About the service Redstacks is a residential care home providing accommodation and personal care to up to 14 people in one adapted building. The service provides support to older people, including those with dementia related conditions. At the time of our inspection there were 12 people using the service.
People’s experience of using this service and what we found
A system was in place to monitor the quality and safety of the service, however this was not always effective in identifying and addressing issues.
Safety checks of the premises and equipment were not routinely carried out.
There were shortfalls in training to enable staff to carry out their roles effectively in line with people's individual assessed needs. We have made a recommendation in relation to specialist training.
Systems in place did not always support safe recruitment. We have made a recommendation in relation to recruitment practices.
People's care plans included risk assessments for known risks and staff followed support plans to help keep people safe.
Staff knew how to keep people safe from abuse and were confident to raise concerns with external agencies. When required, notifications had been completed to inform us of events and incidents.
There was a positive, caring culture within the service and we observed people were treated with dignity and respect.
Medicines were managed safely to ensure people received their medicines as prescribed and in line with national guidance.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 12 February 2021, under a new provider and this is the first inspection.
The last rating for the service under the previous provider was good, published on 10 August 2018.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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 evidence the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this full report.
Enforcement and Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This includes breaches in relation to safe care and treatment, environment safety and good governance.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.