Richmond Village Witney

Date of Inspection:05 February 2025 to 25 February 2025. The service is a nursing home providing support to adults of all ages living with dementia, nursing needs, and physical disabilities. This inspection was in response to CQC receiving information of concern. We found a continued breach in regulation in relation to good governance. Accidents and incidents were logged, however learning and actions to ensure this did not recur were not always in place. There were safe systems in place for transitions between services. Safeguarding concerns had been raised, and staff knew how to raise concerns externally. Mental Capacity assessment documentation and Deprivation of Liberty Safeguards (DoLS) were not always in place for people. Care plans were not always consistent or clear, and risk assessments relating to the health, safety and welfare of people using the service were not always accurate or in place. The environment was clean, and there was appropriate PPE (Personal Protective Equipment) in place. People and staff shared concerns about response times to call bells and staffing levels. This meant we could not be assured people always received support when they needed. Medicines were managed well, however medication risks and possible impact were not always documented. Staff were suitably employed and trained and had access to further training when required. There was a new home manager who had plans in place to improve working relationships and ways of working. Supervisions were in place and team meetings were being reintroduced. Staff felt able to speak up, however they did not always feel communication was effective.