Redholme Memory Care Limited

Redholme Memory Care Limited is a residential care home providing personal and nursing care to up to 55 people. At the time of our inspection there were 51 people using the service. The service provides support to older people who live with dementia. People are accommodated across three separate wings, each of which has separate adapted facilities.

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

Improvements were needed to ensure any shortfalls in the quality of care which could place people at risk were routinely identified through a more robust system of auditing and daily recorded checks. The registered manager needed to support the wider management team to fully understand their roles and responsibilities where tasks were devolved.

Areas of the service were tired in appearance and in need of refurbishment. Despite this, the home was visibly clean. A programme of refurbishment was planned and underway.

People spoke positively of the care they received at Redholme Memory Care Limited and they were supported by staff who knew them well. Support to people was delivered in a caring and patient manner. People were comfortable in the presence of staff and positive relationships had developed. There were enough staff on duty to meet people’s needs and staff told us they felt well supported.

People were 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.

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

Rating at last inspection

The last rating for this service was good (published 12 February 2020).

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 Redholme Memory Care Limited on our website at www.cqc.org.uk.

Enforcement

We have identified a breach in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Redholme Memory Care is a residential care home providing personal and nursing care to 52 people living with dementia at the time of the inspection. Redholme Memory Care can support up to 55 people across three separate wings, each of which has separate adapted facilities.

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

Medication was managed safely for the majority however we identified issues with recording. This had already been identified in an external audit and the provider had planned actions in place.

Care plans and risk assessments were in place that reflected the needs of the people, however we identified that due to the provider transitioning to electronic records, the information was at times difficult to locate. This was in the process of being dealt with at the time of inspection.

We observed care being delivered in the home and saw that this was done in a caring and patient manner. We saw that people were comfortable in the presence of staff and positive relationships had developed between people receiving support, relatives and care staff. Visitors told us staff were kind and treated their relatives with dignity and respect.

People were 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.

Staff were recruited safely and received regular training, supervisions, meetings and had regular practice checks. Staff we spoke to said that they felt well supported.

Complaints, accidents and incidents were managed appropriately, and referrals were made to other professionals in a timely manner when people living in the home were in need. Each person and visitor we spoke with had not complaints and were very happy with the service being delivered.

People were able to choose, and access meaningful activities that were person-centred. The feed back received regarding the food being provided was all positive and people’s dietary needs were catered for.

The provider and management team had a range of audits in place that helped drive improvement and ensure quality service for people living in the home.

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

Rating at last inspection: The last rating for this service was good (published 28 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Redholme Memory Care had a registered manager in post. 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.

People who lived at the home were protected from the risk of potential abuse because staff had undertaken safeguarding training to recognise and respond to potential signs of abuse. Staff showed that they had a good understanding of what safeguarding meant and how to report it. We saw there were policies and procedures in place to guide staff in relation to safeguarding adults.

We found that the Mental Capacity Act 2005 and the Deprivation of Liberty (DoLS) 2009 legislation had been followed. The provider told us that DoLS applications had been submitted to the Local Authorities for some people

Staff were recruited safely and the staff had been supervised and appraised. The registered nurses had the appropriate checks regarding their registration with the Nursing and Midwifery Council. We found that staff were appropriately skilled and trained to meet people’s needs effectively. We found that staff completed an induction prior to starting work in the service.

Redholme Memory Care offered a wide range of both group and individual activities that were seen to be meaningful to the people who lived in the home and which had a positive impact on their lives. They were taken to activities outside the home and encouraged to keep family connections with open visiting, relatives felt they could visit at any time.

The staff in the home knew the people they were supporting and the care they needed. We observed staff to be kind and respectful. Staff told us that the home was well led and staff told us that they felt well supported in their roles. The registered manager had a visible presence in and about the home and it was obvious that they knew the people who lived in the home extremely well. Learning was shared from within and outside the organisation and community contacts had been established.

People had access to sufficient quantities of nutritious food and drink throughout the day and were given suitable menu choices at each mealtime and the feedback received throughout the inspection was all positive.

Care records, risk assessments, staff records and other documents relating to the running of the home, were well-kept and up-to-date. Each person living at the home had a personalised care plan and risk assessment. However, the care plans were going through an auditing process at the time of inspection and so there was some recording issues identified.

The registered manager regularly checked the quality of care at the home through audits and we saw that infection control standards in the home were monitored and managed appropriately.

People who used the service and relatives told us they felt the care provided at the home was of a good standard. People felt confident to approach staff or the manager if they had any concerns and they felt their concerns would be listened to and addressed.

The manager and staff were aware of their roles and responsibilities to safeguard people who used the service against abuse. Systems were in place to report safeguarding concerns and these had been used appropriately.

Staff did not start working at the home until all pre-employment checks had been carried out. This was aimed to ensure people who used the service received care and support from people who were appropriately skilled and experienced.

Staff were well supported in their roles and responsibilities. Staff had undergone regular training and supervision and they felt well supported by their colleagues and the manager of the service.

We observed that medication was stored appropriately and securely and that processes were in place to identify who was responsible for administering medication at any given time. Medication management is monitored regularly by a local pharmacist and safe procedures were in place for disposal of medication no longer required. All actions were recorded. People were supported and cared for by staff who had been recruited through a rigorous process to ensure they were suitable for the role. Staff underwent a thorough induction process and attended annual staff development reviews which ensured people received safe and appropriate care. Redholme Memory Care had systems in place which ensured that any complaints were both listened to and acted upon within a given time-scale. We observed within company policies that a formal complaints procedure was in place to handle any complaints that were received.