This unannounced inspection took place on the 16 December 2014.
Redmond House provides accommodation for people requiring personal care. The service can accommodate up to 12 people. At the time of our inspection there were 12 people using the service. Redmond House provides care to younger people with a learning disability and some people have physical health needs.
There was a registered manager in post at the time of the inspection. 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.
There were not enough staff working at the service and this impacted on the care provided to people.
Medication procedures had been implemented to improve the management of medicines.
There were safeguarding systems in place to protect people from the risk of abuse.
The provider had a recruitment system in place and staff had received a Disclosure and Barring service (DBS) check. The DBS helps an employer make safer recruitment decisions and prevents unsuitable people from being employed.
There was a system of staff training and development in place; however this did not always ensure staff were suitably trained to meet people’s needs.
The registered manager and staff were aware of their responsibilities under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). The registered manager was in the process of submitting DoLS applications to the local authority for people who needed these safeguards.
People received a range of food and drinks. However relatives were concerned diets were not always well-balanced.
People had access to a range of health and social care services. However, sometimes there was a delay in making arrangements for medical appointments.
People’s privacy and dignity was not always respected.
People were not always supported to access the community or undertake activities of their choice.
The provider had a complaints system in place; however relative’s concerns were not always recorded to ensure complaints were dealt with appropriately.
The provider’s system of quality monitoring did not always identify concerns about the service.
There was a lack of formal systems to allow people and their relative’s to feedback about the service.
The management of the home had been through a period of instability and there had been a lack of leadership to ensure good care was provided at the service.
We found a number of breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010. You can see what action we told the provider to take at the back of the full version of the report.