Seven Rivers - Care Home with Nursing Physical Disabilities

Seven Rivers is registered as a care home with nursing providing accommodation for up to 29 people who require nursing care. At the time of our inspection there was 29 people using the service.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in June 2017 the overall rating of this service was requires improvement. This is because we found the environment within the care home remained in need of refurbishment and redecoration. In addition, actions were required to mitigate the risks of potential harm to people from the risk of falls from windows, and call bell response times. We also found shortfalls in the support and training provided to overseas volunteers to meet people's needs and ensure they had the skills and knowledge to protect people from the risk of harm.

At this inspection we found improvements had been made, notably a new service lift had been installed, people's room and communal areas had been redecorated. In addition, on-going support and training was now being provided to overseas volunteers this included periodic progress reviews.

People and relatives valued the relationship they had with the management team and told us they found them approachable and supportive. Staff were kind, caring and there were systems in place to ensure that people's human rights were respected and their rights to dignity and independence promoted.

People and or their representatives, where appropriate, were involved in making decisions about their care and support. People's care plans had been tailored to the individual and contained information about how they communicated, plans to achieve people's goals and aspirations and their ability to make decisions.

The service was flexible and responded positively to people's requests about their care and how it should be provided. People were supported to access social activities according to their personal choice, wishes as to how they lived their daily lives and preferences as to how their care was delivered.

The culture of the service was open, inclusive, empowering and enabled people to live as full a life as possible. The management team provided effective leadership to the service and enabled people to air their views through care reviews, meetings and their involvement in the recruitment of new staff.

The five questions we ask about services and what we found