Background to this inspection
Updated
30 September 2020
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 Care Act 2014.
Inspection team
The inspection visit was carried out by one inspector.
Service and service type
The RedHouse is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC (Care Quality Commission) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
We gave the registered manager 24 hours' notice of the inspection. This supported the registered manager and us to manage any potential risks associated with COVID-19.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We requested documentation to review electronically from the registered manager. Previous inspection reports and notification were considered. Notifications are information about specific important events the service is legally required to send to us. We sought feedback from the local authority and health professionals who work with the service. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with four people who used the service and 11 relatives about their experience of the care provided. We spoke with eight members of staff including the provider, registered manager, area manager care workers and the maintenance person. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records electronically and on our inspection. This included four people’s care records and eight medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
30 September 2020
About the service
The RedHouse is a residential care home providing personal care for up to 36 people aged 65 and over. There were 35 people living at the home at the time of the inspection.
People’s experience of using this service and what we found
The registered manager and provider shared a clear vision and strong values. They led by example and were committed to providing good quality individualised care and support. They demonstrated a commitment to continuous improvement and took great pride from the service's achievements.
People's views were listened to and were at the heart of how the service was provided. The provider had made improvements to their activities arrangements and quality monitoring systems since our last inspection. Quality monitoring systems had been fully embedded and used to ensure appropriate action was taken when shortfalls had been identified. The registered manager had ensured that improvements which had been made before the last inspection, were now consistently operated.
People felt safe living at The Red House Care Home. People's risks were known by care staff. Care staff were fully aware of their responsibilities to raise concerns and the registered manager and provider ensured lessons were learnt from any incidents or accidents.
Staff had a detailed knowledge of people's histories, their likes, dislikes and how they wished to be supported. This information was used to support people in a way that valued them as individuals and respected them for who they were. Staff ensured people had access to a wide range of activities that met their individual needs.
The provider and register manager ensured the home was safe, well maintained and free from infection.
Staff were positive about the management of the home and felt valued and respected. This had a significant and positive impact on the quality of care and support of people living at 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.
Staff had been safely recruited, provided with training relevant to the roles they performed which met people's health and social care needs. There were enough staff to provide people with the personalised care and support they needed.
Everyone was very positive about the registered manager, staff, and their approach to providing personalised care. Quality checks and audits enabled the registered manager to identify risks and actions to ensure quality standards were maintained.
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 requires improvement (published 19 August 2019). We identified two breaches of the regulations relating to person centred care and good governance. 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 undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions of safe,
responsive and well led. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion, were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The red house care home on our website www.cqc.org.uk
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.