Redbourne

Updated 24 August 2022

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 checked 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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

One inspector carried out the inspection. An Expert by Experience also spoke to relatives by telephone. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Redbourne is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Redbourne is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we have received about the service. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

We spoke with three people who use the service and four relatives to ask about their experience of the care provided. We also spoke with the registered manager, the deputy manager, the maintenance assistant, the cook, five members of staff and three professionals. We looked at two care files along with a range of medication administration records (MAR). We looked at other records relating to the management of the service including recruitment, staff training and supervision, and systems for monitoring quality.

Updated 24 August 2022

About the service

Redbourne is a residential care home providing personal and nursing care for up to 13 people. At the time of our inspection there were 11 people using the service. Six people with a learning disability and five people with mental health needs? The care home is in a large building based across two floors each of which has shared bathrooms and toilet facilities.

People’s experience of using this service and what we found

Redbourne was homely and inviting and placed people at the centre of care. The service requires some minor repairs and decorating; however, the provider was extremely responsive to this and assured us they would begin the work in June 2022. The registered manager and staff had an excellent understanding of the people they care for and were passionate about delivering care in the least restrictive way.

The service was exceptionally well led and organised. Staff were extremely well motivated and positive about the service. Staff told us “We are a really good team” and “We are open and honest with each other and the atmosphere is good.” The registered manager was without exception caring and open about the service and his relationship with staff was built on trust and mutual respect. Positive working relationships had been formed with external professionals.

People told us they were tremendously happy at Redbourne and comments from professionals and relatives were very positive. Innovative steps have been taken by the service to support and promote people’s communication skills. Relationships between people and their relatives have been extremely well supported.

Feedback about the registered manager was extremely positive and staff felt very well supported. People, relatives, staff and professionals told us, “[Registered Manager]is brilliant and so supportive”, “he responds well to anything we tell him”, [name] is the boss, he is nice we like him” and “I have been nothing but impressed with the responsiveness of the manager.”

The registered manager had excellent systems and processes within the service to improve patient care, these involved people and staff at all levels to achieve extremely high standards of care.

Staff were amazingly kind and caring and respected and valued the people they cared for. One staff member told us “We just want to do our best for the people that live here and make sure they enjoy life.” Advocates were exceptionally visible within the service and people knew them very well and had a very good understanding of their role.

People received exceptionally personalised care and support specific to their needs and preferences. This had been particularly effective in supporting people to achieve their goals and aspirations, this supported people to become more confident in developing skills that would enrich their lives.

Medicines were managed safely, and people were protected from avoidable harm by staff that knew them remarkably well. There was enough staff to meet people’s needs and provide one to one support when necessary. Staff were recruited in a safe way.

Staff received training, supervision and appraisals to support them in providing personalised care and were encouraged and supported to learn and develop within their role. Staff champions were identified to promote health, wellbeing and safety within the service. Accidents and incidents were reviewed by the registered manager and lessons were learnt when things went wrong.

Other professionals were involved in planning care and staff were extremely supportive in ensuring people’s healthcare needs were met. Capacity assessments were embedded with individual care plans and staff had a very good understanding of the mental capacity act 2005 (MCA). Managers and staff always acted in people’s best interests.

People were very well 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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. The service maximised people’s choice and promoted their independence through the model of care they promoted. The care was extremely person centred and promoted people’s dignity, privacy and human rights. The leadership of the service had achieved a service that was outstandingly effective and responsive. The service was dedicated to ensuring continuous quality improvement to make a real difference to people’s lives. People’s life’s were empowered and they were supported to achieve their aspirations which led to extremely positive outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 30 November 2020 and this is the first inspection.

The last rating for the service under the previous provider was good published on 01 February 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Redbourne on our website at www.cqc.org.uk.