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What the CQC found at Redlands Acre

Goodpublished 8 January 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was following safe infection prevention and control procedures. They found arrangements for PPE, testing, admissions, cleaning, social distancing and managing possible outbreaks.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Redlands Acre: a targeted inspection found good infection prevention arrangements, but the service was not rated overall.

Inspectors visited the home on 19 January 2021. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was using protective equipment safely, testing people and staff, supporting social distancing, and keeping cleaning, laundry and waste arrangements safe. People were admitted only after a negative COVID-19 test and were supported to self-isolate for up to 14 days.

The home had a safe visiting pod and used technology to help people stay in contact with relatives. Staff had infection control training and the manager checked their use of protective equipment.

The service was marked 'Inspected but not rated'. This means the inspection did not give an overall quality rating or ratings for the other key questions.

What inspectors praised
  • Safe visiting

    The home created a visiting pod and also used technology to help people keep in touch with relatives.

    “The provider and manager had set up a visiting 'pod' in accordance with recognised safe visiting guidance.” from the report
  • Safe admissions

    New admissions followed COVID-19 guidance, including a negative test and up to 14 days of self-isolation.

    “People were only admitted following a negative COVID-19 test result and supported to self-isolate for up to 14 days following admission to reduce the risk of introducing infection.” from the report
  • PPE and staff training

    Staff had infection control training and the manager checked that PPE was being used correctly.

    “Staff had received training and support in relation to infection control and COVID-19.” from the report
  • Cleaning and hygiene

    Cleaning schedules had been increased and included extra cleaning of frequently touched surfaces.

    “Cleaning schedules had been enhanced and were followed by housekeeping staff and care staff.” from the report
  • Up-to-date guidance

    The provider's infection control policy and COVID-19 guidance had been reviewed and kept current.

    “The provider's policy for managing COVID-19 and related infection prevention and control procedures had been reviewed and kept up to date.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visiting arrangements, including the visiting pod or alternatives using technology, managed now?
  2. 02What testing and self-isolation arrangements are used for new admissions?
  3. 03How are staff trained and checked on the safe use of PPE?
  4. 04How often are frequently touched surfaces cleaned, and who checks this?
  5. 05What arrangements are in place to isolate people and cohort staff if there is an infection outbreak?

This was a targeted inspection of infection prevention and control under the Safe question; the other questions and the overall service were not rated. This explanation was written from the published report of 2 February 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.

An earlier report, explained

What inspectors found, January 2020

Redlands Acre: Rated Good; inspectors found safety and management had improved since the last inspection.

This was an unannounced, focused inspection on 27 November 2019. Inspectors checked whether the home had acted on its previous improvement plan. They spoke with people living there, a relative and staff, and reviewed care, medicines, recruitment and management records.

The home was rated Good for Safe and Well-led. Inspectors found people felt safe, staff understood people's risks, medicines were managed properly and there were enough staff to meet people's needs. The home was clean and well maintained.

The previous rating was Requires Improvement, with a breach of Regulation 17. Inspectors found that fire safety, medicine systems and quality checks had improved and were being used consistently. The overall rating changed to Good, but the other areas were not inspected during this visit and their earlier ratings were carried forward.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Staff knew how to report abuse, neglect or poor practice.

    “People and relatives told us they felt Redlands Acre was safe.” from the report
  • Improved medicines systems

    Medicine records and checking systems had improved since the previous inspection. Staff could identify concerns more quickly.

    “These systems had been embedded and enabled staff to ensure people received their medicines as prescribed.” from the report
  • Fire safety improvements

    Emergency evacuation plans had been updated and fire drills had been introduced. Staff understood what to do if the fire alarm sounded.

    “Fire drills had been implemented and all staff were confident of the action they required to take in the event of a fire alarm.” from the report
  • Enough staff

    Inspectors found there were enough staff to meet people's needs. Recruitment checks were also completed before staff started work.

    “There were enough staff, at any given time, to meet people's needs.” from the report
  • Management checks

    Quality monitoring had become established. Audits were used to identify problems and check that improvements lasted.

    “Systems which had been implemented prior to the last inspection had been embedded and sustained.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are the weekly medicine audits carried out now, and what happens if a problem is found?
  2. 02When was the most recent fire drill, and are each person's emergency evacuation arrangements up to date?
  3. 03How many permanent and agency staff usually work on each shift, and how is this adjusted when people's needs change?
  4. 04What activities are available for people living with dementia, and how are residents' individual preferences used?
  5. 05Can we see the previous comprehensive inspection report and the ratings for Effective, Caring and Responsive?

This was a focused inspection of Safe and Well-led only; the other ratings from the previous comprehensive inspection were carried forward. This explanation was written from the published report of 8 January 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.

The story over the years

Every inspection of Redlands Acre

5 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Redlands Acre →

  2. January 2020Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Redlands Acre →

  3. August 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2019Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. September 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. December 2014Requires improvement
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. December 2010

    Registered with the Care Quality Commission on 29 December 2010.

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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