Redcot Residential Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were reviewed prior to them moving to the home. One relative told us, “The managers came to the hospital to assess before [family member] moved in.” The manager confirmed this was always the process and helped to ensure that they were able to meet people’s needs effectively. They told us, “Residents are fully involved in their assessments and any requests they have are taken into account.” Information from assessments was used to inform people’s care plans and provide guidance for staff. Care plans and risk assessments were reviewed following accidents, incidents or changes to people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Recognised tools for monitoring people’s health and wellbeing were used. Regular observations of people’s health were recorded which enabled both staff and the GP to identify when people may be becoming unwell. In addition, recognised tools were used to monitor risks in areas such as malnutrition and skin integrity. The provider worked alongside dementia specialists to develop their dementia care strategy which included assessing and developing the environment to support people’s needs.

People’s weight, diet and hydration needs were monitored regularly. Where people were found to be losing weight, additional measures were implemented to fortify foods and offer additional high calorie drinks and snacks. Staff had received training in supporting people who had difficulty in swallowing and food was prepared in line with their needs.

The provider worked well across teams and services to support people. Health professionals had previously reported concerns regarding how staff communicated to ensure information was passed on. Staff told us the communication within the service had improved and this had also had a positive impact on how information was shared with professionals. The regional director told us there had been difficulties with how the team worked together but through a change in the leadership and a stronger management presence in the service this had improved. We observed staff worked well together and communicated effectively. Information was shared between shifts during staff handover and also in written communication. This ensured that any emerging risks, accidents or other changes to people’s needs were known and understood by staff.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to remain as active as possible by maintaining their mobility and taking part in different groups which promoted gentle movement. We observed staff encouraging people to spend time outside and go for walks in the garden.

The catering team were committed to providing people with a choice of healthy, balanced meals. People told us there were always options available to them and the chef confirmed this was the case, “My approach is, the chef will cook the residents’ choice. I am totally committed to the idea that this is their home and their food, and we are here to service them.” Meals were prepared using fresh ingredients, with fruit and vegetables organically grown at the home where possible.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. The regional director told us they had recognised the monitoring of people’s goals and outcomes needed to be reviewed and to ensure information was fully up to date. They told us this process had recently been completed, and we saw evidence of how people’s records were reviewed with them. Information regarding people’s health needs were clearly recorded and support from external professionals was sought as and when required.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Capacity assessments and best interest meetings were completed in relation to specific decisions. However, there was a lack of detailed recording regarding how people were supported to understand information. The provider acknowledged this area could be improved and forwarded examples of how this would be achieved going forward.

We observed staff supported people to make decisions such as where and who they wished to spend time with, what they wanted to do and when they wanted care and support. People were offered choices by staff, and we observed staff gained people’s consent before providing their care. This was done in a discreet and respectful way to ensure people’s privacy was respected.