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Richmond Village Letcombe Regis DCA

Overall: Requires improvement read more about inspection ratings

South Street, Letcombe Regis, Oxfordshire, OX12 9JY (01235) 773970

Provided and run by:
Richmond Care Villages Holdings Limited

Latest inspection summary

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Background to this inspection

Updated 3 October 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 1 inspector and 1 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

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats within a retirement village.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post, however an application had been made.

Notice of inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 31 May 2023 and ended on 19 June 2023. We visited the location’s office/service on 31 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

Before the inspection we looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern. We also reviewed the provider's previous inspection report.

We spoke with 3 people using the service and 6 relatives. We looked at 4 people's care records. We spoke with the manager, the team leader and 3 care staff. We reviewed a range of records relating to the management of the service. These included 3 staff files, quality assurance audits, incident reports, complaints and compliments. In addition, we reviewed feedback from people who had used the service and their relatives.

Overall inspection

Requires improvement

Updated 3 October 2023

About the service

Richmond Village Letcombe Regis is a domiciliary care agency. It provides personal care to people living in their own flats and apartments within the retirement village. The service was providing personal care to 16 people.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

People were not always supported to have maximum choice and control of their lives. Medicines were locked away for people’s best interest. There was no written agreements or documentation in place to support this practice, therefore the service did not always support people in the least restrictive way possible.

Medicine management required improvement to ensure people received their medicines as prescribed, and that all staff were trained adequately to carry out their role. Medicines systems and processes did not always evidence that people had access to their medicines.

Care plans and risk assessments were not always kept up to date and factual. We found conflicting information had been recorded. Staff did not always have the information to support people safely.

Oversight of the service required improvement. Systems and processes were not always effective in identifying improvements needed and mitigation of risks.

People and relatives had not been asked to feedback on the service.

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

The last rating for the service was good, published on 18 February 2020.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection. We have found evidence that the provider needs to make improvements.

Enforcement and recommendations

We have identified breaches in relation to regulation 17 good governance. You can see what action we have asked the provider to take at the end of this full report.

We recommend the provider reviews management understanding in the principles of the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS).

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Richmond Letcombe Regis DCA on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.