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Richard House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 28 April 2020

About the service

Richard House is a residential care home providing personal and nursing care to 18 people aged 65 and over at the time of the inspection. The service can support up to 33 people in one extended and adapted building.

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

Medicines were not always managed and administered safely. We found several medication errors where people had been placed at the risk of harm. Sufficient staff training, supervision and oversight of staff competency was not in place. Staff had not always received training in mandatory subjects. People did not have assessments in place for safe moving and handling. As a result of these findings we raised a safeguarding alert with the local authority for everyone in the home.

The service ensured people’s nutritional needs were assessed and dietary requirements were met. People told us they were happy with the food and were able to make choices. People were supported to have access to health professionals, such as GPs and community nursing.

People told us staff treated them with care and respect. We observed very kind and caring interactions between people and staff and established relationships were evident. People felt they were treated with dignity and respect and had their independence promoted.

Care plans were inclusive and person-centred and written with full involvement of people and those important to them. An activities co-ordinator organised a variety of events at the home.

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.

There had been a lack of provider and managerial oversight of the operations of the service and this had led to the concerns identified in this inspection. The registered manager was keen to make improvements to the service and was responsive throughout the inspection.

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 15 March 2019) and there were two breaches of regulation. 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 made and the provider was still in breach of regulations. The service remains rated requires improvement.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to the safe administration and management of medicines, providing good governance of the service and the training and supervision of staff at this inspection.

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

Follow up

We will request a short-term improvement plan and detailed action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.

Inspection areas

Safe

Requires improvement

Updated 28 April 2020

The service was not always safe.

Effective

Requires improvement

Updated 28 April 2020

The service was not always effective.

Caring

Good

Updated 28 April 2020

The service was caring.

Responsive

Good

Updated 28 April 2020

The service was responsive.

Well-led

Inadequate

Updated 28 April 2020

The service was not well led.