Updated 5 July 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Riverswey is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the service 24 hours’ notice of the inspection visit because it is small and people are often out of the service. We needed to be sure that they would be in. The inspection was carried out over two separate days, because one person was taken unwell during our first visit and it was not appropriate to continue at that time.
What we did before the inspection
We reviewed the information we held about the service. This included the statutory notifications that had been submitted since the last inspection. Notifications are changes, events and incidents that the service must inform us about.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all this information to plan our inspection.
During the inspection
We met with the two people who lived at the service and spoke with four staff, including the registered manager, deputy manager and two support workers.
We reviewed a range of records. These included both people’s care and medicine records. We also looked at the recruitment files for two staff and information relating to their training and supervision. The registered manager showed us documents relating to the management of the service, including how feedback is gathered and acted upon and the audits in place to maintain the safety and quality of the care delivered.
After the inspection
We telephoned two relatives to gain an understanding of their views about people’s lives at Riverswey. We also received feedback from staff at the local GP surgery and hospital staff who had current experience of working with the service.