CQC report explained · a residential care home
What the CQC found at Riverview
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- Inspectors were assured that infection risks were managed through visitor checks, social distancing, safe admissions, PPE, testing and hygiene measures.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This question was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This question was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This question was not assessed in this targeted inspection.
What inspectors found, March 2021
Inspected but not rated; inspectors found strong infection control arrangements during the targeted visit.
This was an announced, targeted inspection on 15 February 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than giving a full inspection rating.
Inspectors were assured that the home managed visitors, social distancing, new admissions, protective equipment and testing safely. Staff and residents had temperatures checked twice daily, and people were supported to keep in touch with loved ones.
The home was inspected but not rated overall, and Safe was also recorded as inspected but not rated. The report does not give ratings for the other four questions.
Visitor infection controls
The home had checks and practical arrangements to reduce the risk of visitors bringing infection into the building.
“Procedures were in place to ensure the risk of any visitors to the service introducing infection were minimised.” from the report
Safe admissions
New residents were admitted using an isolation period and separate staff arrangements.
“Procedures were in place to admit people to the home safely, including adherence to an isolation period and cohorting a staff team to work exclusively with that person.” from the report
Support for people
Staff helped people adjust to masks and made changes so they could still enjoy community activities more safely.
“desensitisation techniques such as leaving masks around the environment had been used and were successful in helping this person adjust and accept staff wearing masks.” from the report
Testing and monitoring
Regular testing was available and people's temperatures were checked twice daily. People who declined testing were offered it again later.
“Peoples temperatures were being taken twice daily.” from the report
Contact with loved ones
The home used technology and individual assessments to help people maintain contact with family and friends.
“People were supported to maintain contact with loved ones using a variety of technology, and visiting was assessed on an individual basis.” from the report
Inspectors raised no specific concerns in this report.
- 01How are infection prevention and control arrangements different now from those seen on 15 February 2021?
- 02How do you support people who decline testing, and how often is testing offered again?
- 03How are visits assessed for each person, and what support is available for contact with loved ones?
- 04How do you balance community activities with infection risks for each person?
- 05When was the home last given a full inspection rating for the other areas of care?
This was a targeted inspection of infection prevention and control under Safe; the report does not give ratings for the other four questions. This explanation was written from the published report of 3 March 2021 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, October 2019
Rated Outstanding overall; inspectors found exceptionally safe, caring, responsive and well-led support, with effective care rated Good.
This was an unannounced inspection on 23 and 24 July 2019. Inspectors observed daily care, spoke with relatives, staff and a visiting professional, and reviewed care, medicines, recruitment and management records.
The home supported nine young adults with learning disabilities. Inspectors found highly personalised support that promoted choice, independence and community involvement. Staff understood people very well and used positive approaches to reduce distress, restrictive practices and medicines.
The overall rating was Outstanding. Safe, caring, responsive and well-led were rated Outstanding. Effective was rated Good. Safe and well-led had improved from Good at the previous inspection, while effective remained Good and caring and responsive remained Outstanding.
Reducing restrictive support
The home used positive behaviour support and changes to the environment to reduce anxiety, physical intervention and as-needed medicines.
“physical interventions had been significantly reduced and PRN medication had been required on just one occasion in the previous 12 months.” from the report
Kind and respectful staff
Inspectors observed patient, kind and respectful interactions. Staff promoted privacy, dignity, choice and independence.
“All interactions we saw were respectful, patient and kind.” from the report
Personalised goals
People were supported to set individual goals and take gradual steps towards activities that had previously been difficult or impossible for them.
“Care and support was tailored to meet each individuals needs and wishes, which meant there were positive and meaningful outcomes for people.” from the report
Strong leadership
Managers were visible, approachable and committed to improving the service. Quality checks and feedback were used to drive further improvement.
“Robust quality assurance systems ensured the continued quality and safety of the service and continued to drive improvement.” from the report
Skilled staff
Staff received specialist training and ongoing support linked to the needs of the people living there.
“Staff were skilled and effective in supporting people with a high level of needs.” from the report
Size of the home
minorThe home was larger than current best practice guidance for this type of service, accommodating up to nine people. Inspectors said its layout helped reduce the possible negative impact.
“This is larger than current best practice guidance.” from the report
- 01How would you adapt the home and staffing support to meet my relative's communication, sensory and behavioural needs?
- 02How do you review any restrictive practices or as-needed medicines, and how would my relative and family be involved?
- 03How are individual goals agreed, reviewed and recorded, including goals for independence and community activities?
- 04How would you manage the size and layout of the home if my relative became distressed by noise, visual stimulation or other people?
- 05How would you keep us informed about changes in my relative's care plan and health?
This was an unannounced comprehensive inspection covering all five CQC questions, including the premises and care provided. This explanation was written from the published report of 31 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.
Every inspection of Riverview
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019Outstandingstayed OutstandingSafe: OutstandingEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- February 2017OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- January 2013
Registered with the Care Quality Commission on 24 January 2013.
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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17 live-in carers within about an hour of Devon
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. 15 can care for a couple. 13 years' experience on average.
“She is such a warm and gentle person while being professional and competent at the same time.”
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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.