Redworth

Updated 21 December 2022

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.

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

The inspection was carried out by 1 inspector, a medicines inspector 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

Redworth 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. Redworth is a care home with 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 since the last inspection. 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.

We also used information gathered as part of monitoring activity that took place on 29 September 2022 to help plan the inspection and inform our judgements.

During the inspection

We spoke with 6 people who used the service and 5 relatives about their experience of the care provided. We spoke with 9 members of staff including the regional manager, registered manager, deputy manager, nurses, senior care workers and care workers. We also spoke with 2 external professionals who regularly visited the service.

We reviewed a range of records. This included 7 people’s care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 21 December 2022

About the service

Redworth is a residential care home providing personal and nursing care to up to 57 people. The service provides support to adults, some of whom are living with dementia. At the time of our inspection there were 53 people using the service.

Redworth accommodates people across four separate wings, each had their own adapted facilities. One of the wings provided intermediate/short term care to support people to regain independence following a period of illness, hospital admission or following an accident.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

At the time of the inspection, the location did not care or support for anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Medicines were administered and stored safely. However, medicines records were not always completed correctly. The provider had systems and processes in place to protect people from the risk of abuse and ensure people were safe. Where people were at risk there were suitable plans in place to inform staff how to manage these risks. The registered manager ensured all necessary checks and tests were carried out to make sure the building was safe. Appropriate precautions were taken to minimise the risk of infection and the home was clean and tidy. There were enough staff to meet people’s needs and new staff were recruited safely.

The registered manager conducted regular quality checks and when issues were identified work was done to rectify them. People we spoke with felt they were involved in the service. Staff felt well supported with regular meetings, supervision and annual appraisal. People had detailed care plans in place and care was delivered in a way which took into consideration people’s individual likes and dislikes. A wide variety of activities meant people were able to have a full and enjoyable life whilst at Redworth. The registered manager and staff liaised with external professionals to ensure people had access to the support they needed.

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.

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 requires improvement (published 27 August 2020) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced inspection of this service on 28 July 2020. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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

Recommendations

We have made a recommendation about the management of medicines.

Follow up

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