The RedHouse Care Home

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• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed 2 quality statements in the effective key question. The scores for these areas have been combined with scores based on the rating from the last inspection, which was good. Our rating for the key question remains good. People confirmed they were supported to remain active and healthy. One person told us, “It’s lovely here. On a Monday afternoon, we do our exercises. I do them in my bed too.” People confirmed they were supported to access healthcare services and professionals as they needed. Relatives confirmed people were supported to access the support they needed and were being supported to achieve positive outcomes. One relative told us, “It’s all very good here. Gran had deteriorated at home. She didn’t do anything and was losing weight as she wasn’t eating. Now she’s just getting better and better. She’s eating now.” Staff were able to describe how they promoted, encouraged and supported healthier lives for people. People confirmed their needs had been assessed and professionals confirmed people were involved in reviews and meetings about their care. The provider had systems and processes in place to enable them to identify and respond to changes in people’s health and wellbeing in a timely manner. Although people's care plans and risk assessments were not always detailed and personalised, staff were able to demonstrate they knew people well and understood people's needs.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People confirmed their needs had been assessed and that retaining independence and autonomy over their care was important to them. People gave us examples of how they had been listened and their preferences and choices respected by the provider. One person told us, “If you don’t like something, they’ll change it for you.” We spoke to people who told us they preferred to be as independent as possible and took the lead on their care and how they were supported. Professionals confirmed people were involved in reviews and meetings about their care. One professional told us, “Patient is always involved and management always keen for patient and relatives and advocate to be involved.” Another professional told us, “I'm very impressed with the home from a mental health perspective; it is probably the most innovative home I've been involved in, their dementia knowledge is second to none, their care is excellent, the home communicates with me whenever they have a problem; really clear with their communication with me. I particularly like, their focus isn't on medication; they like to use therapeutic skills and approaches as opposed to rely on antipsychotic meds which is refreshing as you don't tend to see that.”

Staff were able to describe people’s preferred communication preferences and how they supported people to communicate their needs to enable them to respond appropriately. Staff told us they felt people’s needs were assessed by the provider appropriately and any changes were responded to and communicated. Staff shared examples of when people’s support needs had increased and additional support was provided in response. For example, one person’s mobility decreased and needed additional support with personal care, staff confirmed this was provided for by the registered manager. Staff were confident any changes to people’s needs, or any new people to the service, were communicated about effectively through daily handovers. Staff told us they had time to spend getting to know people new to the service and to read their documentation. The registered manager told us they worked closely with people and their family members to create a personalised service for people to ensure their needs and preferences were fully supported.

People had detailed pre-assessments in place which detailed their support needs and also their history, likes, dislikes and preferences. People had their communication preferences recorded and the provider had access to alternative formats for written communication available for those who needed it. The registered manager regularly reviewed people’s support needs alongside their rota planning to ensure people’s needs were met. The provider worked alongside healthcare professionals and services to ensure people’s health conditions were being managed effectively. However, people's care planning documentation was not always detailed and personalised. Although staff were able to demonstrate they knew people well and understood their needs, this information was not always reflected in people's care planning documentation. The provider took action to address this following the assessment.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People confirmed they were supported to access healthcare services and professionals as they needed. One person told us about a planned visit to their dentist, “The staff know but it’s my sister taking me.” People confirmed they were supported to remain active and healthy. One person told us, “It’s lovely here. On a Monday afternoon, we do our exercises. I do them in my bed too.” Relatives confirmed people were supported to access the support they needed and were being supported to achieve positive outcomes. One relative told us, “It’s all very good here. Gran had deteriorated at home. She didn’t do anything and was losing weight as she wasn’t eating. Now she’s just getting better and better. She’s eating now.” People confirmed they had access to drinks and food as they wanted and had different options to choose from. One professional told us, “The residents are always being offer hot drinks…. the quality of the meals is very good and is the type of food that the residents would want to eat.”

The registered manager had introduced holistic therapies as a regular activity option for people. The registered manager gave examples of the positive impact holistic therapies had had for people. For example, improved sleep following the therapy for one person. Staff were able to describe how they promoted, encouraged and supported healthier lives for people. Such as how they supported people with encouragement and prompts to eat. For one person they described how they knew they can struggle with eating and found offering smaller amounts on their plate and topping it up had improved their eating as they did not find it as overwhelming this way. This had improved the amount the person was eating. Staff told us people were supported regularly with drinks and food throughout the day. Staff told us there was good communication with the hospitality staff member who would highlight anyone who may not be drinking as well as usual. This ensured the person was fully supported by all staff and ensured all staff were aware and offered the person opportunities to have a drink/encourage them to drink a bit more. Staff were able to describe how they supported people to manage their health conditions whilst respecting people’s choices and rights and could detail which professionals they worked in partnership with to support people. Such as the district nurses; staff told us they would support people with their visits and ensure relevant information was shared and handed over. Staff were able to describe how they would identify any changes in people and how and when they would escalate to appropriate healthcare professionals. The registered manager told us about how they kept up to date with best practice and recommendations when supporting people living with dementia. They were aware of recent studies and outcomes and could describe how they had implemented learning from these.

The provider had systems and processes in place to enable them to identify and respond to changes in people’s health and wellbeing in a timely manner. For example, there were recorded accidents and incidents where people had experienced falls and they had been supported to access appropriate healthcare services to explore potential underlying health conditions. People were supported to access healthcare services such as GP’s and dentists. The provider worked closely with their local GP surgery and district nurses and were able to access advice and guidance promptly. They had weekly reviews with their GP surgery which enabled them to get support from different healthcare professionals who would visit the home. For example, physiotherapists, Occupational Therapists, diabetes nurse.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.