Redwell Hills Care Home

Updated 23 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Redwell Hills is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Redwell Hills is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 22 June 2022 and ended on 11 July 2022. An inspector visited the service on 23 and 30 June 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service. We spoke with 14 members of staff including the registered manager, the regional manager, the deputy manager, two senior care assistants, five care assistants, the maintenance officer, the administrator, one kitchen staff and one domestic staff. An Expert by Experience spoke with 11 relatives on the telephone on 30 June 2022.

We reviewed a range of records. This included four people's care records and multiple medicine records. We looked at three staff recruitment files. A variety of records relating to the management of the service were reviewed.

Updated 23 August 2022

About the service

Redwell Hills is a residential care home providing personal care to up to 50 people. The service provides support to older and younger adults, some of whom are living with a dementia. At the time of our inspection there were 35 people using the service.

People’s experience of using this service and what we found

People told us they felt safe living at the home. Staff were aware of the safeguarding protocols and knew what action to take to keep people safe. Risks to people were identified and detailed assessments were in place, to ensure risks were managed safely. Medicines were managed safely. The premises were clean and there were good infection control practices in place.

A small number of care records required minor improvements to ensure consistency. We have made a recommendation around this.

There were enough staff to meet people’s needs, but the deployment of staff on the first floor at key times could be improved. This was reviewed and acted upon during the inspection.

Staff sought people's consent before providing care and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff interacted well with people and they provided care which was person-centred. Staff had received training to ensure they had the knowledge they required to carry out their role effectively.

People told us staff were kind and caring. Relatives were positive about the care and support provided. Staff understood people's needs and respected people's dignity.

The registered manager and staff understood their roles and responsibilities. Quality monitoring systems were mostly effective in identifying improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 16 March 2020).

In May 2021 the provider applied to CQC to make a minor change to their registration. Four Seasons remains the corporate provider for this service.

Why we inspected

This inspection was prompted by a review of the information we held about this service. The inspection was also prompted in part due to concerns we had received about inconsistencies in care records (particularly where people needed specific support to eat and drink), medicines administration and staff culture. A decision was made for us to inspect and examine those risks.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well-led sections of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.