The inspection of Richmond Village Aston On Trent Care Home took place on 15 August 2018 and it was unannounced. Richmond Village Aston On Trent Care Home is a is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home was part of a retirement village which included access to spa and leisure facilities, a restaurant, and gardens. Within the home care was provided across two floors and there were communal rooms on each floor. There was a room for craft and other activities as well as leisure areas; for example, one room was created in the image of a pub.

Richmond Village Aston On Trent Care Home is a care home for 61 older people which was registered with CQC in September 2017. There was a planned approach to people coming to live at the home and at the time of our inspection 19 people were living there. This was their first inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The audits and systems implemented to monitor the service and improve it were not always effective in doing so. Medicines were not always well managed to reduce the risks associated with them and to ensure people received them as prescribed. The checks that were in place to manage them were not always completed or actioned. Tools for monitoring staffing levels were not always effectively analysed and we found that there were not always enough staff deployed to meet people’s needs promptly. When safeguarding concerns were raised or things went wrong there was not always sufficient learning from them to reduce the risk of them happening again.

When staff were rushed or task focussed they did not always take the time to speak with people or reassure them. They did not always promote and respect people’s privacy. At other times we observed kind and respectful relationships with staff.

People’s capacity to consent to restrictions which were put in place to keep them safe was not always assessed. Legal safeguards to authorise these were not always applied for. Therefore, people were not always supported to have maximum choice and control of their lives in the least restrictive way possible.

People were encouraged to pursue interests and hobbies and regular activities were planned. Visitors were welcomed at any time. There were regular meetings with people and their relatives and the feedback was used to improve the home.

People were supported to maintain good health and this was done through partnership with other professionals and organisations. There were also facilities on the village site for people to use such as gym and chiropody. Mealtimes were not rushed and people were given a choice of meal. We saw that food and drink was regularly provided and records were maintained for people who were nutritionally at risk. Care plans were regularly reviewed to correspond with changing support needs and they were personalised and accessible.

Staff received regular supervision and training to enable them to do their job well. Safe recruitment procedures were followed to ensure they were suitable to support people. There were systems in the home to keep it clean and free from infection.

We found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.