We carried out a review of the data available to us about Redgate House Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Redgate House Residential Home, you can give feedback on this service.
Redgate House Residential Home is a residential care home providing personal and nursing care to up to 20 older people in one adapted building. At the time of our inspection on 22 August 2019 there were 18 people using the service, the majority of these people were living with dementia.
People’s experience of using this service and what we found
The risks to people in their daily lives were assessed and mitigated. There were systems designed to safeguard people from abuse. People were supported by staff who were available when they needed assistance and who were recruited safely. There were systems for the safe management of medicines and infection control.
Staff received training to meet people’s needs. People’s dietary and health needs were assessed and there were plans in place to meet them. The environment was suitable for the people who used the service. 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.
People’s received a service which was caring and respectful. People’s rights to make their own choices, independence, dignity and privacy were promoted and respected.
People received a service where their needs were assessed, planned for and met. People’s decisions regarding their end of life were documented. People had the opportunity to participate in meaningful social activities. There was a complaints procedure in place.
There were systems to assess and monitor the service provided which assisted the management team to address shortfalls. People’s views about the service they received were valued and acted on to drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 22 September 2018).
Why we inspected
This was a planned inspection based on the previous rating.
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.
Redgate House 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.
The service provides care and support for up to 20 people living with dementia. On the day of our inspection there were 20 people living in the service. Redgate House had shared communal areas and individual bedrooms on the ground and first floors. There was a secure garden.
There was 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.
Care plans did not always contain suitable risk assessments. Risks had not always been identified and risk assessments contained contradictions which meant that we were not assured that risk were managed safely.
The service had not appropriately applied for authority under the Mental Capacity Act 2005, Deprivation of Liberty Safeguards. This meant that people may not be supported in the least restrictive way possible.
The provider had recognised that the service needed a registered manager dedicated to managing Redgate House. The current registered manager was responsible for overseeing Redgate House and the provider’s other service. A new manager had been recruited and was working their probationary period. As part of their probation they were updating care plans with suitable risk assessments. However, this action had not been taken in a timely manner to ensure people were not receiving care and support whilst their risk assessments were deficient.
Family members told us that their relative was safe living in the service. There were systems in place to protect people from abuse. The provider followed safe recruitment practice. Essential documentation was in place for employed staff. Staff received supervision and said they were supported in their role. There were suitable numbers of staff to be able to provide the support personal care people had been assessed as needing.
Care plans did not always contain information about people’s wishes regarding end of life care. We have made a recommendation about end of life care planning.
People had sufficient food and drink and were provided with choices at mealtimes. Meals and mealtimes promoted people's wellbeing, as they were relaxed and people were given choices.
There were a variety of activities which people could participate in according to their interests. The service organised outings to places such as the cinema. Outside entertainers regularly visited the service.
People were supported with compassion, dignity and respect. Staff knew the needs and preferences of the people they supported. Relatives were welcomed into the service and some participated in providing entertainment.