Four Rivers Nursing Home

People's experience of using this service: •People and their relatives were positive about the care and support provided. One person said, "I love all the staff. I am very happy here." A relative told us, "The staff are incredible and they have transformed my [relative's] life."

•The provider had made improvements to the service since our last inspection.

•Governance of the service had improved. Effective checks and audits were carried out to determine the quality of the care. The provider had acted promptly to address areas identified for improvement.

•The provider had informed us of significant events and Deprivation of Liberty authorisations in accordance with their legal responsibilities.

•There were safe systems for the management and administration of people's prescribed medicines. People received their medicines when they needed them from staff who were trained and competent.

•Risks to people were monitored and procedures were in place to help keep people safe.

•People were supported by adequate numbers of staff who were safe and competent to work with them.

•People were protected from the risks associated with the control and spread of infection.

•Staff understood the importance of ensuring people's rights were understood and protected.

•People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

•People's health care and nutritional needs were monitored and understood by staff.

•People told us staff understood their needs and were kind, caring and compassionate.

•People had opportunities for social stimulation and were able to maintain links with the local community.