31 May 2023
During an inspection looking at part of the service
Richmond Village Letcombe Regis is a retirement village, the care home forms part of the main building. The care home accommodates up to 53 people in two units. The service supports older people and people living with dementia. At the time of our inspection there were 34 people using the service.
People’s experience of using this service and what we found
Systems and processes were not always effective in assessing, monitoring, and improving the quality of the service. Concerns found on inspection had not been identified or rectified.
Risks to people had not always been fully assessed or mitigating strategies completed. People were at increased risk of abuse as injuries did not always have a cause or an investigation completed.
There were not always sufficient staff deployed to meet people’s needs in a timely manner.
People and relatives had not all been asked to feedback on the service. People and relatives had not always seen or been part of their care plan and staff did not always have time to read people’s updated care plans.
People were supported by staff who had been safely recruited and who had received sufficient training.
People were supported safely with their medicines. Staff administered medicines as prescribed and had all the necessary information regarding people’s medicines.
Staff felt supported within their roles and felt they worked well as a team.
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.
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 20 February 2021)
Why we inspected
We received concerns in relation to use of equipment, management oversight and falls. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Richmond Village Letcombe Regis on our website at www.cqc.org.uk.
Enforcement and Recommendations
We have identified breaches in relation to risk management and management oversight 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 an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.