Redroof House

Updated 15 August 2018

We carried out this comprehensive inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the 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.

This inspection site visit took place on 5 June 2018 and it was announced. We gave the service 48 hours’ notice of the inspection because it is small and the registered manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in. The inspection was undertaken by one inspector.

Before the inspection we reviewed the Provider Information Return (PIR) the registered manager had sent to us. This is information we require providers to send us at least annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the other information such as notifications we held about the service and the provider. A notification is information about important events the provider is required to send to us by law. We also reviewed the monitoring report we received from the local authority.

During the inspection we spoke with two people who use the service, the registered manager, deputy manager, community support worker for one person and two support workers. We spent time observing how people were supported. We looked at care records and medicine administration records for four people. We reviewed three staff recruitment, training and supervision records. We also checked records relating to the management of the service including quality audits and health and safety management.

Updated 15 August 2018

This inspection took place on 5 June and was announced. Redroof House provides care and support to people living in ‘supported living’ settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. At the time of our inspection, five people were using the service.

At our last inspection in January 2017 we found three breaches of regulations of the Health and Social Care Act 2008 (Regulated Activities) 2014. These related to staff knowledge of the Mental Capacity Act 2005, governance of the service and failure to notify CQC of relevant incidents. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Redroof House’ on our website at www.cqc.org.uk. The provider sent us an action plan on how they would meet these regulations. At this inspection we found the provider had made the required improvement and now complied with the regulations.

There was a Registered Manager in place. A Registered Manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff and the registered manager understood their roles and responsibilities under the Mental Capacity Act (MCA) 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People consented to their care before they were delivered.

The registered manager and provider carried out various checks to assess the quality of care provided to people. Actions were put in place to address areas of concerns identified. The registered manager submitted notifications to us as required. The provider worked in partnership with other organisations to improve the service.

Staff were trained to safeguard people from abuse. They knew the signs to recognise abuse and the procedure to report any concerns. Staff told us they would whistle-blow if needed to protect people. There were sufficient staff available to support people with their needs. Recruitment checks were carried out to ensure staff recruited were suitable to work with people.

Risks to people were identified and management plans developed to lessen harm to them. People received support to take their medicines as prescribed and the management of medicines was safe. Staff knew how to report incidents and accidents and records of these were maintained. Actions were put in place to reduce reoccurrence. Staff were trained and followed good infection control procedures.

People’s care needs were identified through assessment process. Individual support plans were developed on how identified needs would be met. Staff supported people to meet their needs, develop new skills, and achieve their goals. People were supported with activities that they enjoyed. People were supported to maintain relationships that mattered to them.

Staff were supported through an induction, supervision, appraisal and training to provide an effective support to people. Staff supported people to meet their nutritional needs and to access health and social care services to maintain good health. The provider ensured people’s support was well coordinated with other services and professionals.

People told us that staff treated them with compassion, kindness and respected their privacy and dignity. People were involved in planning their care and support. Staff respected their decisions and choices. People were encouraged to maintain their independence as much as possible. The service promoted people’s religious beliefs and culture and supported them to maintain these. Staff supported people to keep in contact with their family and friends.

People and their relatives knew how to complain about the service should they need to. Staff told us they received the direction and leadership they needed from the registered manager and service managers.