Richmond Village Coventry

Updated 9 May 2019

The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was carried out by one inspector, a specialist advisor who was a trained nurse and an assistant inspector.

Service and service type: Richmond Village Coventry is a nursing home. People received accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had an experienced registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Notice of inspection: The inspection took place on 11 April 2019 and was unannounced. .

What we did: We reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as serious injury. We sought feedback from the local authority and professionals who worked with the service. We assessed the information we require providers to send us annually that gives us key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection visit: We reviewed seven people’s care records, to ensure they were reflective of their needs, and other documents such as medicines records. We reviewed records relating to the management of the whole service such as quality audits, people’s feedback, and meeting minutes.

We met six people who lived at Richmond Village, who provided us with feedback about the service. We also spoke with two care workers, the registered manager who was also the clinical lead at the home, three nurses, the village manager, a training manager, a maintenance worker, the facilities manager and the provider’s dementia specialist.

Updated 9 May 2019

About the service: Richmond Village Coventry is a nursing home that provides personal and nursing care for up to 51 people. There were 44 people living at the home at the time of our inspection. The accommodation was established over a ground floor purpose-built home, with a courtyard garden. The nursing home was situated at the centre of the village where people could access communal areas of the home, such as a café, meeting areas and reception. There was a large shared communal lounge, dining room and activities area.

The village consisted of a range of support services for people, including supported living accommodation, a bowling green, a pond and outside seating areas.

People's experience of using this service:

•Richmond Village Coventry was clean and comfortable with plenty of room for people to live. People told us they felt safe with staff.

•People's safety had been considered and risks were managed to maintain their safety.

•Staff had received training in relation to safeguarding and knew how to protect people from harm.

•Medicine was managed safely.

•The risk of any infection spreading was reduced by the maintenance of good hygiene practice.

•The provider delivered person-centred care. People’s needs were assessed in detail to ensure the service could be tailored to meet their individual social, care and health needs.

•People’s outcomes and long-term goals were considered, to ensure people achieved those goals.

•People were supported to have choice and control of their lives, and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

•Health care was focussed on ensuring people's ongoing wellbeing and concentrated on improving people’s health.

•People enjoyed living at the home and told us staff were kind and respectful of their choices.

•People were treated kindly and compassionately by staff.

•People were supported to express their views and make decisions about the care and treatment they received.

•Staff respected people's privacy and dignity.

•People were supported to take part in activities of their choice.

•Information was provided in a range of formats to support people’s understanding.

•People could access spiritual support to meet their religious beliefs.

•The provider had a complaints policy and process in place; people told us they would feel comfortable raising complaints.

•When people reached the end of their life, the provider had policies in place to meet their wishes and preferences.

•The provider had quality monitoring arrangements through which they continually reviewed, evaluated and improved people's care.

•People, stakeholders and staff had an opportunity to shape the service.

•The provider invested in staff development to ensure people received care from experienced and caring leaders.

Rating at last inspection: Good. The last report for Richmond Village Coventry was published in October 2016.

Why we inspected: This was a planned comprehensive inspection that was scheduled to take place in line with Care Quality Commission scheduling guidelines for adult social care services.

Follow up: We will continue to monitor the service to ensure it meets its regulatory requirements.

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