Archived: Redstones Residential Care Home Limited

People in care homes receive accommodation and 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.

The service has a registered manager who was also the provider. 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 and associated Regulations about how the service is run.

People were well cared for, relaxed and comfortable in the home. There was a relaxed, homely atmosphere and everyone spoke of how they felt they were ‘living at home’. Everyone we spoke with complimented and praised the provider and the five care staff who supported them.

Staff were able to spend time with people and their relatives chatting and laughing in a supportive environment. People’s comments included, “It’s the best it’s ever been, you can ask anything” and “Oh yes, I love it here.” Staff told us “It’s a pleasant place to work, it’s a small team and there’s a very homely and comfortable environment for people” and “I love that this home is run with a very warm feel to it. It’s a home from home.” A relative told us, “I never have to worry. You couldn’t find anywhere better. The hospital said [person’s name] wouldn’t get any better but she’s really come on and had the encouragement to. It wouldn’t have happened if she wasn’t here.”

People continued to be cared for by a close knit, small, motivated and well trained staff team. The provider/registered manager provided effective leadership with people’s individual well-being and quality of life as the focus of care provision. People’s health needs were well managed and risks were identified and minimised. There were regular reviews of people's health, and staff responded promptly to changes in need. For example, care records showed many examples of staff identifying changes in need and appropriate and timely referrals to health professionals. People were assisted to attend appointments with appropriate health and social care professionals to ensure they received treatment and support for their specific needs. A health professional visiting the home at the time of the inspection said, “This is the best home I go to. I would definitely put my mum here. There are no problems, it’s really lovely. We are visiting someone whose health needs have increased. [Provider’s name] is very supportive and gives lots of reassurance.”

There were regular residents meetings and individual discussions on an on-going basis which ensured people were involved in the running of the home as well as how they wished to spend their day. 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 supported this practice.

Care records were up to date and accurately reflected people’s care and support needs. The care plans provided staff with sufficient information to enable them to provide care effectively. We observed people were cared for compassionately and with respect. One person had written a note to staff saying, “I enjoy meeting you all. So helpful and obviously competent” and “Thank you for a lovely tea, it really feels like home.”

People were actively involved with the local community. The provider/registered manager and staff supported and encouraged people to engage with a wide variety of activities, trips out and entertainments available within the home. This was, in groups and on a one to one basis depending on what people wanted to do. People could express what they wanted to do throughout the day and the staff would do their best to make it happen. For example, one person said they would like to go on a train and the provider immediately began making plans and discussing where the person would like to go.

At our last inspection we rated the service as good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Further information is in the detailed findings below.