The Riders

The Riders provides en-suite bedrooms across two floors in an adapted building. People had access to communal areas, including a garden, dining room and two lounges.

People were supported by sufficient numbers of safely recruited and trained staff to meet their needs. Staff treated people with dignity and respect. Feedback from relatives included, "The staff are very nice, very pleasant" and "They [staff] seem very caring. I can see them sitting there, holding their hands. I am observing that each time I come."

People's needs were assessed prior to the delivery of care. People were supported to access health care services and staff communicated with people in ways which met their individual needs. People were supported to participate in meaningful activities and staff understood what was important to people.

Staff told us they were supported by the management of the service. The service and provider had processes in place to monitor the quality and safety of the service. We found however these systems had not been fully effective in identifying the concerns we found and the service had not notified CQC of certain incidents it was required to. We also made recommendations in relation to meeting people's nutritional needs and the design of the service to meet the needs of people living with dementia.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies in the service supported this practice. We have made a recommendation in relation to evidencing how representatives are involved in decisions, including where people hold legal authority such as powers of attorney.