Richmond Village Wood Norton

Richmond Village Wood Norton accommodates people in an adapted building that is part of a retirement community.

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

The governance systems were not effective in identifying and addressing the issues we found at this inspection in relation to safety and failing to inform CQC of notifiable events.

Relatives shared mixed views about the leadership of the home. Some felt communication was poor and improvements were needed. Others felt they were kept informed about their family members health and wellbeing.

People's medicines were managed safely, staff had received training and their competencies assessed.

People told us they were treated kindly by staff and their privacy was respected. Risks to people had been assessed and recorded so staff knew how to keep them safe.

People and their relatives were regularly given the opportunity to provide feedback about the service through the completion of surveys and meetings.

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 19 May 2021).

Why we inspected

The inspection was prompted in part due to concerns received about standard of care and failure to report concerns. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report. We are assured the registered manager has taken some action following the inspection to address our concerns.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Richmond Village Wood Norton on our website at www.cqc.org.uk.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Richmond Village Wood Norton is a residential care home providing personal and nursing care to 31 people aged 65 and over at the time of the inspection. The service can support up to 60 people.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The home has two wings, one to support people living with dementia, and another for people who require nursing care. The provider also offers respite care breaks for people.

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

People and relatives spoke positively about the service and all of the staff team. People told us they felt safe.

Staff understood how to protect people from harm. Staff had received training and understood how to recognise different types of abuse and how to report it.

People’s individual risks had been identified and measures were in place to keep people as safe as possible. There was enough staff to meet people’s care and support needs in a timely manner.

People’s medicines were managed safely. We saw medicines being administered to people in a safe, respectful and caring way. Safe practice was carried out to reduce the risk of infection. We saw staff followed good practice in relation to wearing personal protective equipment (PPE).

People’s care and support continued to be monitored and reviewed. Staff worked well with other professionals, any guidance and advice given was followed to achieve the best outcomes for people.

People’s choices were respected by staff. All staff were kept informed of any changes to people’s care needs. Staff supported people to maintain their independence. People were encouraged to continue with their hobbies and interests. An activity coordinator provided a variety of activities within the home. People had access to information on how to raise a complaint.

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.

The registered manager completed a variety of audits which meant that any shortfalls were quickly identified and used to drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 10/04/2019 and this is the first inspection.

Why we inspected

This inspection was prompted in part due to concerns received about safe care and treatment for people. A decision was made for us to inspect. We inspected to gain assurances about the care provided to people and to provide a rating for the service.

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.

We found no evidence during this inspection that people were at risk of harm from this concern.

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.