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Inspection Summary


Overall summary & rating

Good

Updated 27 September 2019

About the service:

Two Rivers Care Home is a residential care home providing personal care and accommodation to eight people with a learning disability. The home is on a residential street in a community setting and designed to promote people's inclusion and independence.

The provider, Suncare Recovery Limited, also has three supported living schemes located a short drive from the care home. On the day of our inspection there were 14 people living in the supported living services. The care home and supported living services are under the same registration with CQC.

All the services provided are for women, many of whom have additional mental health or physical disabilities. The service offers support to people from many nationalities as staff speak a range of Asian and European languages as well as English.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

People’s experience of using this service:

People told us they enjoyed living at the care home and the supported living services. They felt safe with the support they received from the staff. We saw staff were kind caring and people and families confirmed this.

We found that whilst the service was well-led in many ways and the senior management team worked well together, there were some areas in which best practice was not followed. This included notifying CQC of all safeguarding concerns, ensuring long standing staff received refresher training and assessment of their competency in medicines.

There was a person-centred culture at the service. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.

People were supported to access external health professionals to help promote good health and wellbeing. Health and social care professionals and family members praised the service provided and the ability of staff and the senior management team to work in partnership with them.

People were encouraged and supported to engage in activities within the community. In addition, at the care home there was a range of activities which took place which people living at the supported living service could access.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People were safeguarded against the risks of abuse and harm by the systems and by the staff. Risks to people were assessed and mitigated. There were enough staff to meet people’s needs and provide flexible, responsive care.

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 the service was good (published 18 January 2017).

Why we inspected:

This was a planned inspection based on the previous rating.

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.

Inspection areas

Safe

Good

Updated 27 September 2019

The service was safe.

Details are in our Safe findings below.

Effective

Good

Updated 27 September 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 27 September 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 27 September 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 September 2019

The service was not always well-led.

Details are in our Well-Led findings below.