Background to this inspection
Updated
13 May 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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 unannounced inspection took place on 10 February 2016. The inspection team consisted of two inspectors.
Prior to our inspection we reviewed information we held about the service. This included previous inspection reports, information received and statutory notifications. A notification is information about important events the provider is required to send us this by law. We contacted commissioners (who fund the care for some people) of the service and asked them for their views.
During the inspection we spoke with five people who were living at the service and three people who were visiting their relations. We attended a resident and relatives’ meeting with ten relatives and nine people who lived at the home. We spoke with one visiting health professional, five members of staff and the manager. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We looked at the care records of four people who used the service and four staff files and a range of records relating to the running of the service. These included audits carried out by the manager.
Updated
13 May 2016
We performed this unannounced inspection on 10 February 2016. Red Roofs care home is run and managed by Margaret Jean Daniels, Red Roofs Healthcare Group. The service provides accommodation and personal care for up to 30 people. On the day of our inspection 29 people were using the service.
At the time of our inspection the service had not had a registered manager in place since November 2015. 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 and associated Regulations about how the service is run. The manager in post was in the process of applying for registration with us.
Staffing levels at particular times in the day were not always sufficient to support people’s needs. Some information in some people’s care plans was incomplete this had the potential to impact on the care people received.
People were protected from the risk of abuse and staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The manager shared information with the local authority when needed.
People received their medicines as prescribed and the management of medicines was safe.
People were encouraged to make independent decisions and staff were aware of legislation to protect people who lacked capacity when decisions were made in their best interests. We also found staff were aware of and worked within the principles of the Mental Capacity Act 2005 (MCA) and had not deprived people of their liberty without applying for the required authorisation.
People were protected from the risks of inadequate nutrition. Specialist diets were provided if needed. Referrals were made to health care professionals when needed.
People were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate manner. They, or their representatives, were encouraged to contribute to the planning of their care.
People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of service provision. People also felt they could report any concerns to the management team and felt they would be taken seriously.