Background to this inspection
Updated
10 July 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak and to identify good practice we can share with other services.
Inspection team
Our inspection was conducted by an inspector, a bank inspector whose specialism is nursing and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Red House Care Home 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 did not have a manager registered with CQC. However, a new manager had been appointed in January 2021. The manager had submitted an application to become the registered manager and this was being assessed by CQC. Registered managers and providers are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
In planning our inspection, we reviewed information we had received about the service. This included information shared with us by other organisations including the local authority contract monitoring and adult safeguarding teams. We also reviewed notifications submitted to CQC. Notifications are events which happened in the service that the registered provider is required to tell us about.
During the inspection
We conducted our inspection between 5 and 20 May 2021.
During the inspection we spoke with the manager, the deputy manager, the housekeeper, the catering manager, two members of the care staff team, the activities coordinator and ten service users and relatives.
We reviewed a range of written records including nine people’s care file, two staff recruitment files and information relating to the auditing and monitoring of service provision. We also reviewed the information in the provider information return, which was submitted to us during the course of the inspection. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
After the inspection
We reviewed further information we had requested from the provider, including data relating to staff training and DoLS.
Updated
10 July 2021
About the service
Red House Care Home is registered to provide accommodation and support for up to 23 older people and people living with dementia. There were 18 people living in the home on the first day of our inspection.
People’s experience of using this service and what we found
A new manager had been in post for about four months and was working systematically to improve the service. The manager had an open leadership style and responded positively to our feedback. Staff understood the need for change and most were supportive of the manager’s approach.
Further improvement was required in a number of areas including notification of significant events; medicines management; deployment of staff; individual risk assessment and protection of people’s rights under the Mental Capacity Act (2005) and .
More positively, staff were kind and caring. Staff promoted people’s dignity, privacy and independence and people received food and drink that met their nutritional requirements. The care planning system was generally effective and staff understood people’s individual needs and preferences. A range of activities was organised to provide people with stimulation and occupation.
Training and supervision systems provided staff with the knowledge and skills they required to meet people’s needs. Staff recruitment was safe. Staff worked together in a mutually supportive way and liaised with a range of external health and social care agencies on behalf of the people in their care.
Systems were in place to ensure effective infection prevention and control and staff knew how to recognise and report any concerns to keep people safe from harm. Staff recruitment was safe.
A range of audits was in place to monitor the quality and safety of service provision. There was organisational learning from significant events and any complaints were managed effectively.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with CQC on 10 May 2019 and this is the first inspection.
The last rating for the service under the previous provider was Good, published on 13 April 20218.
Why we inspected
This was a planned inspection following a change of provider and re-registration of the service as a new legal entity.
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 discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified a breach of regulations in respect of the provider's failure to notify CQC of significant events.
Please see the action we have told the provider to take at the end of this report.
Follow up
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 information is received, we may inspect sooner.