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Inspection Summary


Overall summary & rating

Good

Updated 28 September 2018

This inspection took place on 2 August 2018 and was unannounced.

At the last inspection on 1 June 2017 the service was given an overall rating of Requires Improvement. At this inspection we found improvements had been made and we have given the service an overall rating of Good.

Redlands is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Redlands provide accommodation and personal care and support for up to eight adults who have learning disabilities or autistic spectrum disorder. The accommodation is spread over two floors. There were seven people living in the home at the time of our inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service has 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.

There was a friendly atmosphere in the home and staff supported people in a kind and caring way that took account of their individual needs and preferences. People and their families were supported to express their views and be involved in making decisions about their care and support.

There were systems and processes in place to protect people from harm, including how medicines were managed. Staff were trained in how to recognise and respond to abuse and understood their responsibility to report any concerns to the management team.

Safe recruitment practices were followed and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people in the home. There were sufficient numbers of experienced staff to meet people’s needs.

Staff were supported to provide appropriate care to people because they were trained, supervised and appraised. There was an induction, training and development programme, which supported staff to gain relevant knowledge and skills.

People were supported to have 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.

People received regular and on-going health checks and support to attend appointments. They were supported to eat and drink enough to meet their needs and to make informed choices about what they ate.

The service was responsive to people’s needs and staff listened to what they said. Staff were prompt to raise issues about people’s health and people were referred to health professionals when needed. People could be confident that any concerns or complaints they raised would be dealt with.

The registered manager was promoting an open, empowering and inclusive culture within the service. There were a range of systems in place to assess and monitor the quality and safety of the service and to ensure people were receiving appropriate support.

Inspection areas

Safe

Good

Updated 28 September 2018

The service was safe.

People were protected from the risk of abuse because staff understood their responsibilities.

Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks.

The provider checked staff’s suitability for their role before they started working at the home.

Medicines were stored, administered and managed safely.

Effective

Good

Updated 28 September 2018

The service was effective.

People were cared for and supported by staff who had relevant training and skills.

Staff understood their responsibilities in relation to consent and supporting people to make decisions.

People’s nutritional and dietary needs were taken into account in menu planning and choices.

People were referred to other healthcare services when their health needs changed.

Caring

Good

Updated 28 September 2018

The service was caring.

Staff had developed positive caring relationships with people using the service.

Staff knew people well and respected their privacy and dignity.

Staff promoted people’s independence and involved them in making decisions about their care and support.

Responsive

Good

Updated 28 September 2018

The service was responsive.

Staff had a good understanding of people’s needs, choices and preferences, and the knowledge to meet people’s individual needs as they changed.

There was a process in place to deal with any complaints and people were supported to express any concerns.

Well-led

Good

Updated 28 September 2018

The service was well led.

The registered manager promoted an open and inclusive culture. Staff received support and felt well informed.

People, their families and community professionals were encouraged to give their feedback about the service.

Quality assurance systems were in place and used to monitor and identify improvements within the service.