CQC report explained · a residential care home
What the CQC found at Ryver House
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People's risks were assessed and managed, while staff supported them to take positive risks and remain independent. Medicines, staffing, safeguarding, infection control and incident management were all judged safe.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff worked with health professionals. Staff had induction, ongoing training and specialist training, and people were involved in decisions about food, healthcare and daily life.
- Caring?
- Good
- People said staff were kind and caring. Inspectors saw people being supported with choice, privacy, dignity and independence, including through communication suited to each person.
- Responsive?
- Outstanding
- Care was highly personalised and flexible. People were supported to achieve individual ambitions, maintain relationships, take part in activities and develop skills for greater independence.
- Well-led?
- Outstanding
- Inspectors found visible and supportive leadership, an open culture and strong quality checks. People and staff were listened to, and learning from incidents, complaints and audits was used to improve the service.
What inspectors found, February 2023
Ryver House was rated Outstanding; inspectors found exceptionally personalised care, strong leadership and good safety, effectiveness and kindness.
This was the home's first inspection. It was unannounced and took place on 05 December 2022. One inspector spoke with people, observed care, spoke with staff and management, and checked care, medicines, recruitment and management records.
Inspectors found that people were safe, received effective support and were treated with kindness and respect. The home supported people to make choices, take positive risks and work towards personal goals, including greater independence, work experience, travel and activities.
The home was rated Good for Safe, Effective and Caring. It was rated Outstanding for Responsive and Well-led, giving an overall rating of Outstanding. This means inspectors judged the care to be exceptionally responsive and the leadership and service culture to be exceptional.
Personalised care
Staff knew people very well and centred care on their goals, preferences and communication needs. People were supported to make choices and take control of their lives.
“People received exceptional care because staff and the management team were passionate about providing people with high quality person centred care” from the report
Independence and achievement
People were supported to try new experiences and reach goals that had previously seemed out of reach. Examples included holidays, work experience, using public transport and improved mobility.
“People were supported to achieve the individual goals they had set for themselves and were encouraged to think beyond what might be considered by society as usual for people with disabilities.” from the report
Rich activities and relationships
The home supported people to have active lives inside and outside the home. It helped them maintain friendships, join community activities and develop new interests and skills.
“People living at the service had exceptionally full and busy lives. Activities were provided both in and outside Ryver House and were many and wide-ranging.” from the report
Medicines and safety
Medicines were securely stored, recorded electronically and checked regularly. Staff had training and competency checks for giving medicines.
“Comprehensive and effective systems were in place to manage and monitor people's medicines to ensure people received their medicines as prescribed.” from the report
Strong leadership
The provider and manager were visible, approachable and focused on continuous improvement. People and staff were involved in decisions and quality checks.
“The culture of the service was extremely person centred, inclusive and empowering.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and record my relative's individual risks and support them to take positive risks safely?
- 02How would staff learn my relative's communication style and make sure their views and choices are understood?
- 03What staffing arrangements would be in place for my relative, including support inside the home and when going out?
- 04How would you support my relative to set and review goals around independence, activities, education or work?
- 05How would you manage my relative's medicines, including regular checks and any medicines prescribed to be given as required?
This was an unannounced first inspection that looked at 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 8 February 2023 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 Ryver House
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2023Outstandingcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- January 2022
Registered with the Care Quality Commission on 21 January 2022.
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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9 live-in carers within about an hour of Plymouth
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.
8 can care for a couple. 9 years' experience on average.
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.