CQC report explained · a residential care home
What the CQC found at Redcote Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were identified and managed, medicines were given by trained staff, there were enough staff, and accidents were reviewed. Some areas of the environment needed attention.
- Effective?
- Good
- This question was not examined during this focused inspection. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- People and relatives said staff were kind and caring. Staff supported people's choices, privacy, faith and contact with relatives.
- Responsive?
- Good
- This question was not examined during this focused inspection. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- The home had improved its quality checks and management oversight. People, relatives and staff were asked for feedback, and action plans were used when improvements were needed.
What inspectors found, June 2021
Rated Good; inspectors found safe, kind care and clear improvements since the previous inspection.
The home provides personal and nursing care for up to 28 people aged 65 and over. There were 26 people living there during the inspection. Inspectors spoke with people, relatives and staff, and reviewed care, medicine, staffing and management records.
The home was rated Good for Safe, Caring and Well-led. People said they felt safe and were treated well. Inspectors found enough staff, safer medicines systems, suitable action after accidents, and good infection control arrangements.
This was a focused inspection. It checked whether the home had acted on problems found at the previous inspection. The home had improved and was no longer in breach of Regulation 17. The overall rating changed from Requires Improvement to Good, but Effective and Responsive were not examined during this visit.
Safer care and medicines
Risks were identified and managed. Medicines were given by trained and competent staff, with clearer instructions and records.
“People received their prescribed medicines by trained and competent staff.” from the report
Enough staff
Records and observations showed that staffing levels met people's needs and staff responded promptly.
“Records showed there was enough staff to meet people's needs.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors observed staff protecting privacy and treating people respectfully.
“We observed staff supporting people in a kind and respectful way.” from the report
People's choices supported
The home acted on people's suggestions and supported activities, faith and contact with relatives during COVID-19 restrictions.
“People using the service were continually given choices about their care and daily living activities.” from the report
Improved management checks
The home had introduced regular audits and an auditing schedule. Managers had better oversight and acted on identified shortfalls.
“During the last inspection we found there was an ineffective quality assurance processes in place to monitor quality of the service.” from the report
Some areas needed attention
needs fixingInspectors found parts of the environment that needed work. The manager said arrangements had been made to address this, so families should ask what was done and whether it was completed.
“There were areas of the environment which required attention.” from the report
- 01Which areas of the environment needed attention, and have all the planned works now been completed?
- 02How are medicines given and checked now, including as-needed medicines, creams and patches?
- 03How are accidents and incidents reviewed, and how do you check that actions reduce the risk of them happening again?
- 04What were the previous ratings for Effective and Responsive, and what has changed in those areas since the last comprehensive inspection?
- 05How are residents' suggestions and relatives' feedback recorded and followed up?
This was a focused inspection of Safe, Caring and Well-led only; the ratings for Effective and Responsive carried over from the previous comprehensive inspection. This explanation was written from the published report of 16 June 2021 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.
What inspectors found, March 2020
Redcote Residential Home is rated Requires Improvement; inspectors found improvements in incident monitoring, medicines records and quality checks, but the overall rating did not change.
This was an unannounced, targeted inspection on 05 March 2020. The inspector checked whether the home had acted on a previous Warning Notice about good governance. Records about medicines, accidents, incidents and quality checks were reviewed.
Inspectors found improvements. Accidents and incidents were investigated, trends were reviewed and actions were recorded to reduce repeat problems. Medicines guidance and records had also been improved, including instructions for creams and variable doses.
Quality monitoring had improved with audits, action plans and support from a Care Improvement Associate. However, the home remains rated Requires Improvement overall, with Safe and Well-led also rated Requires Improvement. This inspection did not assess the whole of either area.
Learning from incidents
The manager had introduced investigations and monthly reviews of accident and incident trends. Actions were recorded to reduce the chance of problems happening again.
“Monthly theme and trend analyses of incidents had been completed by the registered manager and this was discussed with senior staff in meetings.” from the report
Clearer medicines records
Instructions for prescribed creams were clearer, and variable doses such as one or two tablets were recorded more clearly on medicines records.
“Where people were prescribed variable dosages of medicines, for example, one or two tablets, this was now clearly documented” from the report
Quality checks
The home had introduced audits covering areas such as infection control, medicines and catering. Where problems were found, action plans and target dates were recorded.
“Quality audits had been completed to check a variety of areas in the service.” from the report
Provider oversight
The provider had received reports about the home's progress and the improvements still needed.
“The registered provider and the CIA worked together to ensure there was an oversight of quality in the service.” from the report
Overall rating remains Requires Improvement
needs fixingThe rating did not improve after this inspection. The inspection was limited and did not reassess all areas of care, so it does not show that every previous concern has been resolved.
“The overall rating for the service has not changed following this targeted inspection and remains requires improvement.” from the report
Required information was not completed
minorThe provider did not complete the required Provider Information Return. Inspectors took this into account when making their judgements.
“We did not ask the provider did not complete the required Provider Information Return.” from the report
- 01Which issues from the previous inspection are still included in the home's action plan?
- 02How are accident and incident trends reviewed now, and can you explain what changes have followed recent incidents?
- 03How do you check that medicines instructions, including creams and variable doses, remain accurate and up to date?
- 04What actions were identified by recent quality audits, and which of these are still outstanding?
- 05When will the next full inspection or reassessment of Safe and Well-led take place?
This was a targeted inspection of specific concerns about Safe and Well-led and Regulation 17; it did not assess the full key questions, so the other ratings were not reviewed. This explanation was written from the published report of 28 March 2020 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.
Every inspection of Redcote Residential Home
5 rated inspections over 5 years: the service has held its Good rating throughout.
- June 2021Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2020Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- December 2019Requires improvementstayed Requires improvementSafe: Requires improvementCaring: GoodWell-led: Requires improvement
- June 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- August 2014
Registered with the Care Quality Commission on 1 August 2014.
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.
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9 live-in carers within about an hour of 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.
8 can care for a couple. 10 years' experience on average.
“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.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.