Background to this inspection
Updated
9 March 2019
Background to this inspection
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by an inspector.
Service and service type: Redbank House is a ‘care home’. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means 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: The inspection was announced. We gave the registered manager 24 hours’ notice of our inspection because the service is small and the registered manager and staff are often out supporting people. We needed to be sure that they would be in.
What we did: Before the inspection we reviewed information we held about the service such as notifications. These are events which happened in the service that the provider is required to tell us about. We viewed information the provider is required to send us at least annually that provides some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the local authority who monitor the care and support people receive. We used all this information to plan our inspection.
During the inspection we spoke with two people living there and one visitor. We also spoke with the registered manager, the deputy manager and two support workers.
We observed support being provided in the communal areas of the service. We reviewed a range of records about people’s care and how the service was managed. This included three people’s care records. We also looked at associated documents including risk assessments and a sample of medicine records. We looked at records of meetings, staff training records and the recruitment checks carried out for one support worker. A sample of the provider’s quality assurance audits the management team had completed were also checked.
After the inspection visit the registered manager provided us with further examples of how people had achieved outstanding outcomes in their lives.
Updated
9 March 2019
What life is like for people using this service:
People using this service consistently experienced outstanding caring from a well led service. People consistently told us how they were treated with exceptional kindness, compassion and respect. We received overwhelmingly positive feedback on how staff were supportive and went the extra mile to get care just right for people. A person told us, “I want to praise the staff. They have done wonderfully hard work looking after us.”
People and relatives told us they felt very fortunate to have found a service that specialised in supporting people living with Prader-Willi Syndrome (PWS). A relative told us, “They fully understand [person’s] behaviour and allow them as much time as they need. It’s the best care they’ve ever had. It’s just so wonderful and lovely. I would rate it outstanding.” A person told us, “One of the best things is living with [other] people who have PWS.”
People were truly placed at the centre of the service and were involved in decisions about their care to an extent that they achieved outstanding and transformative outcomes in their lives.
Raising people's confidence, self-esteem and self-belief was at the heart of the service’s culture and values. It is embedded in everything that the service and its staff do. As a result people achieved outstanding outcomes that exceeded anything they had thought possible. A relative told us, “[Person] was merely existing before they came here, now they have their life back.” A staff member told us, “We are driven by our belief that there can be a future for people living with PWS.”
People were respected, listened to and influential. They were involved in recruiting staff. A person had become a spokes person for the wider community of people living with PWS.
People received exceptionally personalised care and support specific to their needs and preferences. The training staff received was structured around people's individual needs. Each person was respected as an individual, with their own social and cultural diversity, values and beliefs. People had their human rights upheld.
The service continued to have a good track record and had become an exemplar service for people living with PWS. The service was highly in demand and a place where people wanted to work. The service remained at the heart of the local community with strong community links. It was affiliated to a number of regional, national and international organisations specialising in research and support for people living with PWS.
Staff were highly motivated by what people had achieved with their support and this drove them to support people to continually expand their horizons. A staff member said, “Staff at all levels have been amazing, they have tremendous knowledge about the people.” There were high levels of satisfaction across all staff.
There was a particularly strong emphasis on continuous improvement and supporting people to overcome the many challenges of living with PWS.
More information can be found in the detailed findings below
Rating at last inspection: Good (report published 12 July 2016)
About the service: Redbank House is a residential care home that provides personal care and support to up to eight people living with a learning disability. At the time of the inspection eight people were using the service.
Why we inspected: This was a planned inspection based on the rating at the last inspection.