CQC report explained · a residential care home
What the CQC found at Redlands Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks, staffing, infection control and medicines were managed safely, although some medicines records were incomplete or inaccurate.
- Effective?
- Good
- This key question was not inspected during this visit.
- Caring?
- Good
- This key question was not inspected during this visit.
- Responsive?
- Good
- This key question was not inspected during this visit.
- Well-led?
- Good
- The home was described as open, inclusive and person-centred. The provider had improved its quality monitoring systems since the previous inspection.
What inspectors found, March 2023
Rated Good; inspectors found safe, kind care, but some medicines records were not complete and accurate.
This was an unannounced inspection on 13 December 2022. One inspector spoke with six people, four staff and three external professionals. They observed care, checked the home, medicines and records, and reviewed training and quality checks.
The home was rated Good overall, with Safe and Well-led also rated Good. People told inspectors they felt safe and staff managed risks, staffing, infection control and medicines safely.
Inspectors found some medicines records were incomplete. This included records for topical creams, variable-dose medicines and a thickening agent used in drinks. The provider was given a recommendation to improve the accuracy and completeness of these records.
The Well-led rating improved from Requires Improvement to Good since the last inspection. The provider had strengthened its audits and monitoring systems. The overall rating stayed Good, while the other key questions were not inspected and carried forward from the previous inspection.
People felt safe
People told inspectors they felt safe and were well looked after. Staff knew how to recognise and report abuse.
“People we spoke with told us they felt safe.” from the report
Risk management
Staff assessed and reviewed risks to people. The home also had plans for emergencies and checked its equipment.
“Staff managed risks to people's safety.” from the report
Choice and dignity
The home supported people to make choices and used the least restrictive approach when decisions had to be made for them.
“People were supported to have maximum choice and control of their lives” from the report
Improved leadership
The provider had formalised its audits and used feedback from people and staff to identify improvements. The Well-led rating improved from Requires Improvement to Good.
“At this inspection, we found the provider had made improvements.” from the report
Open culture
People and staff were encouraged to give feedback and influence decisions, including menus and activities.
“The service engaged with people, others acting on their behalf and staff in an inclusive way.” from the report
Medicines records
needs fixingSome records did not show that topical creams were used as directed. Staff did not always record doses of variable-dose medicines, or the use of a thickening agent in drinks.
“Some medicines records were not complete and accurate.” from the report
- 01What changes have you made to ensure records for topical creams are complete and show that directions were followed?
- 02How do you check that staff record every dose of variable-dose medicines?
- 03How do you record and monitor the use of thickening agents in drinks?
- 04How are people and staff able to influence decisions about menus, activities and the way the home is run?
- 05What checks now show that the improvements to quality monitoring systems have been maintained?
This was a focused inspection of Safe and Well-led, including infection control; the Effective, Caring and Responsive ratings were not inspected and carried forward from the previous inspection. This explanation was written from the published report of 10 March 2023 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 2022
Targeted inspection found infection control and visiting arrangements were in place; the service was inspected but not rated.
Inspectors visited the home on 24 February 2022. This was an announced, targeted inspection focused on infection prevention and control, visiting arrangements and COVID-19-related staffing pressures.
Inspectors found safe processes for admissions, testing, use of protective equipment and cleaning. Staff were using protective equipment safely, the home was clean, and infection control policies were being reviewed.
Visiting was being managed in line with government guidance. Indoor visits were suspended during the COVID-19 outbreak except in exceptional circumstances, while essential care givers could continue to visit indoors.
The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for most of the CQC questions.
Infection control
Inspectors found safe infection control processes, including regular testing, appropriate protective equipment and an up-to-date policy.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Clean environment
The home was clean and hygienic. Cleaning schedules and checks were in place, with problems addressed when found.
“The home was clean and hygienic. Cleaning schedules were in place and checks completed.” from the report
Safe visiting
The home was facilitating visits in line with government guidance, including continued indoor visits for essential care givers during the outbreak.
“The registered manager was facilitating safe visiting in line with government guidance.” from the report
Protective equipment
Staff had training in infection control and protective equipment, and inspectors saw it being used safely. Stocks were confirmed to be sufficient.
“During our visit we observed the staff using Personal Protective Equipment, (PPE) safely.” from the report
Access to protective equipment
minorInspectors said more accessible protective equipment stations on each floor would help staff during personal care. The registered manager addressed this during the inspection.
“However more accessible PPE stations on each floor would ensure staff had easy access when providing personal care for people.” from the report
- 01What infection prevention and control arrangements are in place now, including testing and outbreak management?
- 02Where are protective equipment stations located on each floor, and are staff able to reach them easily during personal care?
- 03How are staffing pressures managed when staff are absent because of COVID-19?
- 04What are the current rules for indoor visits, including visits by essential care givers?
- 05How often are cleaning schedules and environmental checks completed, and what happens when an issue is found?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide a full service rating. This explanation was written from the published report of 9 March 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.
Every inspection of Redlands Care Home
4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- March 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- September 2019Goodstayed GoodSafe: GoodWell-led: Requires improvement
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 13 May 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
85 live-in carers within about an hour of Lancashire
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 £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.