Archived: Redstones Residential Care Home Limited

Updated 23 May 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 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.

This inspection was a routine comprehensive inspection and took place on 4 April 2018 and was unannounced. The inspection team consisted of one adult social care inspector. We reviewed the information we held about the service and notifications we had received. A notification is information about important events which the service is required to send us by law. We reviewed the information the provider sent us in the Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with five people who used the service, one relative, two members of care staff, a visiting health professional and the registered provider/manager. In addition we observed staff supporting people throughout the home and during the lunchtime meal.

We also inspected a range of records. These included three care plans, two staff files, medication administration records (MAR), training records, staff duty rotas, meeting minutes and the service’s audits, policies and procedures.

Updated 23 May 2018

Redstones Residential Care Home Limited is a small, family run, residential care home which provides accommodation and personal care for up to six older people. The provider and their family also live in the home. This service did not provide nursing care or waking staff at night. At the time of our inspection there were six people using the service, one person was out for the day.

People in care homes receive accommodation and 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 has a registered manager who was also the provider. 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 and associated Regulations about how the service is run.

People were well cared for, relaxed and comfortable in the home. There was a relaxed, homely atmosphere and everyone spoke of how they felt they were ‘living at home’. Everyone we spoke with complimented and praised the provider and the five care staff who supported them.

Staff were able to spend time with people and their relatives chatting and laughing in a supportive environment. People’s comments included, “It’s the best it’s ever been, you can ask anything” and “Oh yes, I love it here.” Staff told us “It’s a pleasant place to work, it’s a small team and there’s a very homely and comfortable environment for people” and “I love that this home is run with a very warm feel to it. It’s a home from home.” A relative told us, “I never have to worry. You couldn’t find anywhere better. The hospital said [person’s name] wouldn’t get any better but she’s really come on and had the encouragement to. It wouldn’t have happened if she wasn’t here.”

People continued to be cared for by a close knit, small, motivated and well trained staff team. The provider/registered manager provided effective leadership with people’s individual well-being and quality of life as the focus of care provision. People’s health needs were well managed and risks were identified and minimised. There were regular reviews of people's health, and staff responded promptly to changes in need. For example, care records showed many examples of staff identifying changes in need and appropriate and timely referrals to health professionals. People were assisted to attend appointments with appropriate health and social care professionals to ensure they received treatment and support for their specific needs. A health professional visiting the home at the time of the inspection said, “This is the best home I go to. I would definitely put my mum here. There are no problems, it’s really lovely. We are visiting someone whose health needs have increased. [Provider’s name] is very supportive and gives lots of reassurance.”

There were regular residents meetings and individual discussions on an on-going basis which ensured people were involved in the running of the home as well as how they wished to spend their day. People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Care records were up to date and accurately reflected people’s care and support needs. The care plans provided staff with sufficient information to enable them to provide care effectively. We observed people were cared for compassionately and with respect. One person had written a note to staff saying, “I enjoy meeting you all. So helpful and obviously competent” and “Thank you for a lovely tea, it really feels like home.”

People were actively involved with the local community. The provider/registered manager and staff supported and encouraged people to engage with a wide variety of activities, trips out and entertainments available within the home. This was, in groups and on a one to one basis depending on what people wanted to do. People could express what they wanted to do throughout the day and the staff would do their best to make it happen. For example, one person said they would like to go on a train and the provider immediately began making plans and discussing where the person would like to go.

At our last inspection we rated the service as 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.

Further information is in the detailed findings below.