Richmond Park

Updated 19 November 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience on the first day, and by an inspector on the second day. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Richmond Park is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We looked at the information we held about the service. This information included statutory notifications the provider had sent to CQC. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We also contacted local authority commissioners and two healthcare professionals for their views about the service. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spent time in the communal areas observing how staff provided support for people to help us better understand their experiences of the care they received. We spoke with twelve people living in the home and with five relatives. We also spoke with the registered manager, two supervisors, and five care staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We had a tour of the premises and looked at a range of documents and written records. This included six people’s care records and multiple medicines records. We looked at five staff files in relation to recruitment and staff supervisions. We reviewed a variety of records related to the management of the service, including policies and procedures, maintenance records and checks on the quality and safety of the service.

Updated 19 November 2019

About the service

Richmond Park provides accommodation and care and support for up to 31 people. The home supports people who have needs associated with ageing or are living with a dementia related illness. There were 30 people living in the home at the time of the inspection.

Richmond Park is a recently modernised detached property set over two floors with a passenger lift and accessible bathrooms and toilets and with an accessible garden.

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

The service continues to achieve good outcomes for people and everyone we spoke with told us they would recommend the service. People were happy about the care and support they received and with the way the home was managed.

People were protected from harm. There were enough numbers of staff to meet people's needs and ensure their safety. The recruitment processes ensured new staff were suitable to work in the home. Staff understood how to protect people from abuse. Risk assessments were carried out to enable people to retain their independence. People received their medicines when they needed them from staff who had been trained and had their competency regularly checked.

People felt safe and described staff as kind, friendly and caring. Staff treated people with dignity, respect care and kindness and knew people well. Wherever possible people's independence was promoted.

People's care needs were assessed prior to them living in the home and each person had an up to date care plan that detailed their support needs. The service ensured people had access to various healthcare professionals, when needed. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People enjoyed the meals and were supported to eat a nutritionally balanced diet. They had a wide range of organised activities and entertainments to chose from. Links with local community groups were well developed to enhance people's lives.

The home was being well-led by the registered manager and people's views about the quality of care provided were used to make improvements. Lessons had been learned and shared with staff when things went wrong. Staff were well trained and supported for their role. They felt valued and enjoyed working at the home.

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 March 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.