27 September 2018
During a routine inspection
The Rivendell is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At our last inspection we rated the service Good.
At this inspection we found the service remained Good. We found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
People continued to be supported to stay safe and were protected from abuse and avoidable harm. They were supported by enough trained and knowledgeable staff who had been recruited safely. People were involved in planning their care and discussing and minimising risks. People’s medicines were managed safely. When incidents or accidents occurred people and staff worked together to minimise the risk of them happening again.
People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the polices and systems in place supported this practice.
People continued to be involved in the planning and reviewing of their care and support and their preferences and choices were recorded. People were supported to eat well and to remain healthy. Referrals were made to health care professionals when needed and any advice given was followed.
People had built strong, positive and trusting relationships with the staff team. Staff were kind, caring and patient and listened to and valued people’s views. Privacy and dignity was respected. People and staff laughed and chatted together and the atmosphere was relaxed.
People’s care and support plans were written with them and reflected their individual preferences and choices. People were encouraged to follow their own interests and to take part in group activities to increase their well-being. People’s religious, spiritual and cultural needs were discussed and recorded. Complaints were handled in line with the provider’s policy and people knew how to complain.
The registered manager and staff had a shared set of visons and values. There was an open, inclusive, empowering and positive culture where people lived as a family. The registered manager coached and mentored staff and worked with them each day. Regular checks and audits were carried out by the registered manager and staff from head office to ensure the service being provided was safe and effective.