Riverdale

Staff treated people well and were knowledgeable on how to identify and report safeguarding concerns. The provider had effective systems in place to ensure accidents and incidents were monitored to identify any emerging themes. Care plans and risk assessments identified people's needs and risks. They showed the action staff should take to minimise any risk of avoidable harm. There were enough staff who had been recruited safely and received the appropriate training . The service was clean. Medicines were safely managed and the stock levels were regularly checked. Some people’s PRN ‘as required’ medicine lacked information on when the medicine should be offered or administered. The management team sent us updated protocols which contained the required information.

We found improvements had been made following our last inspection to how the people’s needs were assessed. At this assessment, people told us staff understood their needs, we also observed this in staff practice. We found people’s needs had been assessed prior to them using the service and this assessment was ongoing which ensured staff had up to date information on people’s needs and preferences. The management team regularly monitored staff training compliance and ensured regular observations of care took place to check staff were following people’s care plans and risk assessments. We also found when people had been referred to external professionals, the guidance they provided was included in people’s care plans and was known and followed by staff. We received positive feedback from relatives about how their family members outcomes were monitored and had been improved by the care provided at Riverdale and the management team told us about the systems in place to ensure people’s outcomes were monitored and how the provider's electronic system ensured important information could be easily accessed by staff.

There had been several changes in the leadership of the service. When we assessed the service, interim managers who were experienced in the provider’s systems and processes were overseeing the service whilst awaiting the start date of a newly appointed registered manager. Relatives spoke positively about the management and the majority of staff told us they had seen improvements in the service. Some staff told us they didn’t feel confident in raising any concerns they had, and others told us they did. We informed the provider's leadership team who assured us of the systems they had in place to ensure staff had various methods of how to raise any concerns they had. We found systems in place to monitor the quality of the service, which included audits and regular checks completed by the management team. A home action plan had been put in place by the provider which identified improvements, and we saw action was underway to addresses these issues. Staff spoke positively about the activities available in the service and we found effective partnerships in place to ensure people could access healthcare when required.