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Renaissance Residential Home Good

Reports


Inspection carried out on 24 June 2019

During a routine inspection

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 t

Inspection carried out on 4 October 2016

During a routine inspection

The inspection took place on 4 and 5 October 2016 and was unannounced. Renaissance Residential Home provides care and accommodation for up to 17 people. On the day of the inspection 15 people were living in the home. Renaissance Residential Home provides care for people with a learning disability.

Two registered managers managed the service; one of which was also the registered provider and delegated certain management responsibilities to the other registered manager. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe using the service. There were risk assessments in place to identify any risks related to people’s care and support needs. People received support to maintain their health and any referrals to healthcare professionals were made in a timely fashion. Staff knew how to keep people safe understood the risks relating to people’s health needs, however, these were not always included in people’s risk assessments. When people sometimes felt anxious, staff supported people to feel better but how they did this was not included in guidance for staff to ensure consistency for the person. The registered provider confirmed these would be put in place as soon as possible.

Staff had received training in how to recognise and report abuse and were confident any allegations would be taken seriously and investigated to help ensure people were protected. People told us staff provided information about staying safe and supported them to keep safe.

Some people were supported with their medicines. Staff had received training in the safe administration of medicines but had not received regular competency assessments which meant they may not be working in line with best practice. Staff understood people’s needs in relation to their medicines but there was no information recorded for medicines that were prescribed to be taken, ‘as required’, this meant there may be a risk of staff administering medicines incorrectly. The registered provider told us they would ensure these were put in place.

The recruitment process of new staff was robust. There were sufficient numbers of suitably qualified staff to meet the needs of people who used the service. People received support from staff who knew them well and had the knowledge and skills to meet their needs. People and their relatives spoke highly of the staff and the support provided. Comments included, “You can’t fault them. There’s nothing they could do better.”

Staff and the registered provider understood the requirements of the Mental Capacity Act 2005 (MCA) but no-one living at the service was currently assesses as lacking capacity.

There was a positive culture within the service. The registered provider had clear values about how they wished the service to be provided and these values were shared by the whole staff team. The registered provider and staff described trying to create a ‘family home’ for people, and people and relatives felt this had been achieved.

There was a management structure in the service which provided clear lines of responsibility and accountability. The registered provider and registered manager were supported by other senior staff who had designated management responsibilities. People told us they knew who to speak to and any changes or concerns were dealt with swiftly and efficiently.

The registered manager and registered provider monitored the quality of the service by regularly speaking with people to ensure they were happy with the service they received. However, audits that were in place to identify any improvements that could be made to the service had not been carried out effectively, so few actions had been taken as a result. The registere

Inspection carried out on 23 July 2014

During a routine inspection

Our inspection team was made up of a single inspector. We considered all the evidence we had gathered under the outcomes we had inspected. We used the information to answer the five questions we always ask: Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking to people using the service, staff supporting them and from looking at records. If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

People were treated with dignity and respect by the staff. People told us they felt safe. Safeguarding procedures were robust and staff understood how to safeguard the people they supported.

Systems were in place to make sure that the managers and staff learnt from events such as accidents and incidents, complaints, concerns, whistleblowing and investigations. This reduced the risks to people and helped the service to continually improve. The home had proper policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards although no applications had needed to be submitted. Relevant staff had been trained to understand when an application should be made and how to submit one. This meant that people were safeguarded as required.

Recruitment practice was safe and thorough. Policies and procedures were in place to make sure that unsafe practice was identified and people were protected.

Is the service effective?

People's healthcare needs were assessed with them and they were involved in writing their care plans. Specialist dietary, mobility and equipment needs had been identified in care plans where required. People said they had been involved in writing them and they reflected their current needs.

Is the service caring?

People were supported by kind and attentive staff. We saw that care staff showed patience and gave encouragement when supporting people. People commented, �The staff are always happy and helpful. They always listen to me which helps my confidence�.

People�s preferences, interests, aspirations and diverse needs had been recorded and care support had been provided in accordance with people's wishes.

Is the service responsive?

People regularly completed a range of activities in the home. Only one person enjoyed having trips out, other people were offered the choice of outings but declined.

People knew how to make a complaint if they were unhappy. No one we spoke to felt the need to make a complaint as they were very happy with the service they received. We looked at how complaints had been dealt with and found that the responses had been open, thorough and timely. People could therefore be assured that complaints were investigated and action was taken as necessary.

Is the service well-led?

The service worked well with other agencies and services to make sure that people received their care in a joined up way.

The service had a quality assurance system, records seen by us showed that identified shortfalls had been addressed promptly. As a result the quality of the service was continually improving. Staff told us they were clear about their roles and responsibilities.

Inspection carried out on 15 January 2014

During a routine inspection

Prior to this visit we received concerns about staff being unsuitable to work with vulnerable people. There were also concerns about the boiler and the cellar at the home. We found no evidence to corroborate the concerns about staffing. We found there were issues relating about the boiler and cellar, but that these were being addressed by the owner.

People living at the home told us that they had been involved in completing their care plans and were always asked by care workers what they wanted to do. One person told us that they knew everything that was in their care plan and that everything was discussed with them.

People told us that they felt well supported by care workers and that there was always someone around to help them if they needed anything. When we spoke to care workers they were able to tell us what they did to support people and knew what to do for them if they needed any additional support.

We saw the medication systems in use were safe and care workers were appropriately trained.

We saw evidence that the home had sought evidence of conduct where care workers had worked with vulnerable people before. For example, references had been obtained from previous employers.

We saw that the provider identified, assessed and managed risks relating to the health, welfare and safety of people who used the service and others who may be at risk. For example, we saw that risk assessments had been completed in relation to the use of bed rails.

Inspection carried out on 11 December 2012

During an inspection to make sure that the improvements required had been made

Renaissance residential home was last inspected by the Care Quality Commission (CQC) in July 2012. Improvements were required relating to the management of medicines and the management of records.

During our follow up inspection we found that the home was meeting the required standards. New protocols had been introduced which improved the management of medicines. The introduction of new procedures in relation to care plans had improved the management of records.

In addition, some improvements had also been made to the safety and suitability of the premises. A higher balustrade on the staircase had been installed, which meant that the stairs were now much safer.

We observed that, as on our previous inspection, people were treated with kindness, courtesy and respect.

Reports under our old system of regulation (including those from before CQC was created)