River View Care Centre, a large care home off the Oxford Rd in Tilehurst, Reading, has been rated overall as ‘Inadequate’ by the Care Quality Commission.
River View Care Centre was rated as ‘Requires Improvement’ for being caring and effective, ‘Inadequate’ for being safe, responsive and well-led, and overall as ‘Inadequate’, following an unannounced inspection in September and October 2018.
River View Care Centre has 137 beds for older adults with varying needs, including people living with dementia. It is run by the private company MMCG (Maria Mallband Care Group). People who live there are a mix of self-funders or people whose place is funded by Reading Borough Council’s adult social services.
Debbie Ivanova, CQC’s Deputy Chief Inspector of Adult Social Care, said: “I am extremely disappointed in reading the findings of this report and feel very concerned on behalf of the people the home is supposed to be caring for. This is clearly unacceptable care and no one should ever have to tolerate living in such a home and being treated with such a lack of respect, dignity and compassion.
“Our inspectors will return to River View Care Centre in due course to see what improvements have been made. If we do not see significant improvement we will not hesitate to take further action to protect people using the service – even if this means removing the registration of the home.
“Our first priority is always the welfare of the people who are living at the service. We will continue to monitor River View Care Centre and work with the statutory agencies to make sure that people living there are safe and receive care which meet their needs.”
MMCG said in a statement that senior managers were supporting staff at the care home ‘in order to ensure that the necessary improvements are made and sustained’.
“The care home are working closely with Reading Borough Council, CCG and CQC throughout this process. Improvements have been made however we look forward to demonstrating continued improvements when CQC next visit.
“We can confirm that a meeting has taken place at the care home to discuss the report. This has been followed up in writing. If anyone has any concerns they should discuss with the Home Manager in the first instance,” the statement from MMCG adds.
The CQC said medicines were not always being managed safely. Whilst medicines were being stored safely and were being administered correctly, inspectors noted plans were not in place for two people who were given medicines covertly. When inspectors spoke to nurses about this they were unclear of the correct procedure of agreement that was to be followed, prior to covert medicines being administered.
The CQC added that people’s care was not always delivered in a dignified way. People living in the service did not always have their independence promoted or their privacy protected. On occasions it was found that staff did not maintain confidentiality, by speaking about people in front of others, or close doors when assisting with care. People were not always consulted about how they wished to have care delivered, or were not consulted prior to being assisted so care was neither responsive or fully effective. Whilst staff had received training in the Mental Capacity Act, it was observed that they did not practice the fundamental standards of the legislation.
Staff did not record information correctly, the inspection report adds. Incidents were not always reported, and staff did not always understand what incidents were reportable. Information was not accurately updated in daily records. While nutrition and hydration records were maintained for all people this was not analysed correctly. As a result, some referrals were not made to health professionals to seek further help on a change to people’s hydration and nutrition, specifically where considerable weight loss was noted.
Read the report in full on the CQC website at: https://www.cqc.org.uk/location/1-3883899011
Healthwatch Reading can take feedback from care home residents or relatives and give advice on how to make complaints. Call us on 0118 937 2295.