Background to this inspection
Updated
27 May 2021
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.
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
Two inspectors undertook this inspection.
Service and service type
Redannick 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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with twelve members of care staff including night and day staff, the clinical lead for the organisation, the manager and two senior care workers. We spoke with a visiting professional. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records, medicines records and maintenance records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management and monitoring of the service were reviewed.
After the inspection
We continued to seek clarification from the manager to validate evidence found. We looked at mental capacity records and policies and procedures.
Updated
27 May 2021
About the service
Redannick provides residential care for up to 41 older people most of whom are living with dementia. At the time of the inspection there were 27 people living at the service. The home is situated within a residential area of central Truro. The accommodation is all on one level and there are external garden areas suitable for people to use.
People’s experience of using this service and what we found
The service had introduced a new electronic staff roster to improve the reliability and running of the service. There had been a transition process from paper to the electronic system and some staff had found it confusing using both. However, the service was now only using the electronic roster which staff were now familiar with.
Medicines were stored safely, and staff had the knowledge and skills to administer them safely. Previous errors in missed medicines had been reviewed and action taken to address this. When medicines for use as required were administered there was not always a record to show why they had been given or if they had been effective. We have made a recommendation about this in the report.
All necessary recruitment checks had been completed and there were effective safeguarding systems in place. Staff had a good understanding of what to do to help ensure people were protected from the risk of harm or abuse.
There had been gaps in the delivery of training during the COVID-19 pandemic. However, this was being addressed and staff were updating their training to support them in their role.
Risks were identified, assessed monitored and reviewed. People told us they felt safe.
People were supported to have maximum choice and control of their lives. 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 were aware of the organisations guidance on the use of personal protective equipment (PPE) such as masks, gloves and aprons. The service was clean, and we observed housekeeping staff carry out ‘touch point’ cleaning on door handles.
People, their relatives and staff told us management were approachable and they listened to them when they had any concerns or ideas. Regular auditing was used to make continuous improvements to the service.
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 18 December 2019).
Why we inspected
The inspection was prompted in part due to concerns received about staffing levels, responding to people’s needs and concerns people’s needs were not always being met. A decision was made for us to inspect and examine those risks.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this 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.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Redannick on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.