Redford Court

Redford Court is a residential care home providing care and rehabilitation services to up to 29 people. At the time of our inspection there were 28 people using the service. The service provides support to people over the age of 18 who have acquired a brain injury. Accommodation is provided in one building accommodating 20 people; four supported living flats and a building for up to five people know as ‘The Lodge’. All accommodation is adapted to meet the needs of people using the service.

People’s experience of using this service and what we found

We have made a recommendation in this report that the provider follow and continually monitor the service against current best practice regarding fire safety in care homes.

We have made a further recommendation that the provider review written records as part of their assessment of the quality of the service.

Effective systems were in place for the safe management of people’s medicines. Safe recruitment procedures were in place. People were supported by staff who knew them well.

People and their family members told us they felt safe living at Redford Court. Comments included, “They make me feel very welcome and safe” and “I feel very safe.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and their family members were happy with the care and support they received from the staff team. People were asked and participated in reviews of their care and support.

People benefitted from regular rehabilitation provided by a team of health care professionals employed at the service.

Rating at last inspection

The last rating for this service was good (published 12 January 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Redford Court is a ‘care home’ that also provides a rehabilitation service. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Redford Court specialises in the rehabilitation, support and care for people who have acquired a brain injury. The Brain Injury Rehabilitation Trust (BIRT) and has been developed in partnership with Riverside Housing Association. At the time of our inspection, the service was providing support to 27 people and registered for 29. Redford Court has two floors where people’s rooms are located. There were also rehabilitation rooms where the occupational therapists, speech and language therapists, the neuropsychologist and other professionals support people as required in their person centred care plans.

At the last inspection on the 10 December 2014 the service was rated Good.

There was a registered manager in post. The home is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were enough qualified and experienced staff to meet people's needs and keep them safe. The required checks had been carried out when new staff were recruited and all staff had received induction training when they commenced employment.

We observed that all parts of the home were clean and well maintained and records we looked at showed that regular health and safety checks were carried out. All areas were furnished appropriately and a plan had commenced to redecorate the décor to a good standard.

Medicines were managed safely and records confirmed that people always received the medication prescribed by their doctor.

People’s capacity to make decisions was assessed and where appropriate, applications had been made to the local authority for Deprivation of Liberty Safeguards. People are supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service underpinned this practice.

People were mostly happy with their meals and told us that choices were always available.

The members of staff we spoke with had good knowledge of the care and support needs of the people who lived at the home. The staff we met had a cheerful and caring manner and they treated people with respect. People who lived at the home who we spoke with expressed their satisfaction with the care and support provided and with the staff.

The care plans we looked at gave information about people's rehabilitation plans, support and care needs and how their needs were met. They also gave information about people's individual choices and preferences.

There was a friendly, open and inclusive culture in the home and many of the people we met during our visits spoke highly of the staff and the managers. Regular quality audits were completed and a satisfaction survey had been carried out.

People told us that they had received the support they had needed to meet their care and welfare needs and with their rehabilitation. This was confirmed in the care records we read and discussions we held with staff.

In addition to employing staff who held different professional qualifications, records showed that staff had worked with people living there and other professional's to meet people's needs and support them to plan for the future.

The people living at Redford Court told us that they had felt safe living there. They told us that they would have felt comfortable passing any concerns they had to staff and confident staff would support them with these.

We found that people had been provided with the equipment they had needed to support their mobility, personal care and independence. We found that checks had not been carried out on bed rails to ensure their safety. The provider dealt with this issue swiftly following our inspection.

People told us that they liked the staff team and had confidence that they were skilled in supporting them safely. Comments included, 'I like them, we have a laugh', and 'I can talk to them.'