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Red Rose Care Community Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 July 2019

About the service: Red Rose Care Community is a care home that provides personal care for up to 65 people. The home is split into three areas, Serenity which support people with health and nursing needs, Memory which supports people who are living with dementia, and, Castle which support people who have needs associated with growing older. At the time of the inspection 31 people lived at the home. Due to concerns identified at our August 2018 inspection, we took action to restrict admissions to the home. This remained in place at the time of this inspection.

People’s experience of using this service: People were placed at risk of harm as risks associated with their care and support were not always managed safely. Opportunities to learn from incidents had been missed which meant people may have been exposed to the risk of harm. Although people told us they felt safe, action had not always been taken to protect people from improper treatment and abuse. The home was clean and hygienic; however, infection control procedures were not followed by all staff. Overall there were enough staff and safe recruitment practices were followed.

Staff required more effective training and support to enable them to provide high quality care. Although people were supported to have maximum choice and control of their lives, staff did not support them in the least restrictive way possible; the policies and systems in the service did not support this practice. Mealtimes were positive experiences; however, more work was needed to ensure risks were managed safely. People had access to a range of health care professionals. The home was adapted to meet people’s needs.

People’s right to privacy and to be treated with dignity were not always upheld. People told us staff were kind and caring. However, staff did not all read care plans which placed people at risk of inconsistent support. There was an inconsistent approach to involving people in decisions about their care and support. People were supported to be as independent as possible.

People did not always receive personalised care that met their needs. People were not consistently provided with opportunity for meaningful activity. People were supported to raise issues and concerns and there were systems in place to respond to complaints. People and their families were given an opportunity to discuss their wishes for the end of their lives and they were provided with compassionate care in their last days of life.

Systems to ensure the safety and quality of the service were not fully effective. This failure to identify and address issues had a negative impact on the quality of the service provided. The management team were responsive to feedback and took action to address issues identified. Feedback from people, families and staff was used to drive improvement. There was positive partnership working with health professionals.

The service met the characteristics of Requires Improvement in all areas. For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Inadequate (report published on 8 January 2019). At the last inspection in August 2018, we asked the provider to take action to make improvements in relation to promoting dignity and respect, providing person centred care, risk management, staffing and governance and leadership. At this inspection, enough improvement had not been made and the provider was still in breach of regulations.

This service has been in Special Measures since our inspection in August 2018. During this inspection the provider demonstrated that some improvements had been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Enforcement: We have identified breaches in relation to person centred care, safeguarding, saf

Inspection areas

Safe

Requires improvement

Updated 27 July 2019

The service was not consistently safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 27 July 2019

The service was not consistently effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 27 July 2019

The service was not consistently caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 27 July 2019

The service was not consistently responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 July 2019

The service was not consistently well-led

Details are in our Well-Led findings below.