Richmond Village Aston On Trent Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

At our last inspection the provider was in breach of the legal regulation in relation to good governance. At this inspection improvements had been made, and the provider was no longer in breach of this regulation.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.

The registered manager had a clear understanding of the service priorities and was well supported by a senior leadership team to provide guidance and ensure compliance. Leaders explained, “We have a risk and governance team providing additional monitoring of systems, they help to identify patterns, it’s a second line of defence.” Leaders across the providers organisations regularly met to provide support and share learning between services.

Staff felt supported by the senior leadership team, describing them as approachable and leading by example. For example, the registered manager carried out night shifts to be more accessible for staff who worked nights. One staff member told us, “Leaders are visible and focused.” And, “Leadership is always visible approachable and fair; they are always there to listen and support when needed there is an open-door policy in place and any concerns are followed up and appropriate feedback given when necessary.”

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

A multi-layered governance system was in place to ensure robust oversight of key risk areas and quality of care; this included a range of regular audits and checks carried out by staff, leaders and the provider. Leaders described good governance as a “collaborative” effort and demonstrated an understanding of their regulatory responsibilities. Technology was well utilised to support oversight of a range of areas, such as daily care tasks, care plans, clinical risks, and people and relative feedback. One leader told us, “Technology is being developed to be quick in identifying where our focus needs to be.” In turn, action plans were generated and reviewed to ensure improvements were made.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people. They actively contributed to safe, effective practice and research.

The provider had taken effective action to address the areas of concern identified at our last inspection. A service improvement plan, also informed by the provider’s quality assurance systems, was in place to ensure ongoing improvements were made, and sustained. Learning was shared with staff, and reflective practice encouraged. One staff member told us, “We were all updated on our last rating. Our regional manager explained the report to us and outlined what we needed to do. The information was conveyed clearly. We had a number of group supervisions based on this and ongoing matters.”

The provider engaged with various initiatives to improve the service. For example, technology to optimise PPE in order to reduce IPC risks and improve sustainability.