Riversdale Care Home

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last inspection we rated this key question good. At this assessment the rating has changed to requires improvement. This meant some aspects of the service were not always safe and there was limited assurance about safety. There was an increased risk that people could be harmed. Regular checks relating to infection and prevention control were not always completed. We were not assured the provider was supporting people to minimise the spread of infection. The provider was in breach of legal regulations in relation to safe care and treatment. At the time of the inspection there were not enough domestic staff working at Riversdale Nursing Home and the provider had not implemented any temporary measures to address this.  The provider was in breach of legal regulations in relation to staffing.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last inspection we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect. At our last inspection we rated this key question good. At this assessment the rating has remained good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

Responsive – this means we looked for evidence that the provider met people’s needs. At our last inspection we rated this key question as good. At this assessment the rating has remained good. This meant people’s needs were met through good organisation and delivery.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question good. At this assessment the rating changed to requires improvement. This meant the management and leadership was inconsistent. Leaders did not always support the delivery of high-quality care. The provider did not have systems and processes such as effective regular audits of the service provided, and did not always assess monitor and improve the quality and safety of the service. The provider was in breach of legal regulation in relation Good Governance.