Background to this inspection
Updated
26 February 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 2 February 2021 and was unannounced
Updated
26 February 2021
About the service
Riviera Court is a residential care home providing personal care to adults with complex mental health needs. 20 people lived in the service at the time of the inspection. The service can support up to 22 people.
The service is on three floors, with access to the upper floors via stairs. Bedrooms have en-suite facilities. There is an outside shared patio area.
People’s experience of using this service and what we found
People who had lived in the service for many years mainly said they were happy.
Risks in relation to people’s care and lifestyle were not assessed, understood and managed in a way that kept them safe. Some practices in relation to risk did not protect people’s human rights. Medicines were not always managed safely. People told us they felt safe and appeared comfortable when staff were with them.
People did not live in an environment that was well-maintained. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. People told us they enjoyed the food at the service.
Most people told us staff were kind and caring. One person said, "I am happy with the service, there has been nearly all the same staff over the years.” Several people told us some staff were not as good as others.
People’s care plans did not evidence how they were involved in the service or their care. Care plans contained limited information on how staff should meet people’s individual needs, preferences, goals, and social activities. Staff knew people well and were able to tell us about their preferences. Complaints that had been made were not always recorded or accessible.
There were some monitoring checks in place, however these had not always been effective in identifying where improvements were needed. The registered manager spoke openly and honestly throughout the inspection process. They were aware improvements were needed within the service. They planned to contact the local authority quality assurance team for support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 15 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified breaches in relation to person centred care, need for consent, safe care and treatment, and governance at this inspection. We also made recommendations in relation to the refurbishment of the environment and complaints management.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.