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CQC report explained · a nursing home

What the CQC found at Redbourne

Outstandingpublished 24 August 2022, 4 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Staffing, recruitment, medicines, risk management and infection prevention were generally safe, although some repair and decorating work was outstanding.
Effective?
Good
Staff were trained and supported, people's dietary and healthcare needs were met, and care was planned around their choices. Inspectors said the physical environment needed repair, updating and better decoration.
Caring?
Good
Staff were kind, respectful and caring. People were involved in decisions, had access to advocacy, and were encouraged to develop independence.
Responsive?
Outstanding
Care was highly personalised and adapted as people's needs changed. People were supported with communication, activities, relationships, health goals and positive behaviour plans.
Well-led?
Outstanding
The home was exceptionally well organised and led. Staff, people, relatives and professionals described an open culture, strong teamwork and a clear focus on learning and improvement.
The latest report, explained

What inspectors found, August 2022

Redbourne was rated Outstanding overall; inspectors found kind, personalised care and excellent leadership, with some repairs and decorating still needed.

This was an unannounced inspection over two visits. One inspector visited the home, an Expert by Experience spoke to relatives by telephone, and inspectors spoke with people, relatives, staff and professionals. They reviewed care files, medicines records, recruitment, training and quality checks.

The home cared for 11 people at the time, with space for 13. Inspectors found people were safe, treated with respect and supported by staff who knew them well. Medicines, staffing, recruitment, training and healthcare arrangements were found to be good.

The strongest findings were about personalised support, communication, activities, relationships and leadership. Inspectors rated Responsive and Well-led as Outstanding because care was highly individualised, people were supported to achieve goals, and the home was well organised and open to improvement.

The overall Outstanding rating means inspectors judged the service to be exceptional overall. However, some parts of the building needed repair, updating and decorating. The provider said work would begin in June 2022, but this report does not confirm whether it was completed.

What inspectors praised
  • Personalised care

    Care plans were individualised and adapted to changing needs. Positive behaviour support plans helped reduce incidents and improve people's quality of life.

    “People's care was extremely person centred and delivered consistently and responsively.” from the report
  • Communication support

    The home used creative tools, including talking tiles and easy-read information, to help people understand care and express their views.

    “Talking tiles were placed on walls that people could press, these played 'rap' songs for hand washing” from the report
  • Independence and activities

    People were supported to learn daily living skills, use the garden, take part in activities and maintain important relationships.

    “People were extremely well supported to develop and maintain friendships and relationships that were important to them.” from the report
  • Safe medicines

    Medicines were managed using safe procedures, and only registered nurses administered them after regular checks of their competence.

    “Medicines were managed safely, and people received their medicines as prescribed.” from the report
  • Strong leadership

    Inspectors found a positive, open culture with strong teamwork, regular governance meetings and systems for learning from incidents.

    “The service was remarkably well led, people, staff and professionals benefitted from receiving a service that was well organised and managed effectively.” from the report
What inspectors were concerned about
  • Repairs and decoration

    minor

    Some parts of the building needed decorating, repair and updating. The provider said work would begin in June 2022, but the report does not say whether it was finished.

    “The physical environment was not decorated to a standard to meet people's needs. Some facilities required repair and updating.” from the report
Questions to ask them, based on this report
  1. 01What repairs, updating and decorating were identified during the inspection, and have all the works now been completed?
  2. 02How would you adapt care for my relative's communication needs, and can you show me examples of tools such as talking tiles or easy-read plans?
  3. 03How are positive behaviour support plans reviewed when someone's needs or behaviour changes?
  4. 04How would my relative be supported to build independence and take part in activities that interest them?
  5. 05How do you make sure staffing is consistent and that staff understand my relative's individual needs?

This was an unannounced comprehensive inspection covering all five key questions; it was the first inspection of this newly registered service, with the previous provider's Good rating dating from 2018. This explanation was written from the published report of 24 August 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Redbourne

3 rated inspections over 7 years: the service has improved, from Good to Outstanding.

  1. August 2022Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Redbourne →

  2. February 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. November 2020

    Registered with the Care Quality Commission on 30 November 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

32 live-in carers within about an hour of North Lincolnshire

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,300 a week. 29 can care for a couple. 11 years' experience on average.

“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
Lucy K., about Emma H.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
Julie V., about Martin G.
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