Richmond Residential Care Home

Updated 13 November 2019

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

One inspector and an 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 Residential Care 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.

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. On the day of the inspection the registered manager was on leave, so the inspection was supported by the deputy manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

What we did before inspection

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 abuse. We sought feedback from the local authority, clinical commissioning group (CCG) and other professionals who work with the service. We used all this information to plan our inspection.

During the inspection-

During the inspection we spoke with eight people and two relatives to ask about their experience of the care provided. Some people were unable to tell us their experience of their life in the home, so we observed how the staff interacted with people in communal areas.

We spoke with six staff members, a member of the domestic team, the cook, three care staff and the deputy manager. We spoke with the provider who were present during the day and for the feedback at the end of our inspection.

We reviewed a range of records. This included five people's care and medicine records. We also reviewed the process used for staff recruitment, various records relating to the management of the home and a variety of policies and procedures developed and implemented by the provider.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. The provider shared with us immediate actions they had taken following the inspection.

Updated 13 November 2019

About the service

Richmond Residential Care Home is a care home that provides personal care for up to 40 people, some of whom are living with dementia. At the time of the inspection there were 33 people using the service. The accommodation is split across two floors. The top floor has bedrooms and the ground floor houses several community spaces. These include a communal lounge, small television room, a dining area and a café/ meeting space. There was an accessible secure garden.

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

The provider and registered manager had completed audits however these had not always identified areas which required improvement. Medicine was administered safety, however we raised concerns in relation to stock management and ongoing audits. People felt the manager could be more visible and share the improvements or changes with them more regularly. Staff felt supported, however would like better communication when they commenced their shift.

There was a positive atmosphere at the home and people told us they enjoyed living at Richmond.

The home was clean and welcoming. People’s views had been obtained along with relatives and staff, any actions from these had been addressed.

People were protected from the risk of harm or infection. Detailed risks were completed to manage or mitigate risks. The home was well maintained with regular checks completed to all areas. There were sufficient staff to meet people's needs and safe recruitment processes had been followed.

Health care needs had been addressed to ensure care and support was provided to enhance wellbeing. People enjoyed the meals and their dietary needs were met. 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.

Staff received training in their role and new staff received an induction which provided them with the skills and knowledge they required. People received a pre- assessment of their care needs and was developed into a comprehensive care plan. these had been shared with staff and updated following reviews.

A range of activities were available, and people engaged in these inside the home and in other events in the local community. People told us the staff were kind and caring and responsive to their care needs. Dignity was respected, and any cultural or spiritual needs were supported.

Information was available in different formats and displayed in the home. A complaints policy was in place. There was a registered manager and they ensured we received notifications about events, so we could monitor the service. The homes rating was displayed as required.

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 (22 April 2017) At this inspection we found some improvements were required in the welled domain, however the service remains overall Good.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Richmond 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.