27 June 2022
During an inspection looking at part of the service
Red Court Care Community provides accommodation, nursing and personal care for up to 49 people, some of whom may be living with dementia, physical disabilities and sensory impairments. People were accommodated on the ground floor across two units. At the time of the inspection there were 45 people living at the service.
People’s experience of using this service and what we found
The risks to people’s safety were not robustly assessed. The risk assessments did not contain enough information about people’s needs. The systems and processes in place to safeguard people from neglect or poor care were not always used effectively by staff. Incidents and accidents were not always reported on.
The quality monitoring processes in place to review and analyse information both in people’s care plans and incidents and accidents records were not effective, putting people at continued risk of harm.
There was not always a positive culture of person-centred care promoted at the service.
Staff undertook safe practices when administering medicines and there was enough staff to meet people’s needs. There had been improvements to the environment and how this was monitored
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 6 April 2022) and there were breaches of regulation. A warning notice was issued to the provider and registered manager. At this inspection we found some improvements had been made and the provider was no longer in breach of one of these regulations. However, they have remained in breach of two regulations.
The last rating for this service was requires improvement (published 6 April 2022). The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Red Court Community on our website at www.cqc.org.uk.
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 breaches in relation to safe care and treatment, safeguarding people for abuse and improper treatment, as well as oversight and management of the service 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.