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The RedHouse Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 August 2019

About the service: The Redhouse Care Home is a 36 bedded residential service. It provides care for older people some of whom may have mental and/or physical health needs.

People’s experience of using this service:

During our previous inspection we found a number of failings. These included, unsafe recruitment procedures, a lack of staff training and stimulation in the home and poor governance arrangements. Whilst we found improvement at this inspection there were still areas of the service that required development.

The service did always not provide sufficient stimulation for people.

Care plans did not always provide appropriate detail to assist people with their medicines.

Governance systems were not always effective in driving improvement.

Feedback from people, staff and relatives confirmed the management were respected and led by example.

Staff told us that they felt their achievements were recognised and that they felt valued. Staff had a clear understanding of their roles and responsibilities.

People, their families and professionals told us they felt the service was safe. Staff had received safeguarding training and had their competency in this subject checked. They were aware of the types of abuse that could happen to people, what signs to look out for and their responsibilities for reporting any concerns.

The manager had a good understanding of their responsibilities to notify the CQC of important events that happened within the service. People and their families had been given information so that they knew what to expect from the service.

People who required assistance with their medicines were supported by appropriately skilled and qualified staff.

Staff received appropriate induction into their role and learning opportunities were made available.

Staff said they felt supported in their role. They told us they received regular supervision and appraisal.

Staffing levels met the needs of the people using the service. Staff had been recruited safely.

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 had good access to healthcare services.

People, their families and other professionals had been involved in an assessment before the service provided any support. The assessment had been used to create care and support plans that addressed people’s individual identified needs. Staff demonstrated a good understanding of the actions they needed to take to support people.

A complaints procedure was in place and people told us they were confident that concerns would be dealt with appropriately by management.

Staff were supported and encouraged to share ideas about how the service could be improved and had been pro-active in supporting changes. They spoke enthusiastically about the positive teamwork and support they received.

Rating at last inspection: The last rating for this service was requires improvement (published 20 June 2018). The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected: The service was inspected within our inspection timeframes.

Follow up: We found two breaches of the Health and Social Care Act 2008. You can see what action we have asked the provider to take at the end of this full report.

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning informa

Inspection areas

Safe

Requires improvement

Updated 20 August 2019

The service remains Requires Improvement.

See our detailed findings below.

Effective

Good

Updated 20 August 2019

The service improved to Good.

See our detailed findings below.

Caring

Good

Updated 20 August 2019

The service remains requires Good.

See our detailed findings below.

Responsive

Requires improvement

Updated 20 August 2019

The service remains Requires Improvement

See our detailed findings below.

Well-led

Requires improvement

Updated 20 August 2019

The service remains Requires Improvement

See our detailed findings below.