Background to this inspection
Updated
8 March 2023
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.
Inspection team
The inspection was completed by one inspector, a medicines 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
Redmount 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. Redmount 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not 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 information the provider sent us in the provider information return. 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 sought feedback from the local authority. We used all this information to plan our inspection.
During the inspection
We spoke with 8 people who used the service and 9 relatives and friends about their experience of the care provided. We received feedback from 1 health and social care professional who worked with the service. We spoke with 15 members of staff including the manager, operations manager, quality manager, deputy manager, care staff, cook, kitchen assistant and maintenance person.
We reviewed a range of records. This included 5 people's care records and people's medicines administration records. We looked at 3 staff files in relation to recruitment, training and supervision. A variety of other records relating to the management of the service, including audits and policies and procedures were also reviewed.
Updated
8 March 2023
About the service
Redmount Residential Care Home (referred to as Redmount in this report) is a residential care home providing personal care to up to 36 older people. At the time of our inspection there were 18 people using the service.
People’s experience of using this service and what we found
People were happy living at the service and spoke positively about staff and the care they received.
Since our last inspection, improvements had been made to the culture of the service and quality-of-care people received. The provider's quality assurance processes and management oversight had improved and was driving improvements across the service.
Risks to people's health and safety were effectively managed, including fire safety, infection prevention and control and risks associated with the environment.
Risk assessments were carried out to identify any potential risks to people and measures put in place to mitigate these.
There had been improvements to the way people’s medicines were managed since our previous inspection. People now received their medicines in a safe way, as prescribed for them.
People benefitted from an improved mealtime experience and were supported to eat in line with their needs and preferences. People's weights were monitored, and action was taken where there were concerns.
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 now supported this practice.
People received person centred care and care plans provided staff with enough information to be able to care for people safely and in the way that they wanted to be cared for.
People told us they were safe at Redmount. Staff understood their responsibilities in safeguarding people from abuse and knew how to report any concerns they had.
Systems were in place to ensure there were enough staff to meet people's needs and staff were recruited safely.
People were supported by staff who were competent and had received appropriate induction, training and support. Staff spoke positively about the leadership and management of the service.
Staff worked closely with healthcare professionals and sought their advice, guidance and support on how to meet people's needs.
People were supported to maintain relationships and take part in activities they enjoyed.
People's views were sought and used to drive improvement within the home. The provider had systems in place to ensure any concerns were dealt with appropriately.
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 10 June 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection 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 regulations.
Why we inspected
We undertook this inspection to follow up on action we told the provider to take at the last inspection and to confirm they now met legal requirements.
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.