5 April 2023
During a routine inspection
The Red House Care Home provides accommodation for people who require nursing or personal care. People may be older, living with dementia and may have physical disabilities. The care home is registered to provide care for up to 60 people across two buildings. Each building provides accommodation over two floors. There were 34 people living at the service at the time of this inspection.
People’s experience of using this service and what we found
We found improvements had been made since the last inspection, however, further oversight in specific areas is required. At this inspection we found improvements were still required to ensure peoples’ supplementary charts, to support health and wellbeing, were consistently completed. Furthermore, some peoples’ records provided contradictory information for example, one person’s wound was graded differently within the care records. We identified some risks around safety, use of pressure relieving equipment, and completion of food intake records Some effective audits were in place; however, these required embedding, and further development, to ensure responsive action is taken outside of inspection processes.
We have recommended that the provider ensure that an effective system in place to ensure information is reviewed and kept accurate to enable staff to have all the required information to keep people safe at all times.
People living in the service and their relatives were all positive about the standard of care provided at The Red House Care Home. Comments included, “There has been much improvement and I have no complaints about the care.” “I am really happy and lucky to be here.” And “I don’t think anything could be done any better.”
People were kept safe and were confident any concerns they raised would be listened to. Staff understood how to safeguard people. People were cared for and supported by staff who knew how to manage risks they might face.
The premises was hygienically clean, and staff followed current best practice guidelines regarding the prevention and control of infection. Medicines systems were well-organised, and people received their medicine as prescribed. Protocols for medicines ‘when required’ needed additional information to give the action for staff to take prior to the administration.
There were enough staff to support the needs of people. The provider had followed safe recruitment practices. Staff had the right levels of training, support, and experience to deliver effective care and meet the needs of people living at the service.
People had access to a wide variety of food and drink that met their dietary needs and wishes. Improvements were required to the food charts to show the exact quantities people consumed to ensure effective monitoring and support was provided. People were helped to stay healthy and well.
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. Although some terminology in the records was not always respectful or dignified.
Most Staff treated people with respect and dignity and upheld their right to privacy. People were encouraged and supported to maintain their independence. People were encouraged to make decisions about the care and support they received and had their choices respected.
Person-centred care plans were in place, which enabled staff to understand and meet their needs and expressed wishes and preferences. Staff ensured they communicated and shared information with people in a way they could easily understand.
People were supported to participate in meaningful recreational and leisure activities that reflected their social interests. People's concerns and complaints were well-managed, and the provider recognised the importance of learning lessons when things went wrong. One relative told us, “I think the meetings are productive. They have asked for feedback, and you can just speak up when you are here.” People, their relatives and staff working in the service were all complimentary about the way the service was managed. People and their relatives told us how approachable the staff all were.
Plans were in place to help people nearing the end of their life receive compassionate care in accordance with their needs and expressed wishes. The provider promoted an open and inclusive culture which sought the views of people living at the service, their relatives, community health and social care professionals and staff working there. The provider worked in close partnership with various community health and social care professionals and agencies to plan and deliver people's packages of care and support.
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 inadequate (published 24 October 2022) and there were breaches of regulation. At this inspection we found improvements had been made, and the provider was no longer in breach of all regulations identified at the last inspection. However, a continued breach of 1 regulation was found.
This service has been in Special Measures since 24 October 2022. During this inspection the provider demonstrated that improvements have 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 inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from inadequate to requires improvement based on the findings of this inspection.
Enforcement and Recommendations
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 monitor the service and will take further action if needed.
We have identified a continued breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.