Red Roof

Updated 7 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, and to provide a rating for the service under the Care Act 2014.

The inspection was carried out by one adult social care inspector, who visited on 11 November 2018. We last visited the service in March 2016 and found no breaches of regulations.

We used a variety of methods to obtain feedback from those with knowledge and experience of the service.

Before the inspection, we asked the provider to complete a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they planned to make. We also looked at the provider’s web page to understand their values and details of the care and services they provided.

We reviewed the information included in the PIR along with information we held about the service. This included notifications, which is information about important events which the service is required to send us by law.

We contacted the local community learning disability team and commissioners. We asked them for some feedback about the service. No feedback was received on this occasion.

During the inspection, we looked at three people’s records and those relating to the running of the home. This included staffing rotas, policies and procedures and recruitment and training information for staff. We spoke with four staff, the registered manager and the area manager.

We spoke with two people who used the service. Some people were out at college. Other people were unable to tell us about their experience of living at Red Roof due to their complex needs so we spent time observing staff interactions and pathway tracking. Pathway tracking is a process, which enables us to look in detail at the care received by an individual in the home.

After the inspection we spoke with two relatives to find out their experiences of the service. You can see what they told us in the main body of the report.

Updated 7 December 2018

We undertook a comprehensive unannounced inspection of Red Roof on 14 November 2018. Red Roof is a 'care home' registered to provide accommodation and support for up to eight people with learning disabilities. There were eight people living at Red Roof on the day of the inspection, six people in the main house and two people in an annexe, which was made up two apartments.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service was exceptionally responsive supporting people in a very person centred way. Helping each person to reach their full potential. People were encouraged to live their life as any other person and their choices, independence and inclusion was promoted and encouraged.

Why the service is rated Good.

People remained safe at the service. Staff understood safeguarding procedures and said they would not hesitate to report any concerns. Risk's to people safety and well-being were managed without imposing unnecessary restrictions on people. Medicines were managed safely ensuring people received their medicines as prescribed.

Staff were safely recruited and employed in sufficient numbers to meet people's needs. The staff team were well trained and supported. Staff protected people's rights by following the principles of the Mental Capacity Act 2005 (MCA). People were supported to have choice and control of their lives.

People were provided with nutritious food and drink, which met their dietary preferences and requirements. People were supported to eat a healthy diet of their choice.

People's care plans had been developed to identify what support they required and how they would like this to be provided. People had opportunities to take part in activities which they enjoyed. These had been kept under review to ensure they were still relevant based on each person’s wishes. All complaints had been acknowledged, recorded and investigated in

accordance with the provider's policy, to the satisfaction of the complainant.

The service was well managed. There were effective quality assurance arrangements in place to monitor care and plan ongoing improvements. People's views about the running of the service were sought regularly and changes and improvements took account of people's suggestions.