Background to this inspection
Updated
9 November 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
Our inspection was conducted by an 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:
Red Roofs Residential Care Home is a ‘care home’. 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 service had a manager registered with CQC. 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:
In planning our inspection, we reviewed information we had received about the service since the last inspection. This included any notifications (events which happened in the service that the provider is required to tell us about). We also 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. We used all of this information to plan our inspection.
During our inspection we spoke with seven people to ask about their experience of the care provided. We also spoke with six family members, one of the cooks, three care staff, the registered manager and a visiting healthcare professional.
We reviewed a range of written records including two people’s care plans, two staff recruitment files and information relating to staff training and the auditing and monitoring of service provision.
Updated
9 November 2019
About the service:
Red Roofs Residential Care Home is registered to provide accommodation and support for up to 30 people, including people living with dementia. There were 28 people living in the home on the first day of our inspection.
The registered provider also provides day care in the same building as the care home. This type of service is not regulated by the Care Quality Commission (CQC).
People’s experience of using this service:
Staff understood people’s individual care needs and preferences and used this knowledge to provide them with flexible, responsive support. Staff worked in a non-discriminatory way and promoted people’s dignity, privacy and independence.
The provider involved people and their relatives in planning and reviewing their care and deployed sufficient staff to meet people’s individual needs and preferences. People were provided with food and drink of their choice which met their nutritional requirements.
Staff worked well together and communicated effectively with a range of other organisations. Training and supervision systems were in place to provide staff with the knowledge and skills needed to meet people’s needs effectively.
Staff worked collaboratively with local health and social care services to ensure people had support when required. Systems were in place to ensure effective infection prevention and control. People's medicines were managed safely in line with their individual needs and preferences.
Staff were aware of people’s rights under the Mental Capacity Act 2005 and supported people to have maximum choice and control of their lives, in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.
People felt safe living in the home. People’s individual risk assessments were reviewed and updated to take account of changes in their needs. Staff knew how to recognise and report any concerns to keep people safe from harm. Staff recruitment practice was safe.
The registered manager provided strong, supportive leadership and was respected and admired by staff. A range of audits was in place to monitor the quality and safety of service provision. There was learning from significant incidents and any concerns or complaints were well-managed. The provider was committed to the continuous improvement of the service in the future.
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 11 May 2016). Since this rating was awarded, the provider has altered its legal entity and re-registered the service. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
The service was re-registered with CQC in July 2018. This was our first inspection of the re-registered service.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.