Richmond Village Aston On Trent Care Home

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Requires improvement

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

Date of Assessment: 12 to 22 November 2024. The service is a care home providing support to older people, some people who were living with dementia with nursing needs. We found 3 breaches of legal regulation in relation to safe care and treatment, person-centred care and good governance. People were not always protected and made to feel safe. Risks to people were not always mitigated to prevent a deterioration in their health and well-being. Records were not always effectively maintained to evidence people received support with identified risks. Some people’s care records contained personalised details of how to support people this was not the case for all people. The service did not always detect and control risks within the environment, the risk of infection was not always managed sufficiently. Records in relation to people’s medicines were not always updated where there had been a change. Although people’s care was regularly reviewed, this was not always effective in keeping people’s care records up to date and reflective of their current care needs. Whilst we observed people to be treated with kindness and respect, feedback we received did not always support this. People were not always supported to plan important life changes, including planning their end-of-life care. The provider’s governance systems did not always identify and address areas of improvement we found during this assessment. There had not always been continuous learning. Enough improvements had not been made since the last inspection. However, we found there to be enough staff with the right skills, and experience. Managers made sure staff received training and regular supervision to maintain high-quality care. Staff worked with agencies involved in people’s care for the best outcomes. Staff made sure people understood their care and treatment to enable them to give informed consent. Staff protected people’s privacy and dignity, they treated them as individuals and supported their preferences.

People's experience of this service

Feedback from people and their relatives was mixed. Whilst people told us they felt safe at the service, we received feedback from a person who told us they felt unsafe at times, specifically regarding the lack of support they received with the management their health condition. The person shared how the service had not always responded promptly when they had raised concerns regarding a deterioration of their physical health. Some relatives told us communication with the service was not always positive and they said it was difficult to contact them over the telephone. We received feedback that care was not always responsive, and people at times had to wait for assistance. For example, when people needed 2 staff to support with personal care. Whilst we were mainly told staff were friendly and kind, some people told us staff could be abrupt and did not always communicate in a compassionate way. However, people told us they felt staff knew them well. People were happy with the home and the activities which were offered. We were told the managers were visible within the home, and they often help to deliver care, where this is needed. During our visit to the service, we observed care being delivered in a positive way. Staff spent time interacting with people and engaging in meaningful conversations.