the report
Informal complaints were not recorded
minorThe home had a complaints policy, but informal complaints were not being recorded at the inspection. The manager said they would record them in future.
“Informal complaints were not being recorded at the time of inspection.” from the report
Larger than current best practice guidance
minorThe home was larger than current best practice guidance for this type of service. Inspectors said the building design and setting reduced the risk of this negatively affecting people.
“This is larger than current best practice guidance.” from the report
- 01How are informal complaints now recorded, investigated and used to improve the service?
- 02How does the home make sure its larger size does not affect people's choice, independence or quality of life?
- 03How will you support my relative's specific communication needs, including any signs, gestures or easy-read information?
- 04What activities and community opportunities would be available for my relative based on their interests?
- 05How would you involve my relative and our family in decisions about care and support?
This was an unannounced planned inspection covering all five CQC questions; the previous inspection had also rated all five areas Good. This explanation was written from the published report of 18 October 2019 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, April 2017
Riverside & Roseberry Lodge was Rated Good; inspectors found highly personalised, kind care, with minor issues around water temperature checks and recording people's views.
Inspectors visited on 16 and 23 February 2017. The first visit was unannounced and the second was announced. They spoke with people, relatives, staff and professionals, observed care, and checked records.
The home supported 13 adults with learning disabilities and/or physical disabilities. Inspectors found people were safe, well supported and treated with kindness and respect. Staff understood people's needs and communication, and supported their independence, health, activities and relationships.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report also describes the care as exceptionally caring and the support as exceptionally personalised. The previous inspection in January 2015 had found the provider met the legal requirements in the areas checked.
Personalised risk support
Risks were assessed for each person while still allowing people to make choices and take responsible risks.
“Risk assessments had been personalised to each individual and covered areas such as health, behaviour that challenged, going out independently and falls.” from the report
Strong communication
Staff understood how people communicated, including people who did not use speech. This helped staff respond to needs and emotions.
“Staff were excellent in the way they communicated with people and were aware of the unique ways in which people communicated none verbally.” from the report
Detailed care planning
Care plans recorded people's preferences, routines and support needs in detail. People and relatives were involved in making decisions about care.
“Support plans looked at during the inspection were person centred and contained very detailed information on how the person liked to be cared for and their needs.” from the report
Health and nutrition
People were offered varied food and drinks, had nutritional screening and were supported to see health professionals and attend appointments.
“People were supported to maintain good health and had access to healthcare professionals and services.” from the report
Recording people's views
minorThe manager observed body language to judge whether people were happy, but said this process would be formalised and recorded in future.
“They told us they were to formalise this process in the near future and make recordings of this.” from the report
- 01Have all water temperature checks been completed for people who previously refused them, and how is consent managed?
- 02How do you record the views and wellbeing of people who communicate through body language or other non-verbal methods?
- 03Have staffing levels and the night-time arrangements remained the same as those described in the report?
- 04How often are care plans reviewed now, and how are relatives involved in those reviews?
- 05What changes have been made since the February 2017 inspection?
This was a comprehensive inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 7 April 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.
Every inspection of Riverside & Roseberry Lodge
3 rated inspections over 5 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- July 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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