Redcote House Residential Care Home

Updated 13 March 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Redcote House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

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 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection-

We spoke with three people who used the service and four relatives about their experience of the care provided. We spoke with five members of staff including the provider, registered manager, deputy manager, a team leader, domestic worker and the chef.

We reviewed a range of records. This included eight people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 13 March 2020

About the service

Redcote House Residential Home is a residential care home providing personal and nursing care to 14 people aged 65 and over at the time of the inspection. The service can support up to 18 people.

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

Records for medicines did not always accurately reflect stock and information for administration was not always clear. Staff did not always receive safeguarding training but understood how to keep people safe. Some equipment was damaged which posed a risk to infection control, however, staff took other measures to reduce the risk of infection to people. We made a recommendation in relation to equipment which poses an infection risk.

Quality assurance processes were in place where some shortfalls had been identified. However, some shortfalls had not been identified prior to inspection and where they had, actions had not always been prioritised. We made a recommendation in relation to timely action following audits.

The environment was worn and required updated. Some staff did not receive ongoing training nor on induction. We made a recommendation in relation to training and the environment.

Accidents and incidents were recorded and monitored. Risks associated with people’s care had been identified and measure were put in place to reduce the risk of avoidable harm. The registered provider carried out pre-employment checks on staff.

Staff shared a vision with the registered manager to deliver good care to people. Staff and relatives spoke highly of the management team. The registered manager understood their duty to be open and honest. The service worked with others to promote positive outcomes for people.

People were supported to maintain a diet they enjoyed. People’s needs had been assessed prior to admission to the service. Staff worked with other healthcare professionals. People’s capacity had been assessed. People’s end of life care wishes had been recorded.

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 and engaged with people using the service in a positive way. Staff knew the people they were supporting well. People’s dignity was considered and respected. People were given choice in care.

People had comprehensive care plans in place. Activities were available to people which were organised around their hobbies and interests. Complaints were investigated and responded to appropriately. Information was available to people in different formats.

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 13 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.