11 July 2019
During a routine inspection
Richmond House is a transitional and short stay service. This is usually for respite care or while awaiting other care provision to be arranged. The provider is registered to provide accommodation for up to 20 persons aged 65 and over who require personal care at this service. At the time of the inspection there were 12 people using the service.
People’s experience of using this service and what we found
Overall, medicines were managed safely. Action was taken at the time of the inspection to improve medicines records. Staff were trained in medicines management, but their competency was not formally checked. We have made a recommendation about medicine competency checks. The premises were clean, and staff showed a good awareness of fire safety. However, fire training updates were overdue. Plans were made at the time of the inspection to rectify this. People were happy and felt safe at the service. They were supported by staff who were trained to recognise and report any signs of abuse. Overall, staffing numbers were enough to keep people safe. Most individual risks were managed appropriately. Some risk management records had not been updated when changes occurred.
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 appropriate training and support to enable them to carry out their roles effectively. Staff supported people to access healthcare and maintain good nutrition. People enjoyed their meals and said there was plenty of choice.
People told us staff were caring and treated them well. Staff understood the importance of treating people with dignity and respect. Independence was promoted, and people’s privacy was respected. Staff knew
people well and used effective techniques to reassure people. Some people said they would like more activities and were sometimes bored.
Auditing and quality assurance processes were in place to enable the service to identify where improvement was needed and in the main, these were effective. The registered manager was open and transparent and created a culture which was friendly and welcoming.
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. (report published 17 January 2017)
Why we inspected
This was a planned inspection based on the previous rating.
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.