Background to this inspection
Updated
17 April 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. We planned this inspection 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
One inspector and an expert by experience carried out the inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Our expert by experience’s area of expertise was the care and support of people with mental health needs.
Service and service type
Radnor House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and we looked at both 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
We carried out the inspection visit on 28 March 2019. It was unannounced.
What we did
Before the inspection visit we looked at information we held about the home and used this information as part of our inspection planning. The information included notifications. Notifications are information on important events that happen in the home that the provider must let us know about.
During our inspection we saw how the staff interacted with people who lived at Radnor House. We spoke with eight people using the service and one relative. We also spoke with the registered manager, the two deputy managers, a senior care worker, four care workers, the activity co-ordinator, and the cook.
We looked at two people’s care records as well as other records relating to the management of the home.
Updated
17 April 2019
About the service
Radnor House provides accommodation and care for up to 29 people who have mental health needs. On the day of our inspection visit there were 27 people using the service.
People’s experience of using this service
¿ People said Radnor House was a safe place to live because the staff were kind and reassuring and the building secure. Staff knew how to keep people safe and who to report any concerns to. The home was well-staffed to ensure people’s needs were met.
¿ People and staff got on well with each other and the home had a happy, family atmosphere. People told us staff were caring, kind, and always willing to listen. Both they and the staff felt valued by the registered manager who people said was approachable, listened to them, and made changes to the home where necessary.
¿ The home was multicultural, reflecting the local area, with a multicultural staff team. Staff ensured people language, dietary, and religious needs were met and supported them with their chosen lifestyles and preferences. Staff were well-trained and knowledgeable about people’s mental health and other needs.
¿ The cook provided meals to meet people’s cultural needs and preferences including English, Caribbean, Asian, halal, and vegetarian. People told us they enjoyed the food served and commented on how much variation and choice there was.
¿ People had personalised care plans telling staff how they wanted their needs met. People’ medical needs were addressed by a range of community health care professionals and staff accompanied them to healthcare appointments if they wanted someone with them. Staff sought people’s consent before providing them with care support.
¿ People had access to a range of individual and group activities and used local community facilities. The premises were clean, comfortable and spacious with a large garden, four lounges. and a dining room. People said they felt safe spending time there, and they also enjoyed going out on their own or with staff.
¿ The home’s quality assurance system helped to ensure the registered manager and staff continued to provide high-quality care. Action plans showed their commitment to continual improvement at the home based on the needs and wishes of the people using the service.
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 we rated this service Good (report published on 3 April 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.