Richmond Village Painswick

Richmond Village Painswick is a nursing care home providing the regulated activity activities of Accommodation for persons who require nursing or personal care and Treatment of disease, disorder, or injury for up to 24 people. The service provides support to older people who require nursing and residential support. The care home is set within a retirement village in the Gloucestershire countryside. At the time of our inspection there were 23 people using the service.

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

People and their relatives praised the staff who supported them and told us they felt safe living at Richmond Village Painswick.

People’s care, risks and medicines were assessed and managed well by staff. Staff worked with healthcare professionals to support and monitor people's changing and ongoing needs as required. We received positive feedback from a visiting professional.

The service focused on person centred care and promoting people’s quality of life. 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.

The provider and registered manager had systems in place for the reporting and management of accidents, incidents, complaints and safeguarding concerns. Systems were in place to capture people’s views and raise concerns. People’s feedback was valued by the registered manager and used to monitor the care being provided and drive improvements.

Safe staff recruitment procedures were followed. The registered manager, nurses and senior staff were visible within the care home and provided staff with direction and support. Sufficient numbers of staff were deployed to ensure the safe running of the care home and to meet people’s needs.

We found the care home was clean and infection control measures were being followed. Incidents were effectively reported, recorded and analysed internally to help prevent further incidents. The registered manager was aware of their role to report incidents to the relevant external authorities and CQC.

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 (published 17 October 2017)

Why we inspected

We carried this inspection because the previous inspection was more than 5 years ago, and we wanted to check the provider was still providing good quality and safe care. This focused inspection reviewed the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

We heard positive views about the service such as “Everything I want I have here”, “as a family, have been very happy with the care at Richmond Village” and “we know we are extremely fortunate to have found such a happy place as Richmond Painswick”.

People were protected from harm and abuse through the knowledge of staff and management. Sufficient staffing levels were maintained and staff were supported through training and meetings to maintain their skills and knowledge to care for people. The provider was putting in place improvements to staff recruitment procedures. Risks in respect of people’s daily lives or their specific health needs were assessed and appropriately managed with plans in place to reduce or eliminate those risks. People’s medicines were managed safely.

People were treated with respect and kindness and their privacy and dignity was upheld and they were supported to maintain their independence. People and their representatives were involved in the planning and review of their care and people took part in a range of activities. People received personalised care and there were arrangements in place to respond to concerns or complaints from people using the service and their representatives.

Staff received support to develop knowledge and skills for their role and were positive about their work with people. The registered manager was accessible to people using the service and staff. Systems were in place to check the quality of the service provided including surveys to gain the views of people and their relatives and to identify where improvements could be made.

We observed staff being caring and responsive to the needs of the people living in the home. This was in keeping with the guidance in their care plans and risk assessments.

We looked at the care records of four people who used the service. These were comprehensive and detailed the health and social care needs of the person and how any possible risks were minimised.

The environment was clean, tidy with no concerns found in respect of infection control. Furnishings were of a high standard.

We found that were enough staff on duty to meet the needs of the people living at Richmond Village.

There were systems in place to monitor the quality of the service provided to people who used the service.

People were encouraged and made day to day decisions about their life. For more complex decisions and where people did not have the capacity to consent, the provider had acted in accordance with legal requirements.

The manager, nurses and care staff were knowledgeable about the practical and emotional support needs of the people in their care. We saw that staff were patient and professional when supporting individuals at the home.

In relation to activities one person told us, "There is always something going on and it is up to us if we want to join in."

People living at Richmond Village can be assured that the administration, recording and handling of medicines was done in a safe manner.

We saw a complaints system and policy was in place and saw that people's complaints had been investigated and resolved, where possible, to their satisfaction. One person told us, "If you have got a problem you just tell anyone. They will sort it out for you".