Background to this inspection
Updated
30 April 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection team considered of two inspectors, a specialist nurse, to review the clinical guidance and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service, in this instance older person’s care.
Service and service type: Rider House is a registered care home with nursing. It is registered to support older adults, people with physical disabilities and people with diagnosed dementia.
The service had recently appointed a new manager who we confirmed had submitted their application to register with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: This inspection was unannounced.
What we did: Before the inspection we reviewed intelligence we held on the service. This included the Provider Information Return (PIR) which providers are required to send us. The PIR includes key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed notifications we received since the last inspection. Providers are required to notify us of specific events which include, safeguarding concerns, events that stop a service and deaths.
As part of the inspection we spoke with six people living at Rider House, and five family members. We spoke to 11 people who worked at the home. This included the manager, nurses, care staff and ancillary staff. We also spoke with a health professional who visited the service during our inspection and the quality lead for the provider. We reviewed the care plans for five people and four staff files. We looked at other records held in the home. These included medicine records, health and safety checks, audit reports, complaints and the staffing rota.
Updated
30 April 2019
About the service: Rider House is a care home registered to provide accommodation with nursing for up to 41 people. The home is set in large grounds and the accommodation is spread across two floors. There is a central dining area with a number of lounges throughout the property.
People’s experience of using this service: In most areas we found the home to be good although we did find some improvements were needed in the responsiveness of the service.
People did not always receive personalised care as staff were task focussed and had limited time to spend engaging in activities with people.
People were protected from harm. Risk assessments were completed and staff were recruited using safe recruitment practices. People received their medicine on time by staff trained to administer it.
People were protected from infection. The provider reviewed accidents and incidents when they happened.
People’s needs were assessed in line with current guidance and staff received training relevant to their role. People were supported to maintain a balanced diet and had access to drinks throughout the day.
Staff worked with other agencies to deliver people’s care and ensure access to healthcare facilities. People’s care was delivered in the line with the Mental Capacity Act. The environment was being refurbished and areas modernised.
People were treated with kindness and involved in decisions about their care. People had their privacy respected.
People had access to a complaints procedure. People were supported by staff as and when they reached the end of their life.
The provider had a clear vision and the manager had developed an action plan to drive improvements
People were engaged in discussions about the service and the manager worked in partnership with others to ensure people had a say in what was needed.
The home sought to continuously learn and improve care.
More information is in the full report
Rating at last inspection: At the last inspection the home was rated as requires improvement (report published 28 September 2017) At this inspection we noted that many of the required improvements had been made.
Why we inspected: This was a planned inspection carried out in line with our methodology.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If concerning information is received we may inspect sooner.