Riseley House Care Home

People and relatives generally spoke positively about the care. Inspectors saw staff speaking respectfully and responding sensitively when someone was distressed.

“Staff were considered and caring in their approach.” from the report

Inspectors found staffing levels had improved and were suitable for people's caring needs. The home was no longer in breach of the staffing regulation.

“Staffing levels were appropriate to meet people's caring needs.” from the report

The home worked with the local hospital and health professionals. People could access healthcare, and staff said the GP surgery visited regularly.

“Staff from the GP surgery visited regularly, and good relationships had been built between the surgery and the home.” from the report

Relatives and friends could visit whenever they wanted. Inspectors saw regular visits during the inspection.

“People were supported to maintain contact with friends and relatives.” from the report

Care plans and risk assessments were not always updated after accidents or falls. The home could not show that repeated falls were properly analysed or that lessons had been learned.

“Care plans were not always updated following accidents or falls to mitigate further risks to people.” from the report

Some motion sensors and alert buttons used to call for help did not work. The provider had been aware of the problem but had not put it right before the inspection.

“We found a number of motion sensors and alert buttons people used to alert staff they required support were inoperative.” from the report

A controlled drug was found in an unlocked cupboard and had not been accounted for. Records for prescribed creams had gaps, and risks from flammable creams had not initially been assessed.

“During our checks on medicines we found a controlled drug in an unlocked cupboard which had not been accounted for as missing.” from the report

Audits and routine checks did not identify or resolve risks to people, the building and care records. Promised improvements from the previous inspection had not been completed.

“Governance systems remained ineffective.” from the report

There was no planned activities programme and people reported having little to keep them occupied. The provider said it was recruiting an activities coordinator.

“People informed us there was little to keep them occupied.” from the report

People and relatives were not consistently involved in care planning or asked how they wanted their care delivered.

“People and their relatives were not involved in care planning.” from the report