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What the CQC found at Redwood House

Requires improvementpublished 2 August 2024, 2 years ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, March 2022

Redwood House was inspected but not rated; inspectors found good infection control, enough staff and safe visiting arrangements.

This was an announced, targeted inspection on 22 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.

Inspectors found daily temperature checks, regular staff testing and correct use of personal protective equipment. The home was clean, had enough staff and supported people in a calm and kind way. People could go out and see relatives safely.

The inspection did not give an overall quality rating. The Safe question was inspected but not rated, and the other four questions were not covered in this visit.

What inspectors praised
  • Infection control checks

    People's temperatures were checked daily, staff had daily COVID-19 tests and the manager checked PPE stocks weekly.

    “The registered manager completed a weekly PPE stock check to ensure they had enough for the staff and people in the home.” from the report
  • Safe use of PPE

    Staff used PPE correctly and had face-to-face training in PPE and infection prevention and control.

    “Staff wore personal protective equipment (PPE) correctly. The registered manager completed a weekly PPE stock check to ensure they had enough for the staff and people in the home.” from the report
  • Staffing and atmosphere

    Inspectors found enough staff and described their support as calm and kind.

    “There was enough staff who supported people in a calm and kind way.” from the report
  • Contact with relatives

    People were supported to go out and see relatives safely. The report said there were no restrictions on visitors at the time.

    “People were supported to go out and to also see their relatives in a safe way.” 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 do you currently manage staffing pressures linked to COVID-19 or other infections?
  2. 02How often do you check PPE stocks, and what happens if supplies become low?
  3. 03How are visitors currently tested, supported and kept safe from infection?
  4. 04How do you make sure people can continue to see relatives and go out safely?
  5. 05When was the infection prevention and control policy last updated?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the service overall or inspect the other four questions. This explanation was written from the published report of 8 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.

An earlier report, explained

What inspectors found, April 2019

Rated Requires Improvement; inspectors found risks, weak records and limited person-centred support across all five areas.

This was an unannounced inspection on 6 March 2019. One inspector and an Expert by Experience spoke with people, relatives, staff and the registered manager. They reviewed care records, recruitment files, staff competency records, audits and quality reports.

People generally said they liked living at the home and liked some staff. Inspectors also found some positive support with healthcare, outings, complaints and medicines. However, care plans and risk assessments were not always complete, accidents were not always reviewed, and some medicine safety processes were not followed.

The home was clean but looked tired and poorly maintained. Inspectors found limited activities, stimulation and staff engagement, and people were not always supported to develop their interests or goals. All five areas were rated Requires Improvement, and the provider was asked for an action plan.

What inspectors praised
  • People generally liked the home

    People told inspectors they liked living at the home and liked some of the staff supporting them.

    “People told us that they liked living at Redwood House and liked some of the staff who supported them.” from the report
  • Access to healthcare

    People were supported to attend routine health appointments and the home arranged further health input when it was considered necessary.

    “We saw examples of people being supported to access health appointments when they needed this or as part of yearly check-ups.” from the report
  • Some community activities

    People described going out for activities including the pub, bowling, the cinema and greyhound racing. A planned football match had also been arranged.

    “One person said, "I go out a lot. Greyhound racing on a Tuesday, Wednesday I go to a pub in Luton” from the report
  • Complaints were addressed

    The home had an accessible complaints process, and one relative said an issue had been dealt with quickly.

    “A relative told us that an issue they had had been dealt with quickly.” from the report
What inspectors were concerned about
  • Incomplete risk management

    serious

    Some people did not have full risk assessments or care plans. An accident involving a head injury was not followed by the required monitoring, medical advice or learning review.

    “Accidents and incidents were not always responded to appropriately.” from the report
  • Medicine safety checks

    needs fixing

    People received medicines as prescribed overall, but an opened cream was not dated and a medicine was given at a different time without checking with the GP that this was safe.

    “However, an in use prescribed cream did not have an open date recorded on it.” from the report
  • Limited staff engagement

    needs fixing

    Staff were often focused on tasks rather than talking with people or checking what they wanted to do. Inspectors also saw a person spending planned one-to-one time without meaningful interaction.

    “We observed that, except for the registered manager, that staff did not routinely engage with people.” from the report
  • Tired and poorly maintained accommodation

    needs fixing

    The home was clean, but there were broken items, damaged paintwork, worn flooring and rooms with little personal or stimulating content.

    “Although the home was clean it looked tired and uncared for.” from the report
  • Weak oversight and improvement

    serious

    Audits did not identify all the problems inspectors found. The report also found no effective culture of learning from incidents or previous inspection findings.

    “There was not a culture of continuous learning and improving the care people received.” from the report
Questions to ask them, based on this report
  1. 01What has changed since the inspection to make sure every person has a complete, current risk assessment and care plan?
  2. 02How are accidents, falls and other incidents now monitored, reviewed and used to prevent them happening again?
  3. 03How do you check that medicines are stored, dated and given at the correct prescribed time?
  4. 04What plans are in place to improve staff engagement, weekend activities and support for each person's interests and goals?
  5. 05Which repairs and improvements to bedrooms and shared areas have been completed since the report, and what remains outstanding?

This was a scheduled inspection that looked at the overall service and all five CQC questions, including the care provided and the home's premises. This explanation was written from the published report of 11 April 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.

The story over the years

Every inspection of Redwood House

2 rated inspections over 3 years: the service has slipped, from Good to Requires improvement.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Redwood House →

  2. April 2019Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Redwood House →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 5 January 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.

Next steps

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