Red Rose Care Community

Updated 3 August 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.

Inspection team

The inspection was carried out by two inspectors and a Specialist nurse advisor.

Service and service type

Red Rose Care Community 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.

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 as well as the information shared with us by the local authority, such as details of the safeguarding concerns that had been raised. We used all of this information to plan our inspection.

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 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 also spoke with seven persons who used the service and three relatives about their experience of the care provided. We spoke with nine members of staff including registered manager, deputy manager, nurse, unit leader, social support workers, care staff, and housekeeping.

We reviewed a range of records. This included 12 people's care records and seven medication records. We looked at three staff files in relations to recruitment and staff supervision. We reviewed three agency staff profiles, training data and providers quality assurance records. After the inspection we continued to seek clarification from the provider to validate evidence found. We reviewed a variety of records relating to the management of the service, including the provider's policies and procedures, and the providers quality audits. We continued to seek clarification from the provider to validate evidence found.

Updated 3 August 2022

About the service

Red Rose Care Community is a nursing home providing personal and nursing care to up to 65 people. The service provides support to people with dementia and nursing care. At the time of our inspection there were 52 people using the service.

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

Enough staff were available to respond to people’s needs in a timely manner.

Medicines were administered in a safe way, however, monitoring and delivery of medicines in some areas of the home required review. We were not fully assured staff were following current government guidelines for wearing face masks. Systems were in place to manage risk for people. Accident and incidents were investigated, and measures were in place to prevent recurrence. People were cared for by staff that protected them from avoidable harm.

All staff completed an induction, received relevant training and supervision support for their roles. People’s needs were assessed, and people were involved in their care planning. People’s choices and preferences were adhered to. People were supported to have sufficient to eat and drink and they had a calm and enjoyable dining experience. The service worked well with agencies and other professionals to help provide effective care. The provider adapted the service to meet people’s changing needs. The provider was working in line with the principles of the mental capacity act.

People were supported, respected and well cared for. People were involved in making decisions about their life choices. The provider promoted equality and diversity, which was also reflected in people’s care plans.

The service had systems in place to monitor and share continuous learning. Where necessary relevant changes were made. However, the auditing tool used to identify shortfalls did not always identify issues and concerns we identified during the inspection. Management showed positive and motivated leadership and were clear about their role and responsibilities. We received positive feedback about the management of the service from people, families and staff. There was a positive culture throughout the service. Management were open and honest, encouraged people and families to be involved and worked well with healthcare professionals

We have made a recommendation about the providers auditing tool.

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 the service was Requires Improvement, published on. 19 November 2020.

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 focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Caring and Well-led which contain those requirements.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Red Rose Care Community on our website at www.cqc.org.uk.

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.