Richmond Village Painswick is a care home with nursing registered to provide accommodation for 24 people set within the surroundings of a care village. At the time of our inspection visit the service was being provided to 24 people. At our previous inspection the service was rated as Good. At this inspection we found the service remained Good.

We heard positive views about the service such as “Everything I want I have here”, “as a family, have been very happy with the care at Richmond Village” and “we know we are extremely fortunate to have found such a happy place as Richmond Painswick”.

People were protected from harm and abuse through the knowledge of staff and management. Sufficient staffing levels were maintained and staff were supported through training and meetings to maintain their skills and knowledge to care for people. The provider was putting in place improvements to staff recruitment procedures. Risks in respect of people’s daily lives or their specific health needs were assessed and appropriately managed with plans in place to reduce or eliminate those risks. People’s medicines were managed safely.

People were treated with respect and kindness and their privacy and dignity was upheld and they were supported to maintain their independence. People and their representatives were involved in the planning and review of their care and people took part in a range of activities. People received personalised care and there were arrangements in place to respond to concerns or complaints from people using the service and their representatives.

Staff received support to develop knowledge and skills for their role and were positive about their work with people. The registered manager was accessible to people using the service and staff. Systems were in place to check the quality of the service provided including surveys to gain the views of people and their relatives and to identify where improvements could be made.

This inspection was unannounced. When we inspected in February 2014 there were no breaches of legal requirements.

The Richmond Village Painswick provides accommodation and nursing care for up to 24 people. The nursing home is on the same site as 42 assisted-living flats and independent homes. At the time of our inspection there were 24 people in residence.

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

The staff team, including the registered manager had received safeguarding adults training so understood their role and responsibilities to protect people from harm. Staff were provided with information telling them what to do if they needed to raise safeguarding concerns with other agencies. There have been no safeguarding concerns raised.

Risks in respect of people’s daily lives or their specific health needs were assessed and appropriately managed. Plans were in place to reduce or eliminate those risks. Regular checks of the premises, facilities and equipment were undertaken to ensure they were maintained in good working order.

The staffing numbers for each shift were based upon the collective care and support needs for each person and these were adjusted when people were unwell. This ensured people were kept safe and their care needs were met. Staff were provided with regular training and opportunities to develop their skills further. They had the necessary knowledge and skills to meet people’s individual care needs.

Staff were aware of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). They ensured people consented to any care and support provided. The service had not needed to submit any applications to deprive a person of their liberty. Relevant staff had been trained to understand when an application should be made, and in how to submit one. This meant that people were safeguarded as required.

People were provided with sufficient food and drink, or dietary supplements to meet their requirements. Where people were at risk of poor diet and fluid intake, measures were in place to monitor how things were going. There were regular meetings with the catering team and feedback from people about the meals served was welcomed. Arrangements were made for people to see their GP and other healthcare professionals as and when they needed to do so.

People said the staff were kind to them and they were looked after. Staff spoke about the people they were looking after in a kind and respectful manner and ensured they delivered care in the way the person liked. People were involved in making decisions about how they wanted to be looked after and how they spent their time. People’s privacy and dignity was maintained at all times.

People’s individual needs were met because everyone was looked after in a person-centred way. They were encouraged to have a say and to express their views and opinions about their care, the way the home was run and activities that took place. Staff listened to what they had to say and acted upon any concerns to improve the service they provided.

The registered manager provided good leadership and had a committed staff team who provided the best possible service to each person who lived there. The quality of service provision and care was continually monitored and where shortfalls were identified actions were taken to address the issues.

During our inspection we spoke with seven people who were living at the home. People told us the staff were" very good”, “first class” and “caring”. One person told us “I have everything here I need, a lovely home, good food and wonderful staff”.

We observed staff being caring and responsive to the needs of the people living in the home. This was in keeping with the guidance in their care plans and risk assessments.

We looked at the care records of four people who used the service. These were comprehensive and detailed the health and social care needs of the person and how any possible risks were minimised.

The environment was clean, tidy with no concerns found in respect of infection control. Furnishings were of a high standard.

We found that were enough staff on duty to meet the needs of the people living at Richmond Village.

There were systems in place to monitor the quality of the service provided to people who used the service.

We spoke with eight people about the support they received from staff. People told us that the staff were kind, respectful and caring. One person told us "I get on well with the staff they are all really nice", another person said: "I don't have any complaints, the staff are very kind and caring when they support me".

People were encouraged and made day to day decisions about their life. For more complex decisions and where people did not have the capacity to consent, the provider had acted in accordance with legal requirements.

The manager, nurses and care staff were knowledgeable about the practical and emotional support needs of the people in their care. We saw that staff were patient and professional when supporting individuals at the home.

In relation to activities one person told us, "There is always something going on and it is up to us if we want to join in."

People living at Richmond Village can be assured that the administration, recording and handling of medicines was done in a safe manner.

We saw a complaints system and policy was in place and saw that people's complaints had been investigated and resolved, where possible, to their satisfaction. One person told us, "If you have got a problem you just tell anyone. They will sort it out for you".

We spoke to people who use the service. They told us about the care and support they received at Richmond Village Painswick. One person said that it was a “good care home to be in and another described it as a "good place".

People we spoke to made positive comments about the staff.

They also told us how they received enough care and support to meet their needs and how staff respected their privacy and dignity.

Before this responsive review we received information which gave us a number of concerns about the service provided to people at Richmond Village Painswick.