We carried out a review of the data available to us about Redcroft on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Redcroft, you can give feedback on this service.
About the service
Redcroft is a residential care home providing personal care to 10 people at the time of the inspection.
People’s experience of using this service and what we found
Right Support:
Staff communicated with people in ways that met their needs. 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.
Right Care:
Staff understood how to recognise poor care and abuse. Staff worked with people in identifying risks they lived with and deciding actions to reduce the risk of harm whilst respecting peoples’ rights and freedoms.
Right Culture:
Staff knew people well and were responsive to people’s support needs, choices and life goals. The culture was open, transparent and inclusive.
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 was good (published 24 November 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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Redcroft on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Redcroft was registered prior to the publication of Registering the Right Support. It reflects the values that underpin Registering the Right Support and other best practice guidance, except that it is larger than this guidance recommends. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
The inspection was unannounced and took place on 31 July and 2 August 2018.
There was a registered manager in post. 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.
Relatives , people living at the home and healthcare professionals were very positive about the service. The registered manager and directors had created a calm, empowering environment where people’s needs were met.
People were involved in developing goals and development of care plans. These were up to date and informed staff about how people wished to be supported. Staff had detailed knowledge of people’s needs and preferences which was used to assist people taking part in meaningful activities. These were arranged communally and individually, based on people’s own choice.
People were supported to exercise choice and supported to take calculated risks and have control over their lives. People were actively involved in the local community and supported to meet their needs.
The registered manager had good systems to make sure that the environment and the way people were looked after were safe. Risk assessments had been completed ensuring care was delivered safely with action taken to minimise identified hazards. The premises had also been risk assessed to make sure the environment was safe for people.
Staff had been trained in safeguarding adults and were knowledgeable about the types of abuse. They knew what action to take if they had concerns . Sufficient staff were employed at the home and staffing was planned flexibly to meet the needs of people accommodated. Staff had been recruited following robust recruitment policies and procedures. The staff team were both knowledgeable and suitably trained, well supported through supervision sessions with a line manager, and an annual performance review. Staff had good morale and knew people’s needs.
Accidents and incidents, although uncommon, were monitored to look for any trends where action could be taken to reduce chance of their recurrence.
Medicines were managed safely.
Staff and the manager were aware of the requirements of the Mental Capacity Act 2005 and acted in people’s best interests where people lacked capacity to consent . The home was compliant with the Deprivation of Liberty Safeguards, with appropriate referrals being made to the local authority.
People were provided with a good standard of food and were fully involved in planning menus and what they wanted to eat.
People were treated compassionately. People received a high standard of care and support at Redcroft.
There were complaint systems in place and people made aware of how to complain.
Should people need to go into hospital, systems were in place to make sure that important information would be passed on so that people could experience continuity of care.
The home was well led. There was a very positive, open culture in the home, with staff having good morale and knowing people’s needs. There were systems in place to audit and monitor the quality of service provided to people.
Redcroft is a care home without nursing for up to 10 adults with learning disabilities. It is a detached Edwardian house with a level garden. Individual bedrooms are located on the ground, first and second floors. There is a passenger lift between the first and second floors, and both the first and second floors can be accessed by stairs. Parking for visitors is on the surrounding streets. Ten people were living there when we inspected.
There was a registered manager in post, as required by the home’s conditions of registration. 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 felt safe. Risks were assessed and managed to help ensure people’s safety. Accidents and incidents were monitored for any actions required to reduce further risk. The premises were maintained in good repair and some areas had recently been redecorated. Staff were aware of signs of possible abuse and how to report these.
People told us they liked living at Redcroft and their relatives reported that their family members were happy there. They received the care and support they needed, included having appointments as required with their health and social care professionals. They had access to a range of activities at home and in the wider community. People’s care plans reflected their individual needs and were kept under regular review. Staff knew them and understood their care needs. A computerised record-keeping system had recently been introduced and the manager was reviewing this to make sure information was recorded properly.
There was a friendly, open, person-centred culture. People readily approached the staff to start conversations or spend time with them. Relatives and staff told us they would feel comfortable to raise any concerns with the registered manager and management team. Staff said they felt well supported by their manager and colleagues.
People were involved in decision making and supported to make decisions for themselves as far as possible. Where people lacked the mental capacity to make particular decisions, decisions were made in their best interests in line with the requirements of the Mental Capacity Act 2005.
There were sufficient staff on duty and people were supported in an unhurried way. There had been a turnover in staff, including the registered manager, during 2015 and staff were pleased there was now a permanent staff team. Staff recruitment was conducted safely and staff had regular training and supervision to ensure they could provide the support people needed.
People's choices and consent to care and support were observed to be respected at all times during our visit. We observed staff supporting people with their day to day needs, and the interaction was observed to be sincere, respectful and responsive to individual support needs.
People chose how to occupy themselves in the service, during our inspection a majority of people were out in the community either accessing day care services or completing voluntary work. During our inspection we observed people spending time in the communal areas of the home and in the garden. We observed staff spending the majority of their time with people who used the service. They frequently checked on them to ensure they were alright when spending time on their own.
We saw staff supporting people to make their own choices about what they had for breakfast and what activities they took part in. Staff knew exactly how each person communicated which meant people's wishes were understood and respected.
Staff were well supported and received on-going training and development to be able to effectively meet people's support needs.
Staff told us that they loved their jobs and felt very supported by the manager and their colleagues.
People said they were involved making decisions about the help and support they received. They told us staff ensured they saw doctors, dentists and chiropodists and other specialist healthcare professionals to ensure their needs were met. They also told us they received help to manage their medication.
We spoke with healthcare professionals working in the local community learning disability team. They expressed positive views about Redcroft. They told us communication with the home was “really good” and the home managed the complex needs of people “very well”.
We observed staff supporting people to prepare and eat meals, to make choices and to go out into the community to attend day services, use shops, pubs and other local amenities.
We looked at records that showed the care and support people received was planned, discussed and agreed with them. They also showed that people were being protected from harm and the home was being managed properly.