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Randolph House Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 April 2019

About the service: Randolph House Care Home is a residential home registered to provide accommodation and personal care for up to 70 older people, including those who are living with dementia. At the time of the inspection there were 38 people using the service.

People’s experience of using this service: Records in relation to the safe administration of medicines were not always completed and people did not always receive their medicines as prescribed.

The systems and processes used to monitor and deliver improvements required embedding further to ensure improvements would continue.

Relatives told us their family member was safe. Risks to people were assessed and how to reduce risks and respond to possible harm were recorded. Staff followed infection prevention and control guidance when supporting people.

The service had skilled and experienced staff and staffing levels were measured against a dependency tool. At times during the inspection there did not seem to be enough staff on duty to meet people’s needs and staff seemed rushed for example at lunchtime. Staff received appropriate training and support to enable them to perform their roles effectively. Safe recruitment processes were in place and followed.

Staff involved healthcare professionals to ensure people's health care needs were met. People received support with eating and drinking, when required. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff gained people's consent before providing personal care and support.

Relatives said and information in people’s satisfaction surveys confirmed staff were kind and caring. The staff described how individual people preferred their care and support delivered and the importance of treating people with dignity and respect. Care plans showed people were involved in their care and they contained details for staff to provide effective care and support. The manager said these records were currently being reviewed to ensure they were up to date.

People, relatives and staff had the opportunity to provide feedback about the service. Information was provided so people knew who to speak with if they had concerns. There was a system in place to respond to any complaints.

The provider worked in partnership with other services to support people’s care and quality of life.

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

Rating at last inspection: Requires Improvement (report published 27 March 2018

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will continue to monitor this service and inspect in line with our re-inspection schedule or sooner if we receive information of concern.

Inspection areas

Safe

Requires improvement

Updated 24 April 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 24 April 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 24 April 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 24 April 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 24 April 2019

The service was not always well-led.

Details are in our Well-Led findings below.