CQC report explained · a residential care home
What the CQC found at Redlands House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2019
Rated Requires Improvement; inspectors found kind and personalised care, but medicines, nutrition records and management checks were not reliable enough.
This was an unannounced, comprehensive inspection on 19 February 2019. It was the home’s first inspection under its new registration. Inspectors spoke with people living there, relatives, staff and health professionals. They also checked medicines records, care plans and other documents.
People were treated with kindness and respect. Their care was generally personalised, and people had access to activities and health professionals. However, major refurbishment work sometimes made the home chaotic and unsuitable. A door giving access to a main road and building work was found open, although this was fixed during the inspection.
The home was rated Requires Improvement overall. Safe, Effective and Well-led were rated Requires Improvement. Caring and Responsive were rated Good. This means the home was providing some good care, but inspectors found important areas that needed to improve and continued monitoring was planned.
Kind relationships
People described staff as kind and compassionate. Inspectors saw people who appeared relaxed and comfortable with staff.
“People received care and support from staff who were kind, caring and thoughtful.” from the report
Personalised care
Care plans included information about people's preferences, interests and communication. Staff generally knew people's needs and likes well.
“The care plans we viewed contained personalised information to assist staff in meeting people's individual needs.” from the report
Access to healthcare
People saw health professionals when needed, and external professionals gave positive feedback about referrals and communication.
“People had access to a wide range of healthcare professionals and, from the records we viewed, we saw that appropriate referrals had been made in a timely manner.” from the report
Responsive complaints handling
The home investigated complaints and responded to them. Inspectors saw that a concern raised during the inspection was acted on promptly.
“We saw, from the records we viewed, that when complaints were raised, these were fully and appropriately investigated and a response given to the complainant.” from the report
Medicines records and supply
seriousMedicine records did not always show whether people had received medicines as prescribed. Some medicines had not been obtained in time, including important cardiovascular medicines for one person.
“Some people's Medication Administration Records (MARs) showed gaps, discrepancies and deleted records that were unexplained.” from the report
Nutritional information
seriousSome care plans did not contain accurate, current information about nutritional support. One person did not receive the recommended food texture and their thickener instructions were not recorded consistently.
“For one person, the Speech and Language Therapist (SALT) had recommended a soft diet to minimise the risk of choking.” from the report
Safety during refurbishment
seriousBuilding work affected the environment and sometimes made meals noisy or chaotic. An external door was open to a main road and the building work area, but it was repaired during the visit.
“This door led to both a main road and the section of the home where major building work was taking place.” from the report
Quality checks
needs fixingAudits covered the service but did not identify or correct the medicine and care plan problems. Checks of fire doors also did not contain enough detail to show that they were being checked properly.
“Although the provider had a quality monitoring system in place that covered all aspects of the service provision, it had not been fully effective at identifying the issues found at this inspection.” from the report
Information for residents
minorThere was no activity information on display and the complaints policy was not available in the home. This could make it harder for people to plan activities or know how to raise concerns.
“There were no accessible activity plans on show and the complaints policy was not available.” from the report
- 01What changes have been made to medicine ordering and checking since inspectors found missing medicines and gaps in records?
- 02How do staff now make sure each person receives the correct food texture and amount of thickener?
- 03Has the refurbishment been completed, and how are people protected from risks and disruption while work continues?
- 04How do managers check that care plans and medicine records are accurate and that problems are corrected quickly?
- 05How are activities now displayed, and how do you support people who want to go outside with staff?
This was an unannounced comprehensive inspection covering all five questions, and it was the home's first inspection under its new registration. This explanation was written from the published report of 22 March 2019 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 House
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2019Requires improvementcurrent ratingSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2017
Registered with the Care Quality Commission on 19 December 2017.
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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13 live-in carers within about an hour of Norfolk
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 £990 to £1,120 a week. 9 can care for a couple. 14 years' experience on average.
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.