River Meadows Nursing Home

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive a safe service. The service was making continual improvements to ensure there were enough staff to meet people's needs. People were protected from the risk of harm and abuse. Staff were able to demonstrate how they kept people safe and risks were assessed and managed well. Medicines were managed safely. Staff took appropriate action to mitigate the risk of the spread of infection.

The service continued to be effective. People received support from suitably skilled staff that worked well together with other organisations and healthcare professionals in order to deliver effective care and support. People had enough food and drink and were given choices in order for people to have their nutritional needs met. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

The service continued to be caring. Staff were kind and promoted people's independence. People had their dignity and privacy respected.

People continued to receive a responsive service. People were involved in the planning of their care which was individualised and person centred. People were engaged in meaningful activities that were personal to them. People knew how to make a complaint. Complaints were recorded, investigated and responded to in a timely way.

The service continued to be Well-Led. There was an open and honest culture and people said the registered manager was approachable. Systems were in place to monitor the service and identify areas for improvement.

Further information is in the detailed findings below.

The five questions we ask about services and what we found