Background to this inspection
Updated
29 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector and one inspection manager.
Service and service type:
Redstone House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was unannounced.
What we did:
Prior to this inspection we reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. This enabled us to ensure we were addressing potential areas of concern at our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make.
As part of our inspection we observed staff interactions with four people who lived at the home and observed the care and support provided to people. We also spoke with the registered manager and one staff member. We reviewed a range of documents about people's care and how the home was managed. We looked at two care plans, staff files and appraisals, medication administration records, risk assessments, complaints records, policies and procedures and internal audits that.
Following the inspection, we spoke with one relative, an advocate and two further members of staff.
Updated
29 June 2019
About the service:
Redstone House is a residential care home providing care for people with learning disabilities. Redstone House is registered for eight people. Redstone House was providing personal care to six people aged between 50 and 80 years at the time of the inspection.
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
People’s experience of using this service:
The people at Redstone House were unable to verbally communicate how they felt about the service. People did appear happy and relaxed in their home and in the company of staff. Their relatives and advocates told us people felt safe living at Redstone House. Risks to people’s safety had been assessed and measures implemented to keep them safe. A positive approach to risk taking was followed to ensure people’s independence was maintained.
Staff were aware of their responsibilities in safeguarding people from abuse and had developed open and trusting relationships with people.
Staff had received training and support from healthcare professionals with regards to people’s individual health needs. This had enabled staff to provide people with individualised support in these areas. People’s family and advocates told us they enjoyed their food and were offered choices in how they spent their time.
People’s relatives and advocates told us that staff were caring and treated them with respect. Staff had worked at the service for many years and positive relationships had developed between people. There was a warm and homely atmosphere and people were clearly comfortable living at Redstone House.
People received a personalised service and were involved in developing their care plans. Staff knew people’s life histories, preferences and routines. Activities were based around people’s choices and people were supported to take part in the running of their home.
There was a positive culture within the service where people, staff and relatives felt listened to. The registered manager felt supported by the provider and this flowed through the service. Quality assurance systems were in place which ensured high standards were maintained.
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 supported this practice.
Rating at last inspection:
The rating at the last inspection was Good. The report of the last inspection was published on 16 December 2016.
Why we inspected: This was a planned comprehensive inspection to confirm the service remained Good.
Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk