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Redlands Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 October 2020

About the service

Redlands is a residential care home providing 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.

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

The service was not always safe.

We were not assured that people were protected from abuse as procedures needed to be tightened to ensure they were robust enough to keep people safe from harm.

The service was not always well-led. Staff spoke of a closed culture where they felt unable to raise concerns.

There were systems in place to monitor the quality and safety of the service provided, however these were not always effective as safeguarding concerns were not always reported or action taken to ensure peoples safety.

We could not be assured that all notifications were sent to us as part of their registration.

Staff did not always feel supported by the previous management team however relatives we spoke with were happy with the service provided.

There had been no cases of COVID-19 at Redlands and staff were aware of infection control procedures to follow to keep people safe. However, some areas in the home needed redecoration.

The risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies and fire safety checks were carried out.

Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills. Staff told us staffing levels had recently improved.

Medicines administration records (MAR) confirmed people had received their medicines as prescribed.

Staff working at the service understood people’s needs and supported people in a personalised way

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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

The last rating for this service was good (published 27 September 2018).

Why we inspected

We received concerns in relation to safeguarding people from abuse, lack of recording and staff not feeling supported. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can also see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breac

Inspection areas

Safe

Requires improvement

Updated 8 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 October 2020

Caring

Good

Updated 8 October 2020

Responsive

Good

Updated 8 October 2020

Well-led

Requires improvement

Updated 8 October 2020

The service was not always well-led.

Details are in our well-Led findings below.