Background to this inspection
Updated
11 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection team
This inspection was completed by one inspector.
Service and service type
Rough Lee Home is a care home registered to provide personal care and accommodation to adults with physical disabilities. 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account in making our judgements in this report.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, five people who lived in the home, the relatives of one person and three care staff. We reviewed the care records of two people, the recruitment records of two staff and a number of other records relating to risk management, maintenance, meetings and governance.
After the inspection
We received and reviewed additional information from the registered manager including, meeting minutes, residents feedback and handover records. We rang one relative and spoke to commissioners and local community team.
Updated
11 December 2019
About the service
Rough Lee Home provides accommodation and personal care for up to 17 adults with physical disabilities and is situated in Accrington. The home is purpose built and accommodates people on the ground floor. Accommodation is provided in single bedrooms the majority having en suite facilities. At the time of inspection there were 15 people living in the home.
People’s experience of using this service and what we found
People told us they felt safe in the home and reassured by the care and support provided. Staff understood how to protect people from abuse and avoidable harm. Risk management policies ensured people were supported to remain safe in the least restrictive way possible. The environment was well maintained and regular testing had been completed of safety equipment.
People received care from staff who were trained and knowledgeable about their needs. People were supported to eat and drink and praised the quality of the food. People had maximum choice and control about their care, and were supported to make important decisions in line with guidance and the law. People had access to health care including regular screening to help maintain optimum health.
People and their relatives said the staff were kind and caring. People's equality needs had been fully considered, people told us they felt respected and cared for. We observed positive interactions in the home. The provider ensured people were able to maintain and develop their independence.
People received person centred care which reflected their needs and wishes. Regular reviews and updates ensured care remained appropriate. A range of activities were available both inside the home and in the community. People had the opportunity to make suggestions and be involved.
The home was well led by a committed management team. People felt fully involved in the day to day business of the home. Regular audits of care practice and records ensured the qualityof care was maintained.
Rating at the last inspection
At the last inspection the overall rating was good. Published (May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.