Background to this inspection
Updated
6 June 2023
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. We checked 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 Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 2 inspectors.
Service and service type
The Richardson Mews is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Richardson Mews is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 3 people who used the service to ask about their experience of the care provided. We also observed the support people received within the communal areas of the home, including the support people received to take their medicine.
We spoke with 10 members of staff including the registered manager, the manager of The Coach House, the clinical lead, the head of care, care staff, kitchen staff and domestic staff. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records including accident and incident records, care and medicine records, audits and 6 staff recruitment files.
Updated
6 June 2023
About the service
The Richardson Mews provides accommodation and personal care for to up to 36 people who have an acquired brain injury. The service comprises of 2 buildings; The Mews provides long term rehabilitation in an adapted building. The Coach House provides assessment and rehabilitation in purpose-built accommodation. At the time of our inspection there were 28 people using the service.
People’s experience of using this service and what we found
People’s needs were assessed by a multi-disciplinary team led by a clinical psychologist. People’s plans were tailored to their specific needs and mitigated their known risks. People were involved in their regular reviews to help them to improve their well-being and rehabilitation. The team worked closely with people’s consultants and healthcare teams to provide a holistic approach to their care.
People received care from staff that followed the provider’s philosophy of positive support. People learnt skills and increased their independence in accordance with their physical and cognitive abilities. People had close supervision and psychological reviews to help them to modify their behaviours to understand the risks and make safer life choices.
People were protected from the risk of abuse. Staff were kind caring and respectful of people’s privacy and dignity.
There were enough skilled staff to meet people’s needs. Staff were recruited using safe recruitment practices. Staff received training and supervision to carry out their roles. People received their medicines safely.
The provider used the learning from incidents, safeguarding and complaints to help improve the quality of the service.
We were assured that the provider had sufficient infection, prevention and control measures in place.
The provider assessed the service for quality; they had a comprehensive oversight of the service and were continually updating and introducing systems, practices and policies in line with current best practice.
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
This service was registered with us on 16 May 2022 and this is the first inspection.
The last rating for the service under the previous provider was Good, published on 5 March 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this 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.
The overall rating for the service has remained rated good based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.