We carried out a review of the data available to us about Redmayne House 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 Redmayne House, you can give feedback on this service.
Redmayne House is a residential care home providing personal care and accommodation to five people with a learning disability. The home is a bungalow in a community setting and designed to promote people's inclusion and independence.
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.
People’s experience of using this service:
People received a consistently good service and were kept safe with the support received from the staff. People were safeguarded against the risks of abuse and harm by the systems and by the staff training in place. Risk was managed well so that people could be as independent as possible. Staff were appropriately recruited and staffing levels met people's assessed needs. People were supported to take their medicines safely.
There was a strong, visible person-centred culture. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People were very well integrated into the local community and were encouraged and supported to engage in activities and hobbies of their choice.
People were well cared for by staff who had the right skills, knowledge and training to meet their needs. People had access to external health professionals to help promote good health and well-being. They were encouraged to maintain a healthy diet and lifestyle. People’s changing needs were identified and responded to quickly.
Staff displayed a caring attitude. They had developed caring and trusting relationships with people, some staff being employed in the home for many years. They spoke about people in a respectful and empathic way. People responded warmly to the staff team and their relatives told us they were very well supported.
The home was well-run by an experienced registered manager and team leader. The provider ensured oversight and support to ensure the home was effectively managed. People's views about the quality of care were being used to make improvements.
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 the service was good (published 27 August 2017).
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.
At the last inspection the service was rated Good. At this inspection we found the service remained Good.
This inspection visit took place on 02 August 2017 and was announced.
The registered manager had systems to manage accidents and to maintain people’s safety and wellbeing. Care files of people who lived at Redmayne House contained risk assessments to guide staff to protect people from unsafe support in the home and when out in the community. Staff demonstrated a good awareness of reporting procedures if they suspected abuse or poor practice and had received appropriate training. One staff member said, “I have in the past had to use the procedures and was confident in what the process was.”
We found staff managed people’s medicines, with a safe and supportive approach. The provider ensured staff had up-to-date information, training and competency testing to underpin their skills and understanding of medication procedures. Staff confirmed that only trained personnel supported people with their medication.
We found recruitment checks were carried out to ensure suitable people were employed to work at Redmayne House. There were sufficient staff to meet people’s needs on duty at the time of the inspection visit. By talking with staff and looking at staff individual training records we found they had been appropriately trained and supported.
Care plans were in place detailing how people wished to be supported and how their independence would be encouraged. People who received support or where appropriate their relatives/advocates were involved in decisions and consented to their care.
People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
Care records we looked at described people’s food preferences and any allergies. Staff were aware of people’s cultural and health needs in relation to their diet. This was a small home and with four people living at Redmayne House at the moment choices of meals were daily. One staff member said, “Today we are going out for lunch, we do it quite a lot.”
We found people had access to health and social care professionals and their healthcare needs were met.
Relatives we spoke with told us staff and the registered manager had a caring, respectful and supportive manner. For example one relative said, “Exceptional caring attitude of all the staff.”
The registered manager had a complaints procedure which was made available to people on their admission to the home and their relatives. No complaints had been received. Relatives told us they were aware of who to talk with if they had any concerns.
The provider and registered manager used a variety of methods to assess and monitor the quality of the service. These included regular audits, staff handover meetings and relative/resident surveys to seek their views about the service provided. In addition any suggestions or ideas to improve the quality of care for people were implemented. This was confirmed by talking with staff, relatives and records we looked at.
This inspection took place on the 27th of March 2015 and was unannounced.
Redmayne House is located a short walk from the town centre of Wigton. The service provides support for up to six people with a learning disability who have complex needs and limited verbal communication.
The service had a 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.
The service had sufficient appropriately recruited staff available to support people.
The staff knew how to identify abuse and how to report their concerns.
The service had carried out risk assessments to ensure that they identified potential hazards and protected people from harm.
Medicines were ordered, stored, administered and disposed of correctly.
Staff had been trained to an appropriate standard and met regularly with their manager for supervision.
People received a healthy and nutritious diet that was based on an assessment of their nutritional needs.
Staff spoke with people in a warm and friendly manner and treated them with dignity and respect.
Staff had worked hard to ensure that the service and those who used it were involved with, and felt part of the local community.
Care plans were written in a straightforward manner and based on thorough assessments. They contained sufficient information to enable people to be supported correctly.
The registered manager promoted a positive culture that was open, inclusive and empowering. The provider had systems in place to ensure the delivery of good quality care.
We managed to speak to a relative who said that they couldn't be more happy with the care given by the home. They told us, 'My son receives really good care with his health needs being carefully managed and he has a really good social life, and he and the other people here lead really full lives.'
Staff had developed good working relationships with health and social care professionals to ensure people had access to a full range of services to promote people's physical and mental well being.
We saw that there were effective managerial systems in place to monitor that people living at the home received a good standard of care and support, including robust methods of record keeping.
Those we saw at home could not verbally communicate with us, and we used non-verbal communication and observed body language to help us come to a judgement about how people felt about the home and the care they received.
We observed people having plenty of positive interactions with staff. Both staff and residents enjoyed each others company and there was a relaxed and homely atmosphere.