CQC report explained · a nursing home
What the CQC found at Richmond House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection prevention and control, including PPE, testing, cleaning, visiting and isolation.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This question was not assessed in this targeted inspection.
What inspectors found, March 2021
Richmond House was inspected but not rated; inspectors found strong COVID-19 infection control arrangements.
This was a planned, announced inspection on 25 February 2021. It was a targeted inspection during the coronavirus pandemic, focused on infection prevention and control.
Inspectors found updated infection control policies, regular cleaning, suitable protective equipment and staff training. Visitors had temperature checks and completed a risk assessment before entering.
Staff were assigned to specific areas, tested regularly and had their temperatures checked twice a day. The home also used isolation arrangements, social distancing and a pod system for visits.
The home was inspected but not rated overall. The Safe question was also marked inspected but not rated, so this report does not provide a full CQC rating for the home.
Visitor infection controls
Visitors had temperature checks and completed a risk assessment and declaration before entering. The home also used a pod system for safer visits.
“All visitors had their temperatures checked and were required to complete a risk assessment and declaration before entering.” from the report
Staff safety measures
Staff were assigned to specific areas, had their temperatures checked twice daily and took part in regular COVID-19 testing.
“All staff had their temperatures taken twice a day and took part in regular COVID-19 testing.” from the report
Cleaning and PPE
Cleaning had been increased, high-touch surfaces were cleaned more often, and protective equipment and hand sanitiser were available throughout the building.
“Cleaning had been increased throughout the service and high touch surfaces were being cleaned more regularly.” from the report
Isolation and distancing
The home changed communal areas to promote social distancing and had measures for people who needed to isolate.
“Social distancing was promoted within the service by moving furniture in communal spaces.” from the report
Inspectors raised no specific concerns in this report.
- 01Are the infection prevention and control policies and cleaning arrangements still up to date?
- 02How are visitors currently checked before entering, and how are visits arranged?
- 03How often are staff tested, and are staff still assigned to specific areas?
- 04What happens if a resident needs to isolate, and how would this affect contact with family?
- 05Is PPE readily available throughout the home, and how are staff trained to use it?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic, so the home was inspected but not rated overall and the other key questions were not assessed. This explanation was written from the published report of 10 March 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.
What inspectors found, August 2019
Richmond House is rated Good; inspectors found kind, safe care and Outstanding leadership, with a minor concern about identifying bedrooms.
This was a comprehensive inspection carried out on 10 and 15 April 2019. The first day was unannounced. Inspectors spoke with people living at the home, relatives, staff and healthcare professionals. They also reviewed care plans, staff files, medicine records and other records.
The home was rated Good overall. Safe, Effective, Caring and Responsive were all rated Good. Well-led was rated Outstanding. Inspectors found enough staff, safe medicines practice, suitable care planning, kind treatment and a wide range of activities.
The strongest findings were about leadership and end of life care. Inspectors also found that the home learned from incidents and worked with healthcare professionals. They recommended that the home explore how bedroom numbers and personal identifiers could be made clearer.
The previous inspection in August 2016 was also rated Good, with no regulatory breaches. The report says the home would continue to be monitored and inspected again within the usual timescale for a Good-rated service.
Strong leadership
Inspectors found the home exceptionally well-led. Staff spoke positively about the management and said they felt supported.
“The service was extremely well-led. We received positive feedback from everybody we spoke with about management and leadership within the home.” from the report
Safe medicines
Medicines were stored, given and recorded safely. Staff had medicines training and their competence was checked.
“We found people's medication was administered, recorded and stored safely.” from the report
Personalised activities
The home offered many activities and supported people to continue hobbies, relationships and trips outside the home.
“People we spoke with and their relatives confirmed this was the case and that a large variety of activities were always on offer if people wanted to take part.” from the report
End of life care
The home had detailed arrangements for people approaching the end of their life. Families could be supported to stay close to their relative.
“people were able to die in their preferred place of care, surrounded by their loved ones and familiar faces with comfort and dignity.” from the report
Bedrooms were not always easy to identify
minorSome bedrooms did not have numbers, names or photographs on the door. Inspectors recommended that the home explore this before the next inspection.
“When walking around the home, it was not always easy to identify which people were living in which bedrooms.” from the report
- 01How do you help people identify their bedroom when doors do not have numbers, names or photographs?
- 02What staffing levels would be provided for my relative during the day and at night?
- 03How would you record and review my relative's medicines and check that staff remain competent to give them?
- 04What activities would match my relative's interests, and how would you support them to continue relationships outside the home?
- 05How would you involve my relative and our family in advance care planning if their health declined?
This was a comprehensive inspection covering all five CQC questions, with the home rated Good in four areas and Outstanding for Well-led. This explanation was written from the published report of 2 August 2019 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.
Every inspection of Richmond House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 31 October 2011.
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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