Red Rose Care Community is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to provide accommodation for up 65 people, including people living with dementia.

We inspected the home on 28 August and 3 September 2018. The first day of our inspection was unannounced. On the first day of our inspection there were 37 people living in the home. This was because in January 2018 the then registered provider placed a voluntary embargo on new admissions to the home. Additionally, following our inspection of May 2018 the local authority also placed an embargo on new admissions. The home is divided into three separate units (two on the ground floor and one on the first floor). However, at the time of our inspection the registered provider had closed the first floor unit to reflect the reduced occupancy level in the home and to facilitate the refurbishment of the unit.

We last inspected the home in May 2018 when we rated it as Inadequate and placed it into ‘special measures’. In June 2018 we re-registered the home to reflect a change in ownership. This was our first inspection of the re-registered home. We were disappointed to find that the new owners had made no significant improvement in service quality. As a result, the overall rating of the re-registered home is also Inadequate and the home is therefore in special measures.

Services in special measures will be kept under review and, if we have not taken immediate action to propose to cancel the provider’s registration of the service, will be inspected again within six months. The expectation is that providers found to have been providing inadequate care should have made significant improvements within this timeframe. If not enough improvement is made within this timeframe so that there is still a rating of inadequate for any key question or overall, we will take action in line with our enforcement procedures to begin the process of preventing the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration within six months if they do not improve.

This service will continue to be kept under review and, if needed, could be escalated to urgent enforcement action. Where necessary, another inspection will be conducted within a further six months, and if there is not enough improvement so there is still a rating of inadequate for any key question or overall, we will take action to prevent the provider from operating this service. This will lead to cancelling their registration or to varying the terms of their registration.

For adult social care services the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

We found seven breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because of shortfalls in organisational governance; a failure to properly assess and mitigate risks to people's safety; a failure to ensure sufficient staffing to meet people’s needs and to keep them safe; a failure to protect people’s rights under the Mental Capacity Act 2005; a failure to ensure staff had the skills and knowledge to support people safely and effectively; a failure to promote people’s privacy and dignity and a failure to support people in a consistently person-centred way and to meet their needs for mental and physical stimulation. We also found the registered provider was in breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009 due to a failure to notify us of allegations of abuse of service users