Randolph House Care Home

Updated 11 October 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors 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. An Expert by Experience also made calls to relatives.

Service and service type

Randolph House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Randolph House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 14 relatives to ask about their experience of care provided. We also spoke with the nominated individual, the registered manager, the deputy manager, the care navigator, the housekeeper, 8 members of staff and 2 visiting healthcare professionals. We looked at 4 care files along with a range of medication administration records (MARs). We looked at other records relating to the management of the service including recruitment, staff training and supervision, and systems for monitoring quality. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 11 October 2023

About the service

Randolph House is a care home providing personal care to up 56 people. The service provides support to older people some of whom may be living with dementia and younger adults. At the time of our inspection there were 41 people using the service.

People’s experience of using this service and what we found

People were safe. The service had effective safeguarding systems in place and there was a consistent approach to safeguarding. Staff had received safeguarding training and knew how to recognise abuse and report it.

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.

Care plans and risk assessments were person centred and staff were aware of risks to people’s wellbeing and how to manage them. Assessments of people’s needs were completed and regularly reviewed and updated. Referrals to external healthcare services were made to ensure people’s needs were met.

There was enough competent staff on duty. Recruitment systems were robust and ensured the right staff were recruited to keep people safe. Staff worked collaboratively across services to understand and meet people’s needs.

Medicines were managed consistently and safely. Medicines were stored correctly and disposed of safely. Staff had received training in medicine administration and their competencies were regularly assessed.

The service managed the control and prevention of infections well. Staff were trained and understood their responsibilities in maintaining high standards of cleanliness. Decorations and adaptations to the premises supported people to be as independent as possible.

People had genuine choice and access to sufficient food and drink. The dining environment was pleasant, and food was well presented.

The service was well-led. The provider had clear and effective governance systems in place that identified and managed risks through audits and action plans. The registered manager promoted a person-centred culture within the service.

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 good (published 22 December 2022)

Why we inspected

We received concerns in relation to the providers adherence to the Mental Capacity Act 2005. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe. Effective and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Randolph House Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.