Background to this inspection
Updated
4 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. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
This inspection was carried out by one inspector and one inspection manager.
Service and service type
Redesdale Court 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.
At the time of our inspection the manager had applied to be registered manager with the Care Quality Commission. Their application was successful shortly after our inspection visit. 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 before the inspection
We reviewed information we had received about the service from the provider since the last inspection, such as serious injuries. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We sought feedback from the local authority, Healthwatch and three GPs who regularly visited the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with seven members of staff including the provider’s regional manager, the manager, administration manager, senior care workers and care workers. Some people who used the service could not verbally communicate their experience of the care they received. 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 reviewed a range of records. This included four people’s care records and medication records. We looked at records relating to the management of the service and a variety of policies and procedures developed and implemented by the provider during and after the inspection.
After the inspection
We asked the provider to send us some additional information to corroborate the evidence we had found.
Updated
4 June 2019
About the service
Redesdale Court is a residential care home which provides nursing and personal care to up to 53 older people, including people living with dementia. 52 people were receiving care at the time of our inspection. One of the units of the home is an NHS consultant led facility where people are accommodated on a short-term basis for respite and rehabilitation care, usually following a hospital stay.
People’s experience of using this service and what we found
Staff were extremely caring. People and relatives were able to give numerous examples about how staff went “above and beyond" to meet people's needs. People were valued. Staff were highly motivated and committed; they appreciated people’s individual skills, attributes and personalities. They encouraged people’s independence and celebrated their achievements.
People, relatives and staff were clearly very proud of the home. Feedback about the home was consistently positive. We heard from a number of people and relatives how lucky they felt to have found the home. People, relatives and staff were invested in the home. They told us how well the service was delivered and how involved they were in running the service.
The service’s vision and values were person-centred to make sure people were at the heart of the service. This vision was driven by the exceptional leadership and high standards of the provider and manager. Robust systems to monitor the service were in place so the provider could be assured that people were receiving high quality care. The manager was committed to empowering staff. The service had excellent links with the local community and used these to enhance the lives of the people who used the service.
There was lots for people to do. There was a program of activities inside and outside of the home and people could take part in independent crafts whenever they wanted to. Staff had found professional companies to provide reminiscence activities based on people’s personal histories and the local area.
People told us they felt safe. The home was well maintained. There were enough staff to meet people’s needs and medicines were well managed. The home was clean.
Staff were well trained for their role. People’s care was planned and delivered to meet their individual needs. The home was well designed to enable people to be as independent as possible.
People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible; 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
At the last inspection the service was rated outstanding (published 17 August 2016).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.