Richmond Village Aston On Trent Care Home

Updated 25 January 2022

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 care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 13 January 2022 and was unannounced.

Updated 25 January 2022

About the service

Richmond Village Aston On Trent Care Home is a residential care home providing personal and nursing care to 61 people. At the time of our inspection there were 26 people living at the home. The home is part of a retirement village which included access to spa and leisure facilities, a restaurant, and gardens. Within the home care is provided across two floors and there were communal rooms on each floor.

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

People did not always receive safe care because risk was not always managed effectively, and lessons were not always learnt when things went wrong. There were not always enough experienced staff deployed in all areas of the home to meet people’s needs promptly and to ensure their dignity. People were not always supported to have maximum choice and control of their lives and staff weren’t always able to support them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice and we made a recommendation to fully implement them.

There was a new management team in place who were reviewing the systems and implementing change. However, we found improvements were required to fully embed management systems to achieve good outcomes for people.

Regular staff knew people well and understood their preferences. There were lots of opportunities for people to engage them in meaningful activities, including through working with other organisations. Care plans were informative and regularly reviewed to support them. People were supported to maintain good health and nutrition.

The new manager was approachable and there were meetings in place which encouraged people and staff to give their feedback. People and relatives knew how to raise a concern or make a complaint. The environment was adapted to meet people’s needs.

More information is in the full report.

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 9 October 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations. The service remains rated requires improvement and has now been rated requires improvement for two consecutive inspections.

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 Village Aston On Trent Care Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment, staffing and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.