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What the CQC found at Richden Park Care Home

Goodpublished 5 August 2021, 5 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found people were safe, with suitable staffing, safe recruitment, safeguarding systems, premises checks and infection control. Some guidance for as-needed medicines lacked information, but the provider took immediate action to improve it.
Effective?
Good
This was not inspected during this focused visit. The previous comprehensive inspection rating was used.
Caring?
Good
This was not inspected during this focused visit. The previous comprehensive inspection rating was used.
Responsive?
Good
This was not inspected during this focused visit. The previous comprehensive inspection rating was used.
Well-led?
Requires improvement
There was no registered manager in post, and relatives had had limited involvement. The provider had audits and improvement plans, and staff said they felt supported.
The latest report, explained

What inspectors found, August 2021

Richden Park Care Home was rated Good overall, with safe care but well-led arrangements requiring improvement because there was no registered manager.

This was an unannounced focused inspection on 28 June 2021. Two inspectors reviewed records, spoke with people, relatives, staff and a health professional, and observed care. They looked only at Safe and Well-led because concerns had been raised about safety and nutrition and hydration.

Inspectors found that people felt safe and well cared for. Staffing, recruitment, safeguarding, premises checks, infection control and medicines were generally managed safely. There was a minor problem with information about when to give some as-needed medicines, and the provider acted immediately to update the records.

The home did not have a registered manager when inspectors visited. Staff were supported by other managers, and the provider said a suitable manager had been recruited. The home was rated Good for Safe and Requires Improvement for Well-led. The overall Good rating also used ratings from earlier inspections for the other areas, which were not inspected this time.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe. Safeguarding systems were in place and staff understood how to report concerns.

    “People told us they felt safe.” from the report
  • Safe staffing

    Inspectors found enough suitably trained staff. Recruitment checks, induction, training and supervision were in place.

    “There was an adequate number of suitably trained staff to support people.” from the report
  • Infection control

    Inspectors were assured that the home was managing infection prevention, testing, protective equipment and visits safely.

    “We were assured the provider was preventing visitors from catching and spreading infections.” from the report
  • Quality checks

    The provider used audits and other checks to monitor quality and safety, and worked with health professionals to meet people's needs.

    “The provider carried out audits and other checks to monitor the quality and safety of the service.” from the report
What inspectors were concerned about
  • No registered manager

    needs fixing

    There was no registered manager when inspectors visited. This led to the Well-led rating being Requires Improvement, although the provider said a suitable manager had been recruited.

    “There was no registered manager in post at the time of the inspection and we have not received an application which has been approved.” from the report
  • As-needed medicine guidance

    needs fixing

    Instructions for some as-needed medicines did not clearly tell staff when to give them. The provider took immediate action to update the records.

    “However, they lacked information to support staff when to administer PRN medicines.” from the report
  • Limited relative involvement

    minor

    Inspectors found that relatives had not been involved enough. The management team said it would improve this.

    “There had been limited engagement with relatives of people who used the service.” from the report
Questions to ask them, based on this report
  1. 01Has the new manager started, and has their application to become registered been approved?
  2. 02How are staff now told when to give each person's as-needed medicine?
  3. 03What changes are being made to involve relatives more regularly?
  4. 04How are you checking that staffing levels and support remain consistent during the management transition?
  5. 05Which ratings from the previous comprehensive inspection were carried forward because they were not checked this time?

This was a focused inspection of Safe and Well-led only; the other key-question ratings were carried forward from previous comprehensive inspections. This explanation was written from the published report of 5 August 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, December 2018

Richden Park Care Home was rated Good; inspectors found kind, safe and person-centred care, with some improvements needed to call bell response, medicine stock control and the building.

The inspection was unannounced and took place over two days. Inspectors spoke with people living in the home, relatives, staff and health professionals. They observed care, checked the building and reviewed care files, medicines records, staff recruitment and training records, audits and other documents.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, received their medicines on time, liked the food and were treated kindly. Inspectors also saw staff supporting people respectfully and helping them make choices.

There were some areas to improve. Some people said call bells could be answered more quickly. The home needed a better system for medicine stock control, and parts of the building needed redecoration or refurbishment. A new manager had recently started, with support from senior managers and a plan for improvements.

What inspectors praised
  • People felt safe

    People said they felt secure and staff understood how to protect them from abuse. The home also had risk assessments and systems for learning from accidents.

    “People told us they felt safe and staff looked after them well” from the report
  • Kind and respectful care

    Staff were observed helping people with patience, dignity and encouragement. People and relatives spoke positively about the way staff treated them.

    “We observed staff had a caring, friendly and positive approach when supporting people.” from the report
  • Food and healthcare

    People had meal choices, snacks and drinks between meals. Staff contacted health professionals when needed and recorded the advice received.

    “People told us they liked the meals provided to them.” from the report
  • Personalised support

    Care plans included people's preferences and life histories. Staff knew people's routines, likes and dislikes, and activities included group and one-to-one options.

    “The document helped staff to get to know each person as an individual.” from the report
What inspectors were concerned about
  • Call bell response

    needs fixing

    Some people said call bells could be answered more quickly, although inspectors said this had not caused serious harm. The manager was asked to check this with people.

    “People told us staff response to call bells could be quicker sometimes, although this had not affected them in any serious way.” from the report
  • Building condition

    minor

    The home was clean and tidy, but some areas needed redecoration and the separate laundry building needed refurbishment. An improvement plan and promised budget were in place.

    “Although the service was clean and tidy, parts of the environment required redecoration” from the report
Questions to ask them, based on this report
  1. 01How quickly are call bells answered now, and how do you monitor this?
  2. 02What changes have been made to medicine stock checks since the inspection?
  3. 03Which redecoration and refurbishment work has been completed, especially in the laundry building?
  4. 04How has the new manager settled in, and how is management continuity being maintained?
  5. 05What activities are currently available for people who prefer one-to-one support or to stay in their rooms?

This was an unannounced inspection covering all five CQC questions, the care provided and the premises. This explanation was written from the published report of 21 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Richden Park Care Home

4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. August 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Richden Park Care Home →

  2. December 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Richden Park Care Home →

  3. June 2016Goodup from Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. September 2013

    Registered with the Care Quality Commission on 2 September 2013.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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