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Randolph House Care Home Good

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Good

Updated 13 August 2020

About the service

Randolph House is a residential care home providing accommodation and personal care to up to 70 older people some of who have dementia or a physical disability. At the time of the inspection 35 people lived at the service.

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

Improvements had been made to ensure people received their medicines safely. Medicine administration record (MAR) were completed and medicine audits ensured any errors were actioned timely.

For people who had ‘as required’ medicines, the process of recording when medication had been administered was not consistent.

We have made a recommendation about recording ‘as required’ medicines.

Staff were recruited safely. Checks were completed to ensure they were safe to work with vulnerable people. They received an induction, training and shadowing prior to starting work.

People were supported by staff who knew them well which enabled positive relationships to develop. One resident told us, “The staff are all really good, they are smashing.”

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.

The registered manager and staff had a clear understanding of their roles and responsibilities and staff understood when to escalate any concerns for further investigation and transparency.

There was a positive approach to continuous improvement in the service. Regular checks, audits and feedback were reviewed to ensure standards were maintained. Where improvements were required, these were actioned to ensure the safety and quality of the service people received.

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 24 April 2019) and there was a breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Randolph House on our website at www.cqc.org.uk.

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.

Inspection areas

Safe

Good

Updated 13 August 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 13 August 2020

Caring

Good

Updated 13 August 2020

Responsive

Good

Updated 13 August 2020

Well-led

Good

Updated 13 August 2020

The service was well-led.

Details are in our well-Led findings below.