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Redmount Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 29 July 2021

About the service

Redmount Residential Care Home is a residential care home providing personal care to people aged 65. The service accommodated up to 36 people in one adapted building, with a two passenger lifts to access the rooms on the first, second, third and lower ground floors. At the time of the inspection there were 30 people living at the service.

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

People who were able to share their views with us were happy living at Redmount and were extremely positive about the staff that supported them.

The service was not operating in accordance with the regulations and best practice guidance. This meant people were at risk of not receiving the care and support, that promoted their wellbeing and protected them from harm.

Effective systems were not always in place to assess and manage risk to people's safety.

People's monitoring charts were not being completed consistently in relation to skin care and nutrition and hydration. Risks to people's health and welfare had not always been assessed and detailed guidance was not always available for staff to refer to.

People were not always protected from the risk and spread of infection. We were not assured that staff were using personal protective equipment (PPE) in accordance with the government guidance and the service did not always follow its own procedures when permitting visitors to enter the building. This was addressed immediately with all staff undergoing supervision on infection prevention and control topics and the management team conducting daily spot checks on PPE compliance.

Not all aspects of medicines management were carried out safely and people did not always receive their medicines as prescribed.

People were not always being supported by enough staff or staff effectively deployed to ensure people’s needs were met. People told us, and we observed, people often had to wait for staff to meet their needs. We made a recommendation about this.

Quality assurance and governance arrangements in place to monitor and improve the service were not always robust or effective in identifying shortfalls we found during the inspection. Following the inspection, the provider shared with us their action plan for addressing the concerns found during the inspection and took immediate action.

People were protected from the risk of abuse. Staff were trained in recognising signs of abuse and people spoke positively of the atmosphere in the home and found staff kind and caring.

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.

Record showed staff received training, supervision and appraisals. People were supported to access healthcare services they needed.

The management and staff team had worked in partnership with other healthcare professionals.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 1 April 2019). There were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made and the provider was still in breach of regulations in relation to safe care and treatment, infection prevention and control and governance.

The last rating for this service was requires improvement (published 1 April 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

The inspection was prompted in part due to concerns received about skin care, people's needs not being met, staff culture and record keeping. A decision was made for us to undertake a focused inspec

Inspection areas

Safe

Requires improvement

Updated 29 July 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 29 July 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 29 July 2021

Responsive

Requires improvement

Updated 29 July 2021

Well-led

Requires improvement

Updated 29 July 2021

The service was not always well led.

Details are in our well led findings below.