• Care Home
  • Care home

Redlands

Overall: Good read more about inspection ratings

246 Leigh Road, Chandlers Ford, Eastleigh, Hampshire, SO53 3AW (023) 8027 1222

Provided and run by:
Community Homes of Intensive Care and Education Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 24 November 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Redlands is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Redlands is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection the manager had applied to become registered and was waiting for their application to be assessed. This assessment process was successfully concluded, and the manager was registered with CQC whilst the inspection was in progress.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spent time with six people; getting their feedback and observing the quality of care and support they received. This helped us to understand the experiences of people who we were unable to communicate with effectively. We spoke with eight members of staff including the registered manager, deputy manager, assistant manager, positive behaviour support practitioners and support staff. We reviewed a range of records. This included support planning documentation, including medicines records, for four people. We looked at two staff files in relation to recruitment. We also reviewed a variety of records relating to the management of the service, including risk assessments, quality assurance records, training data and policies and procedures.

Overall inspection

Good

Updated 24 November 2022

About the service

Redlands is a residential care home providing personal care to up to eight people. The service provides support to adults with learning disabilities, autism and other multiple needs. The service was a residential home which fitted into the environment like other domestic homes in the area. There were multiple shared spaces and bedrooms had ensuites. At the time of our inspection there were seven people using the service.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. The service could show how they met the principles of Right support, right care, right culture.

Right Support: People lead confident, inclusive and empowered lives where they were in control and could focus on areas of importance to them. The ethos, values, attitudes and behaviours of the management and staff provided support in the way each person preferred and enabled them to make meaningful choices.

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: Care and support plans were holistic and reflected people's needs. These reflected a good understanding of people’s needs with the relevant assessments in place, such as communication and sensory assessments. Support focused on people’s quality of life outcomes and met best practice. People were able to input into choosing their food and planning their meals. Staff offered people opportunities to be involved in preparing and cooking their food and drink. We saw positive interactions between people and staff. We observed staff engage with people in a respectful and kind manner.

Staff understood people’s different communication support needs. We saw people being supported using their preferred communication methods and staff demonstrated an awareness and understanding of people's needs. People told us they enjoyed the activities available to them and that there was lots to do.

Right Culture: The needs and quality of life of people formed the basis of the culture at the service. Staff undertook their role in making sure that people were always put first with enthusiasm. They provided care that was genuinely person centred and directed by each person.

The management team had the skills, knowledge and experience to perform their roles and understood the service they managed. They had a vision for the service and for each person who used the service. They were visible in the service and approachable for people and staff. The provider's vision and values focused on person-centeredness, being passionate about making a difference to people's lives and ensuring positive outcomes for people. We observed the registered manager and staff understood and cared for people in a manner that was in keeping with these principles.

People confirmed they felt safe and told us they were happy living at Redlands. People confirmed there were enough staff to meet their needs. Relatives and staff were in agreement. Relatives consistently told us there had been significant improvements to the service. Staff had a high degree of understanding of people’s needs. People’s care and support was provided in line with care plans. A system was in place to record and monitor all incidents. This was overseen by the registered manager to ensure appropriate actions were taken to support people safely.

Since the last inspection the provider had carried out an extensive refurbishment and redecoration programme. The registered manager told us how they had supported people and their relatives to be involved with this programme. The shared spaces had been designed to meet the needs of all the individuals living at the service.

Since our last inspection the registered manager had implemented a robust agency induction programme with detailed guidance on how people preferred to be supported, their likes and dislikes and how to support them. We found the provider had implemented robust systems and processes to monitor the service and drive improvements.

People, and those important to them, worked with managers and staff to develop and improve the service. Staff told us they were involved in developing the service and felt listened to. The provider sought feedback from people and those important to them and used the feedback to develop the service. People, relatives and staff all told us the service had improved and they were happy with the changes.

The provider had worked closely with other health and social care professionals and professionals confirmed there was effective partnership working with the provider which achieved positive outcomes for people.

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 inadequate (published 6 June 2022). 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 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.

This inspection was carried out in response to the previous inspection where multiple breaches in regulation had been found. The provider had submitted an action plan and this inspection was to check they had followed their action plan and to confirm they now met legal requirements.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.