Background to this inspection
Updated
15 December 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 team consisted of 1 inspector.
Service and service type
Randall 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. Randall 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. However, they were not available during our inspection.
Notice of inspection
The inspection was unannounced
What we did before the inspection
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.
During the inspection
During the inspection we spoke with 4 people who lived in the home about their experience of the care provided, 2 family members, 2 directors, the assistant manager and 2 support workers. We reviewed a range of records. This included 3 people's care and medicines records. We looked at 3 staff files in relation to recruitment and staff supervision, and a variety of records relating to the management of the home, including policies and procedures were reviewed.
Updated
15 December 2023
About the service
Randall House is a residential care home providing personal care to up to 5 people. The service provides support to people who have mental health needs. At the time of our inspection there were 4 people using the service.
People’s experience of the service and what we found:
Risks were assessed, managed and monitored to keep people safe from harm. Medicines were managed safely. Systems and processes in place protected people from the risk of abuse and neglect. The provider ensured enough suitably trained staff were always deployed to safely meet people's needs. We were assured that the provider's infection prevention and control policy was up to date. Lessons were learnt when things went wrong.
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.
The provider had effective oversight of the home. Staff referred to health and social care professionals and implemented their advice into care plans in order to improve outcomes for people. The provider understood their responsibility to be open and honest with people and acted when things went wrong.
The provider had quality assurance systems to monitor the quality and safety of the home. The home regularly sought feedback from people, their relatives and staff.
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 2 December 2020).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Randall House 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.