Richmond Village Nantwich

Updated 11 June 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. This inspection was planned to check 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 team consisted of one inspector and an expert by experience. 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 Village Nantwich is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. 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.

Inspection site visit activity started on 24 April 2019 and ended on 25 April 2019. We visited the home location on both days.

What we did before the inspection:

Our plan took into account information the provider sent us since the last inspection. We also considered information about matters the provider must notify us about, such as events involving injury. We obtained information from the local authority commissioners and safeguarding team and other professionals who work with the service.

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

Our inspection was informed by evidence we already held about the service. We also checked for feedback we received from members of the public and the local authority. We also checked records held by Companies House.

We used all this information to plan our inspection.

During the inspection:

We spoke with 17 people who used the service and two relatives. We spoke with the registered manager, a provider's representative, one senior member of staff who was based in the office, three care assistants and the chef.

We reviewed five people's care records, five staff recruitment and personnel files, staff training documents and other records about the management of the service.

After the inspection:

We continued to seek clarification from the provider to corroborate evidence found. We considered a report from the provider around a safety concern that is highlighted in the 'Safe' section of this report. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 11 June 2019

About the service:

Richmond Village Nantwich is a residential care home that was providing personal care to 41 older people at the time of the inspection. The service can support up to 42 people. Richmond Village Nantwich accommodates people across two separate floors, each of which has separate adapted facilities. Some of the people living in the home had a diagnosis of early stage dementia.

People's experience of using this service and what we found:

Although we saw examples of how people were supported to be safe, in one case a person was at risk because the service had not acted quickly enough to reduced risks when their condition had changed. We have made a recommendation about this in the 'Safe' section of this report.

Staff received robust safeguarding training and had a good understanding of the principles involved in taking action when abuse was suspected.

The provider had a robust recruitment process that meant staff were recruited safely.

Medicines were managed safely.

There was an open and transparent culture in relation to accidents and incidents and they were used as opportunities to learn and reduce risks.

People's needs were met through robust assessments and support planning.

The service worked with healthcare professionals to achieve positive outcomes for people.

Staff and carers had good knowledge and skills and this ensured people's needs were well met.

We saw good examples of when people had been supported to maintain a healthy and balanced diet

People told us carers and staff were compassionate and kind.

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.

Staff and carers expressed commitment to ensuring people received high-quality care.

Carers and staff knew people well and supported them to maintain relationships with people who mattered to them.

People received care and support that was person-centred.

We saw good examples of how the care and support people received enriched their lives through meaningful activities.

The service was proactive in its response to concerns or complaints and people knew how to feedback their experiences.

The registered manager planned and promoted holistic, person-centred, high-quality care resulting in good outcomes for people.

The values and culture embedded in the service ensured people were at the heart of the care and support they received.

Staff told us they received good support from management. They told us they were proud to work for the service.

There was an open and transparent culture and people were empowered to voice their opinions.

Rating at last inspection: Good (30 September 2016)

Why we inspected: We carried out this inspection based on the previous rating of the service.

Follow up: We will continue to review information we receive about the service until we return to visit as part of our re-inspection programme. If any concerning information is received we may inspect sooner.

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