This inspection took place on 6 August 2018 and was unannounced. This was the first inspection of this service since registration with the Care Quality Commission.

Redgate House 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 service provides care and support for up to 20 people living with dementia. On the day of our inspection there were 20 people living in the service. Redgate House had shared communal areas and individual bedrooms on the ground and first floors. There was a secure garden.

There was 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.

Care plans did not always contain suitable risk assessments. Risks had not always been identified and risk assessments contained contradictions which meant that we were not assured that risk were managed safely.

The service had not appropriately applied for authority under the Mental Capacity Act 2005, Deprivation of Liberty Safeguards. This meant that people may not be supported in the least restrictive way possible.

The provider had recognised that the service needed a registered manager dedicated to managing Redgate House. The current registered manager was responsible for overseeing Redgate House and the provider’s other service. A new manager had been recruited and was working their probationary period. As part of their probation they were updating care plans with suitable risk assessments. However, this action had not been taken in a timely manner to ensure people were not receiving care and support whilst their risk assessments were deficient.

Family members told us that their relative was safe living in the service. There were systems in place to protect people from abuse. The provider followed safe recruitment practice. Essential documentation was in place for employed staff. Staff received supervision and said they were supported in their role. There were suitable numbers of staff to be able to provide the support personal care people had been assessed as needing.

Care plans did not always contain information about people’s wishes regarding end of life care. We have made a recommendation about end of life care planning.

People had sufficient food and drink and were provided with choices at mealtimes. Meals and mealtimes promoted people's wellbeing, as they were relaxed and people were given choices.

There were a variety of activities which people could participate in according to their interests. The service organised outings to places such as the cinema. Outside entertainers regularly visited the service.

People were supported with compassion, dignity and respect. Staff knew the needs and preferences of the people they supported. Relatives were welcomed into the service and some participated in providing entertainment.