About the 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.