We carried out a review of the data available to us about Reddington House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Reddington House, you can give feedback on this service.
We found the following examples of good practice.
¿ People were assessed for their capacity to consent to regular testing for COVID. On each occasion tests were offered staff respected people’s decision about whether to take part.
¿ Some people could be distressed by staff using personal protective equipment (PPE). Staff used the information in people’s positive behaviour support (PBS) plans to reassure them and minimise distress. Over time this enabled people to tolerate the use of PPE.
¿ Staff supported people to use the communal areas of the service in a way which supported social distancing. People were supported with activities in their rooms and to use the garden for exercise.
¿ When staff had to isolate and were worried about infecting loved ones the provider used their empty properties to give staff somewhere to isolate safely. Staff who were isolating were offered the chance to take part in a group chat to share experiences and support.
Further information is in the detailed findings below.
At the last inspection in October 2015, the service was rated Good. At this inspection we found the service remained Good.
People felt safe living at the service. Staff had a good understanding of their role in keeping people safe and who to report to if they had any concerns. People were encouraged and supported to take risks in line with their choices and lifestyle. Checks were made on the premises to ensure it was safe and that equipment was in good working order. Accidents and incidents were recorded and action taken to reduce the risks of them happening again.
There was sufficient staff on duty at all times to ensure that people received the care they needed. Staff talked about the level of training they had completed and how they were supported by the management team to learn new skills and improve their practice. Staff were recruited safely and new staff completed induction training in line with current guidance. This included shadowing established staff.
Staff knew the importance of supporting people in line with their individual choices and preferences. They were passionate and committed in promoting people’s rights and being treated with equality to experience life to their full potential.
Staff were respectful and kind to people and each other. It was an inclusive and open service where everyone was encouraged and supported to be themselves with much emphasis on a family atmosphere. Staff ensured that people’s privacy and dignity was maintained.
People’s health care needs were monitored and met, with support from health care professionals when needed. People received their medicines safely.
People were involved in preparing, choosing and cooking meals. They were supported to shop for meals of their choice and staff supported them to make the meals they wanted. Lunch was relaxed with lots of chat and jovial banter. Staff supported people to eat a healthy and nutritious diet.
Before people decided to move into the service they visited the service and met the staff and people who lived there. Their needs were assessed to make sure their care needs would be met. People and their relatives were involved in planning their care. The care plans were personalised with good detailed information giving staff the guidance to get to know and understand how people wanted their care to be provided.
People were involved in choosing their activities and trying out new ideas. Staff worked hard to ensure that people were enjoying their activities and to develop people’s independence and confidence. Staff had started social club to support people to meet their friends and maintain relationships.
The complaints procedure was in a picture format so that people were able to understand the process. People told us they would speak with staff if they were unhappy. Staff were confident that if they raised any concerns these would be dealt with by the manager promptly and action taken to resolve the issues.
The registered manager had oversight and scrutiny of the service. They knew people well and had a good understanding of their needs. Communication with people, staff and managers was very good. Staff told us that they were fully supported by the manager and the company who always put people first.
The manager had sought feedback from people, relatives and other people involved in the service through meetings and surveys. This information was used to continually improve the service.
Checks and audits of the service had been carried out to ensure the quality of the care being provided was of a good standard. If any shortfall was identified action was taken promptly to address the issues. Staff said they were listened to and their feedback was acted upon by the management team.
The registered manager and staff had been recognised by caring organisations and had won awards for the quality of care they provided.
The Care Quality Commission had been notified of important events within the service, as required by law.
The rating from the previous inspection was on display at the service and the provider’s website.
This unannounced inspection took place on 19 and 20 October 2015. The previous inspection took place on 13 November 2013 and there were no breaches in the legal requirements.
Reddington House is a five bedded residential home for people with learning disabilities. There is a small garden at the side and back of the property and limited parking on the drive. Accommodation is situated over three floors. At the time of the inspection five people were living at Reddington House.
This service had a registered manager in post. A registered manager is a person who is 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.
People told us they felt safe living at the service. Potential risks to people were identified and staff had detailed guidance in people’s individual care plans to ensure that risks were reduced to a minimum without restricting their activities or their lifestyles.
Staff had training on how to keep people safe. They understood the safeguarding protocols and how to report any concerns, both inside the organisation and to outside agencies such as the local authority safeguarding team. Staff were aware of the whistle blowing policy and were confident that if they raised concerns the provider would take the necessary action to protect the people living at the service.
Accidents and incidents had been recorded, investigated and appropriate action had been taken to reduce the risks of them happening again. Plans were in place in the event of an emergency and people had personal evacuation plans in the event of a fire. Checks on the equipment and the environment were carried out to make sure the premises were safe.
People were being supported by sufficient numbers of staff that had the right skill mix, knowledge and experience to meet their needs. At certain times of the day, staffing levels increased to make sure people were supported with activities of their choice. Recruitment procedures were in place to check that staff were of good character and suitable for their job roles. New staff were given a detailed induction, and completed a probationary period to make sure they were suitable to work in the service. The training programme ensured that staff had the right skills, knowledge and competencies to carry out their roles. Specialist training, such as epilepsy was also provided to make sure staff had a good understanding of people’s individual needs.
The management team supported staff through their one to one meetings and staff meetings. Each member of staff had received an annual appraisal to discuss their ongoing training and development needs.
When people came to live at the service their needs were assessed to ensure that people’s care was delivered in line with their preferences and choices. Care and support plans were designed around people’s individual interests and needs. These were written in a way people could understand and included pictures and photos.
Where people did not have the capacity to consent, the provider acted in accordance with
legal requirements. The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards. The registered manager and staff showed that they understood their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS).
People had the support they needed to remain as healthy as possible. People told us how they visited the doctor, dentist and attended hospital appointments. The management of medicines was robust with daily checks to make sure people received their medicines safely.
People said they enjoyed their meals. They had a choice about what food and drinks they wanted and were involved in buying food and preparing their meals. If people needed support with their dietary needs they were seen by a dietician to make sure they continued to receive a healthy diet.
There was a strong emphasis on person centred care and care plans covered people’s preferred daily routines and lifestyle. People talked about their plans and showed they were involved in the planning of their care. The plans were reviewed on a regular basis so that staff had the current guidance to meet people’s changing needs. The registered manager ensured that staff had a full
understanding of people’s support needs and had the skills and knowledge to meet them. Staff knowledge was monitored to make sure they knew people well and how to support them in a way that suited them best. The service was flexible and responded positively to change. They supported people to follow their own pathway and reach new goals.
People were treated with kindness and compassion. They told us that staff made sure their privacy and dignity was maintained. Staff knew people well and had developed good relationships with them. People were encouraged to enjoy their social lives and meet with their family and friends regularly. People were able to express their opinions and were encouraged and supported to have their voices heard within their local and wider community.
Feedback about the service was gathered from people, their relatives and other stakeholders about the service. Their opinions had been summarised and analysed to promote and drive improvements within the service. Staff told us that the service was well led and that the management team were very supportive.
Comprehensive quality monitoring was in place with detailed checks to identify any shortfalls within the service and how the service could continuously improve. There was a culture of openness and inclusion within the service. People were encouraged to be part of the inspection process and had open access to the manager’s office to speak with them whenever they wished.
The complaints procedure was on display in a format that people could understand. People and staff felt confident that if they did make a complaint they would be listened to and appropriate action would be taken to resolve any issues. At the time of the inspection there had been no complaints this year.
We found that the home had a relaxed atmosphere, and people told us they liked living at Reddington House. They said they could choose what they wanted to do and were consulted about their care. We found that people's health needs were supported and the service worked closely with health and social care professionals to maintain and improve people's health and wellbeing.
The system used for the administration of medicines was appropriate and safe. People were receiving care from trained experienced staff who were supervised and supported by the management team.
Records were held securely and safely.
People's health needs were supported and the service worked closely with health and social care professionals to maintain and improve people's health and well being. People said that they had support to attend doctors, hospital, optician and dental appointments.
We saw that people were responsive in the company of staff. They were able to let staff know what they wanted and we saw staff responded in a caring and positive way. We saw that people were able to access all of the areas of the home.
People who use the service told us how they enjoyed going out for the day and that there were always planned trips to look forward to. They said they helped with the shopping and were able to choose the menu. One person then showed us the snacks that were available and said: "You can have anything you want here, I really like milkshakes".