4 May 2023
During an inspection looking at part of the service
Richmond Court Nursing Home is a care home which provides personal care and nursing for up to 39 people, including people with dementia. At the time of our inspection there were 30 people using the service.
People’s experience of using this service and what we found
People were not always protected from the risk of harm. We found systems were not effective in assessing and monitoring risks to people through their dietary needs, the spread of infection or the safe storage of medicines. Systems were in place to safeguard people from abuse, although people didn’t always feel safe. Processes for learning lessons were effective and improvements were noted as a result.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
People were not always treated in a compassionate, respectful way. Some people experienced inconsistencies in the caring nature of staff members. The service considered people's cultural needs and wishes. People were supported to express their views and be involved in their care, although people didn't always feel this was effective.
People’s care plans did not always contain accurate information about their person-centred needs. However, staff had good knowledge of people’s likes and dislikes and people were given day to day choices. People who were cared for in bed did not always have access to meaningful activities, although a full program of group activities took place in communal areas.
Quality assurance systems were not always effective for people. This meant the action taken by the provider had not always ensured people received consistent, good quality and safe care. However, people and relatives spoke positively about the management of the service. Systems were in place to seek feedback and resolve people's complaints.
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 requires improvement (published 20 November 2019).
Why we inspected
The inspection was prompted in part due to concerns received about how people’s health and personal care needs were managed. We also received information from health professionals about shortfalls that had been identified in relation to nutrition and hydration, the monitoring of people’s health needs and the management of the service. A decision was made for us to inspect and examine those risks.
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.
Enforcement
We have identified breaches in relation to how people’s safety was managed, how people’s rights were promoted, people being treated with dignity and respect and how the service was run at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.