Restoration Residential Care Home

Updated 12 October 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 team consisted of one inspector.

Service and service type

Restoration Residential Care Home 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. Restoration Residential Care Home 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. 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 three people using the service and asked them for their feedback about the service and the care and support they received. We also observed interactions between people and staff to understand people’s experiences. We spoke with the registered manager and a care support worker. We reviewed a range of records. This included two people's care records, medicines administration records (MARs), two staff recruitment files, staff training and supervision information and other records relating to the management of the service.

Updated 12 October 2022

About the service

Restoration Residential Care Home is a residential care home providing personal care to up to four people in one adapted building. The service provides support to people with mental health needs. At the time of our inspection there were four people using the service.

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

People were safe at the service. Staff knew how to safeguard people from abuse. Staff managed risks to people’s safety and wellbeing and understood what action to take to help keep people safe. The service was clean and hygienic. Staff followed current infection control and hygiene practice to reduce the risk of infection. The provider carried out regular health and safety checks of the premises and equipment to make sure these were safe. Medicines were managed safely. People were supported to take their medicines as prescribed.

There were enough staff to support people and meet their needs. The provider carried out recruitment and criminal records checks to make sure staff were suitable to support people. Staff were provided training to help them meet people’s needs. Staff were well supported and encouraged to learn and improve in their role. Staff enjoyed their work and supporting people using the service.

People were involved in planning their care and could state their choices for how this was provided. People’s records reflected their needs and preferences. Staff knew people well and understood how their needs should be met. The provider checked with people at regular intervals that the care and support they received was continuing to meet their needs and sought their views about how the service could be continuously improved.

Staff supported people to manage their healthcare and medical conditions and made sure people could access support from healthcare professionals when needed. Staff encouraged people to eat and drink enough to meet their needs and to maintain a healthy diet.

People were satisfied with the care and support they received from staff. Staff were kind and treated people well. They respected people’s right to privacy and to be treated with dignity. People were encouraged to be as independent as they could be with daily living tasks. 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.

People were supported to undertake activities that reflected their interests and preferences. Relatives and friends were free to visit people without any unnecessary restrictions. The service had been designed and decorated to meet people’s needs and people had a choice of comfortable spaces to spend time in.

The service was managed well. The registered manager was experienced, understood how people’s needs should be met and had oversight of the service. They undertook checks at regular intervals, to monitor, review and improve the quality and safety of the service.

There were systems in place to investigate accidents, incidents and complaints and people to be involved and informed of the outcome. The provider worked proactively with healthcare professionals involved in people’s care and acted on their recommendations to deliver care and support that met people’s needs

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 6 January 2021). We did not look at all the key questions at the last inspection and as such an outstanding breach of regulation from a previous inspection (published 24 March 2020) remained. The provider had completed an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulation.

Why we inspected

This inspection was prompted by a review of the information we held about this service and to follow up on action we told the provider to take at a previous inspection.

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.