Richmond Court Nursing Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People had their needs assessed and plans put in place to meet them. Leaders told us everyone had an assessment to identify risks, needs and preferences using the electronic record and then a care plan was completed which considered how to meet people’s needs. Staff told us they accessed the care plan from the date of admission which guided them on how and when to provide care. Records supported what we were told, and we saw staff had used the system to record the care people had received. People and relatives confirmed they were involved in assessments and care planning.

People received evidence-based care and treatment. Leaders told us they had a system in place which used evidence-based assessment tools to assess people’s needs. Staff told us they had a care plan put in place following the assessment to ensure they could meet people’s needs. For example, people had their nutrition and hydration needs assessed and plans put in place to ensure people received the support they needed. Staff could describe how they supported people to have enough to eat and drink and could explain people’s dietary needs, including modified diets. People told us they enjoyed their meals and had access to enough food and drinks to maintain a good diet. One person told us, “I’m not a good eater, they will make me what I fancy to eat.” Another person told us, “I can independently eat and drink there are always snacks and drinks available.”

People were supported by staff who understood how to work together to meet their needs. Leaders told us staff had access to an electronic handover document at the change of each shift. They told us staff had to sign to confirm they had read and understood the updates on people’s care. Staff confirmed this was a helpful process to keep them informed of changes in people’s needs and this was also supported by a verbal handover meeting. Records showed staff worked collaboratively with other health professionals to deliver people’s care.

People were supported to maintain their health and wellbeing. People and their relatives told us they were supported to maintain good health including having access to other health professionals. One relative told us, “[Person’s name] had a chest infection, the doctor visited and gave antibiotics for it.” Leaders told us staff were given information in people’s care plans to help. One staff member described how they supported a person to manage a skin condition. Another staff member told us how they supported a person with understanding how to manage their diabetes. Care plans supported what we were told.

People had their care monitored to enable staff to continually improve the support people received and help them achieve positive outcomes. Leaders told us people had reviews of their care plans to check the support they were receiving was effective in improving their wellbeing, they described regular checks on people’s care such as monitoring their nutritional needs. Staff were informed of changes to peoples care plans following monthly reviews which enabled care plans to be adjusted.

People had their rights protected and consent was sought by staff before they delivered care and support. One person told us, “The staff always ask for consent before helping with personal care and before entering my bedroom.” Leaders told us they had a system in place to undertake decision specific assessments of people’s capacity and best interest decisions when required. Staff confirmed they understood how to seek consent from people to their care and how to support people who may lack capacity to consent and refuse care. People had assessments of their capacity and best interest decisions in place when they lacked capacity to consent to care and treatment.