Rivers Reach

We carried out this assessment from 9 January 2025 to 24 January 2025. The service is a residential care home service providing support to people with a learning disability and autistic people. There were 3 people living in the home at the time of our assessment. We assessed this service due to receiving information of concern around medicines management, health related issues and communication. We inspected 18 quality statements across the safe, effective, caring, responsive and well-led key questions and have combined the scores for these areas with scores from the last inspection to give the rating. People were protected and kept safe. People’s health conditions and associated risks were assessed and managed safely. There were enough staff with the right skills, qualifications, and experience. Managers made sure staff received training and regular appraisals to maintain high-quality care. Staff were trained to raise and respond to safeguarding concerns both internally and to external agencies. The service was clean and well maintained. Medicines were stored, documented, and administered safely. People’s needs were assessed and reviewed. Staff ensured people’s care and support met individual needs and preferences. There was a system in place for responding to concerns or complaints. A dedicated management team led the service. Staff were able to raise concerns and told us managers were approachable and supportive. We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We found people received care and support in accordance with the principles of this guidance.