We carried out a review of the data available to us about Richmond Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Richmond Residential Care Home, you can give feedback on this service.
Richmond Residential Care Home is a care home that provides personal care for up to 40 people, some of whom are living with dementia. At the time of the inspection there were 33 people using the service. The accommodation is split across two floors. The top floor has bedrooms and the ground floor houses several community spaces. These include a communal lounge, small television room, a dining area and a café/ meeting space. There was an accessible secure garden.
People’s experience of using this service and what we found
The provider and registered manager had completed audits however these had not always identified areas which required improvement. Medicine was administered safety, however we raised concerns in relation to stock management and ongoing audits. People felt the manager could be more visible and share the improvements or changes with them more regularly. Staff felt supported, however would like better communication when they commenced their shift.
There was a positive atmosphere at the home and people told us they enjoyed living at Richmond.
The home was clean and welcoming. People’s views had been obtained along with relatives and staff, any actions from these had been addressed.
People were protected from the risk of harm or infection. Detailed risks were completed to manage or mitigate risks. The home was well maintained with regular checks completed to all areas. There were sufficient staff to meet people's needs and safe recruitment processes had been followed.
Health care needs had been addressed to ensure care and support was provided to enhance wellbeing. People enjoyed the meals and their dietary needs were met. 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.
Staff received training in their role and new staff received an induction which provided them with the skills and knowledge they required. People received a pre- assessment of their care needs and was developed into a comprehensive care plan. these had been shared with staff and updated following reviews.
A range of activities were available, and people engaged in these inside the home and in other events in the local community. People told us the staff were kind and caring and responsive to their care needs. Dignity was respected, and any cultural or spiritual needs were supported.
Information was available in different formats and displayed in the home. A complaints policy was in place. There was a registered manager and they ensured we received notifications about events, so we could monitor the service. The homes rating was displayed as required.
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 (22 April 2017) At this inspection we found some improvements were required in the welled domain, however the service remains overall Good.
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 on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
The service is registered to provide accommodation with personal care for up to 40 older people. There were 29 people living in the service on the day of our inspection. The service provides care and support for older people, with a range of medical and age related conditions, including mobility issues and dementia.
At the time of our inspection there was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People felt safe at the service; their care needs and any risks to their safety was assessed and reviewed. Enough staff were available to meet people’s needs in a timely manner. Staff and the registered manager were able to explain to us how they maintained people’s safety and protected their rights. Staff had been provided with training such as the Mental Capacity Act (2005), Deprivation of Liberty Safeguards (DoLS) and safeguarding.
Staff were recruited in a safe way which followed the providers recruitment procedure. The provider employed new staff once appropriate checks had been completed. New staff participated in a thorough induction program which included a period of shadowing an experienced staff member and completing the Care Certificate.
Staff followed the correct procedures relating to medicines management; systems were in place to ensure medicines were safely stored, administered and disposed of. Staff competency was checked in relation to medicine administration procedures.
People received care from staff who had participated in training and who had acquired skills they needed to meet people's individual needs. People's healthcare and nutritional needs were met and monitored; healthcare professionals were appropriately involved when necessary.
People's dignity was assured when they received support with personal care. Staff demonstrated they knew the people well and were aware of the importance of treating them with dignity and respect. Staff were kind, caring and compassionate; people were supported and encouraged to remain as independent as possible. People were individually involved and supported to make choices about their day-to-day care. People’s right to a family and private life was encouraged and respected.
People’s care plans reflected their individual needs and how these were to be met by the care staff. People and their relatives felt involved with their care. There was a complaints procedure in place and people and relatives felt assured concerns would be listened to and action taken. Activities were varied and offered to suit people’s individual needs and preferences.
The service was led by a registered manager who was open, supportive and approachable. Systems and processes were in place to check on the quality and safety of the service; audits of the service were taking place to monitor and review the service. People benefited from receiving support from care staff who were motivated and enthusiastic.