Background to this inspection
Updated
1 January 2020
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 and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Richmond Mews 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
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 and professionals who work with the service. 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 10 people who used the service and two relatives about their experience of the care provided. We spoke with the registered manage and four members of staff including a nurse, senior support workers and support workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
1 January 2020
About the service
Richmond Mews provides accommodation and personal care for up to 44 adults with a learning disability. At the time of the inspection there were 41 people living at the home across 8 separate flats and 1 bungalow.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.
The service was a large home, bigger than most domestic style properties. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.
People’s experience of using this service and what we found
People were cared for by trained and skilled staff who knew people well. People were treated with kindness and were able to live their lives as they wished because they were given opportunities to express their wishes and feelings, likes and dislikes.
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’s risks were managed in a safe way and staff knew how to protect people from the risk of harm and abuse. The environment was free from risks and hazards. People were encouraged to take positive risks to achieve personal growth and independence.
Staff worked well together to meet people’s needs and provide support in a relaxed and homely environment. People had access to healthcare as they needed it and received on-going health care support as part of their assessed needs.
People were involved in leading their own care participating in reviews of their care needs. Meetings were held on a regular basis to enable people to feedback about the day-to-day running of the home.
The home was well-led by a management team who were committed to providing high-quality care.
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's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
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 this service was Good (published 24 May 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.