Richmond Residential Home

Updated 5 October 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of one inspector.

Service and service type

Richmond Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority quality and safeguarding teams. 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 of this information to plan our inspection.

During the inspection

We spoke with two people who used the service and one relative about their experience of the care provided. We spoke with four members of staff including the registered manager.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the running of the service were reviewed, including audits, staff training and health and safety checks.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at policies and procedures and other quality assurance records.

Updated 5 October 2021

About the service

Richmond Residential Home 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. Richmond Residential Home is registered to provide accommodation for up to 20 people who require support due to mental health needs. At the time of our inspection, there were 17 people living in the home.

People’s experience of using this service and what we found

Improved systems had been implemented to monitor the quality and safety of the service. Regular internal and external checks were also completed to ensure the building and equipment remained safe. Although most risks to people had been assessed, not everyone had their risk from COVID-19 assessed. Staff had stopped monitoring people’s temperature, in order to early identify possible COVID-19 symptoms, after people had been offered vaccinations. This was recommenced straight away in line with current government guidance. Staff supported people following accidents and incidents, but records were not always robustly completed, and it was not recorded if medical advice was sought. We made a recommendation about this in the main body of the report.

Staff were aware of the government guidance in relation to COVID-19 testing and told us they completed tests in line with this. However, records were not always robustly completed to reflect this. A new system was implemented before the end of the inspection to improve this. Staff had access to enough PPE and used this appropriately. An infection prevention and control (IPC) policy was in place and regular cleaning schedules to help prevent the spread of infection.

People told us they felt safe living at Richmond. They were supported by sufficient numbers of safely recruited staff, that were aware of safeguarding procedures and how to raise any concerns. Medicines were stored and managed safely, and people told us they received their medicines when they needed them.

The registered manager was aware of their responsibilities and had notified CQC of events providers are required to inform us about. They worked with other professionals to help maintain people’s health and wellbeing and feedback regarding the care provided to people was positive.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 21 May 2019) and there were breaches of regulations identified. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions Safe and Well-led which contain those requirements. The inspection was in part prompted by a monitoring call completed with the registered manager, which suggested that significant improvements had been made.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion, were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Richmond Residential Home on our website at www.cqc.org.uk.

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.