Richmond House

Updated 10 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 25 February 2021 and was announced.

Updated 10 March 2021

About the service:

Richmond House is registered to provide accommodation with care and nursing support for up to 49 people. Several of the bedrooms are for use by people requiring intermediate care and support for a short period of time. The home is set within its own grounds with car parking facilities. The home is operated by HC-One Limited and is located in the Wigan area of Leigh.

People’s experience of using this service:

We carried out this comprehensive inspection on 10 and 15 April 2019. At the time of the inspection there were 47 people living at the home, with 37 people receiving nursing care and 10 people receiving intermediate care. Intermediate care services provide support for a short time to help people recover and increase independence. It can also reduce the chances of people having to go in to hospital.

The service was extremely well-led. We received positive feedback from everybody we spoke with about management and leadership within the home.

The staff team spoke highly of the leadership at the home and said they felt supported in their roles.

The home and registered manager had won a number of awards where the exceptional leadership had been recognised, particular regarding End of Life Care.

The home had been invited to be involved in a number of ‘Pilot’ initiatives in the local area.

People said they felt safe living at the home, with staff demonstrating a good understanding about how to protect people from the risk of harm.

Staff were recruited safely, with appropriate checks carried out to ensure there were no risks presented to people using the service.

Maintenance checks of the premises and the servicing of equipment was carried out throughout the year to ensure they were safe to use.

There were enough staff to care for people safely and the staff we spoke with told us they felt staffing levels were sufficient.

People received their medication safely.

Accidents and incidents were closely monitored, with regular trends analysis carried out to ensure any re-occurring themes could be identified in a timely way.

People’s mental capacity was kept under review and deprivation of liberty safeguards (DoLS) applications were submitted to the local authority as required.

Staff received the necessary training and support to help them in their roles. Staff supervisions and appraisals were carried out and gave staff the opportunity to discuss their work.

People told us they liked the food available and we saw staff supporting people at meal times, if this was something they needed help with. Where people needed modified diets due to having swallowing difficulties, these were provided.

People living at the home and visiting relatives made positive comments about the care provided at the home. The feedback we received from people we spoke with was that staff were kind and caring towards people.

People said they felt treated with dignity and respect and that staff promoted their independence as required.

Complaints were handled appropriately. Compliments were also maintained about the quality of service provided.

There were a range of activities available for people to participate in, both in and out of the service.

For more details please see the full report either below or on the CQC website at www.cqc.org.uk

Rating at last inspection:

Our last inspection of Richmond House was in August 2016. The overall rating at that inspection was ‘Good’, with no regulatory breaches identified. The report was published in October 2016.

Why we inspected:

This inspection was carried out to check people who lived at Richmond House were still receiving a ‘Good’ level of care and support and to check that regulatory requirements were still being met.

Follow up:

We will continue to monitor information and intelligence we receive about the home to ensure good quality care is provided to people. We will return to re-inspect in line with our inspection timescales for ‘Good’ rated services, however if any further information of concern is received, we may inspect sooner.

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