Renaissance Residential Home

Updated 15 August 2019

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 Care Act 2014.

Inspection team

The inspection was carried out by one adult social care inspector.

Service and service type

Renaissance Residential 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 the Care Quality Commission. 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 before inspection

We reviewed information we had received about the service since the last inspection. We 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 this information to plan our inspection.

During the inspection

We met ten people who used the service and talked with four of them about their experience of the care provided. As some people did not have verbal communication skills, we spent time observing the care people received. We spoke with five members of staff including the registered manager, provider and support workers.

We reviewed a range of records. This included three people’s care records and medication records. We looked at staff records in relation to recruitment, training and staff supervision. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We received additional evidence from the registered manager and four positive emails from staff. We also spoke with two health professionals and two relatives on the telephone following our visit.

Updated 15 August 2019

About the service

Renaissance Residential Home is a residential care home providing personal care and accommodation for up to 17 adults living with a learning disability, some people at retirement age.

Services for people with learning disabilities and or autism are supported

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 17 people. At the time of this inspection 17 people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

People and their families were positive about Renaissance Residential Home and staff who supported them. People were treated with kindness and compassion. People spent time in the community and at the home, doing activities and work they enjoyed and had chosen.

People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. The ethos was, ‘We want it to be about you!’

There were effective systems to manage complaints and resolve them in a timely way.

Risks to people had been assessed and care plans reflected how to support people to keep people safe whilst maximising their independence. 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. Where there were restrictions on people, staff were working within the requirements of the Mental Capacity Act (2005).

There were enough staff to support people. Staff had been recruited safely and completed an induction when they first started. Staff updated training to ensure they were able to support people, following best practice guidance and seeking health professional support for particular medical conditions. Staff worked in a relaxed manner, ensuring that people had enough time to make decisions for themselves wherever possible in a way they understood.

People were kept safe by a registered manager and staff who were committed to their care and well-being. Safeguarding issues were reported and investigated appropriately. Lessons were learned when things went wrong, and actions was taken to reduce the risks of a reoccurrence. People were supported to access health care when needed as staff worked closely with health and social care professionals.

The home was well-maintained and looked after. People had the use of both personal spaces and communal areas. Personal spaces, such as bedrooms and bathrooms had been decorated and furnished according to each person’s preferences. The home was clean. There were policies and procedures to ensure the risks of infection was minimised.

Medicines were well managed and organised.

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 (14 November 2016) was Good with a rating of Requires Improvement in the key question of safe. At this inspection we found improvements had been made and the key question of safe was now rated as Good.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.