28 March 2023
During an inspection looking at part of the service
Richmond Care Village is a care home providing accommodation, nursing and residential care to up to 60 people, some of whom live with dementia. At the time of our inspection there were 21 people using the service, one of whom was receiving respite care.
Richmond Care Village provided purpose-built accommodation over 3 floors. The residential, nursing and dementia care units were each self-contained and offered single en-suite bedrooms, lounge(s), dining room and adapted bathrooms. People using the service could access the care village facilities which included an activities room, restaurant, gym and wellness facilities, wheelchair accessible garden and roof top terrace.
People’s experience of using this service and what we found
People and their relatives were positive about Richmond Care Village Cheltenham. They praised the way staff supported them and said the service was well-run. Comments included, “I find it a very impressive place. It is beautifully kept up. It is immaculate” and “The reception team have been very kind and kept my spirits up.” We saw staff were kind and respectful when supporting people and there were enough suitable staff employed. People and their relatives could raise complaints and their views were listened to.
People’s risks had been assessed and their support plans described the actions staff should take to keep them safe and maintain their independence. Risk assessments and support plans were reviewed regularly, and timely action was taken when people’s needs changed or incidents occurred. Staff followed advice from professionals when managing risks in relation to choking, pressure area care, diabetes and medicines. The registered manager and provider ensured provider policies were followed to manage risks, for example, relating to fire, infection control and equipment, and to ensure regulatory requirements were met.
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. When people were unable to consent to any restrictions needed to keep them safe, capacity assessments had been completed and applications to deprive them of their liberty had been submitted.
There had been significant changes to the management team at the service since January 2023. Governance systems had been operated effectively to identify areas where improvement was needed, including record-keeping and medicines management. The registered manager was working through the service’s action plan to ensure all necessary improvements were completed in a timely way. Although early days, leadership changes were having a positive impact on staff morale and well-being.
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 good (published 15 July 2021).
Why we inspected
We received concerns in relation to medicines errors, response to incidents, staffing levels and staff support. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained good, based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Richmond Care Village on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.