About the service: The Red House Care Home is a 'care home'. 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.

The Red House Care Home accommodates up to 60 people across two buildings. The main building accommodates 48 people who may require nursing care and some of whom may be living with dementia. There is a further building in the grounds that accommodates 12 people who have personal care needs. Each building provides accommodation over two floors. There were 53 people living at the service at the time of this inspection.

What life is like for people using this service:

¿ People continued to feel safe living at the service. Risks in relation to people’s health, safety and welfare had been identified and action taken where appropriate. Staffing levels were appropriate to meet the needs of the people using the service. Medicines were safely managed. There were systems in place to monitor incidents and accidents and learn from these.

¿ Staff were skilled and knew the people they supported well. People’s care, health and cultural needs were identified so staff could meet these. People had their nutritional needs met.

¿ People were supported to maintain good health. Staff made referrals to health professionals when required. Staff worked within the principles of the Mental Capacity Act (MCA) 2005 and ensured people consented to their care.

¿ People continued to receive care from staff who were kind and caring. People’s privacy and dignity was protected and promoted. People had developed positive relationships with staff who had a good understanding of their needs and preferences.

¿ Effective care planning was in place which guided staff to provide support that met people's needs which were in line with their preferences. People took part in a range of group activities depending on their choices. People said they knew how to make a complaint if needed.

¿ People, relatives and staff told us the service was well managed and had an open and friendly culture. The registered manager and staff worked in partnership with other agencies to ensure people got the care and support they needed.

¿ Systems were in place to monitor the service, which ensured that people's risks were mitigated and lessons were learnt when things went wrong.

Rating at last inspection: Requires Improvement (report published 23 February 2017).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service had improved to Good.

Follow up: We will continue to monitor all intelligence received about the service to ensure the next inspection is scheduled accordingly.

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

The Red House Care Home is a ‘care home’. 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.

The Red House Care Home accommodates up to 60 people across two buildings. The main building accommodates 48 people who may require nursing care and some of whom may be living with dementia. There is a further building in the grounds that accommodates 12 people who have personal care needs. Each building provides accommodation over two floors.

This comprehensive inspection took place on 18 January 2018 and was unannounced. At the time of this inspection care and support was provided to 57 people. This was the first inspection since HC – One Oval Limited was registered as the provider of this service.

There was a registered manager in post. ‘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 was not enough staff to meet the needs of people who used the service. People did not always receive the support that they needed in a timely way and staff said that they felt rushed.

Care plans did not consistently contain details about people's care and support needs. Whilst risks to people had been identified, the guidance available to staff in relation to managing these risks was limited.

Staff had been safely recruited and received on going training. However they had not all received supervision in line with the provider’s policy.

Suitable arrangements were in place to help safeguard people from harm. Staff knew what to do if a person made an allegation they were being harmed or if they had any concerns about anyone’s safety.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible.

Staff were friendly and respectful and there was a good rapport between staff and people who used the service. Although, there was a lack of activities indoors for people to take part in, this could lead to people who chose to stay in their rooms becoming isolated. There was an opportunity for people to have days out.

Health and safety records showed checks were undertaken regularly to ensure that equipment was kept safe and in good working order.

The service was clean and there were arrangements in place to ensure that staff wore protective clothing such as disposable gloves and aprons. This reduced the risk of cross infection.

People were on the whole happy with the choices, quality and quantity of the meals and snacks available. People had access to health care professionals and received support with their health care needs in a timely manner.

Systems were in place for receiving and responding to complaints. A number of compliments had been received from relatives.

Systems were in place to monitor and audit the quality of the service provided but these were not always effective required actions had not been taken.

As a result of our findings we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.