Background to this inspection
Updated
16 July 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector rand an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience contacted people by phone to request feedback.
Service and service type
Roland Residential 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 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.
Notice of inspection
We carried out the inspection visit on 15 June 2021. We gave a short period notice of the inspection as we were mindful of the impact and added pressures of Covid-19 pandemic on the service. This meant we took account of the exceptional circumstances and requirements arising as a result of the COVID-19 pandemic.
What we did
Before our inspection, we reviewed the information we held about the home which included statutory notifications and safeguarding alerts.
During our inspection we spoke with the registered manager, the senior manager and two support staff. We looked at three records and three staff files; we looked at various documents relating to the management of the service which included medical records, Infection control and quality assurance records. After the inspection we spoke to five people who used the service and two relatives by telephone.
Updated
16 July 2021
About the service
Roland Residential Care Home provides accommodation and care to seven people with mental health needs. On the day of our visit there were six people living in the home.
People’s experience of using this service and what we found
People had access to healthcare services and were involved in decisions about their care. Partnerships with other agencies and health professionals enabled effective outcomes for people. Staff supported people to take medicines safely.
Risks to people were assessed and regularly reviewed. Staff understood the actions needed to minimise the risk of avoidable harm including the prevention of avoidable infection. Staff had completed safeguarding training and understood their role in identifying and reporting any concerns of potential abuse or poor
practice. There were systems in place to record or track incidents and allegations of abuse.
People and staff praised the managers of the service and agreed that they were approachable, knowledgeable, fair and did their job well. The staff team worked well together and supported the registered manager.
The staff team was committed to providing a high-quality service. They had undertaken training so that they were skilled and knowledgeable to effectively meet people’s needs. Staff understood their responsibilities to report any concerns.
Staff encouraged people to be as independent as possible and respected people’s privacy and dignity.
People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well. Care plans contained information about each person’s individual support needs and preferences in relation to their care and we found evidence of good outcomes for people. When people did not have the capacity to make their own decisions, staff maximised their involvement and made decisions in their best interests, in accordance with legislation.
Recruitment practices were safe and relevant checks had been completed before staff worked at the service.
People told us that staff were able to meet their needs and were respectful of their individual preferences. Relatives told us staff who supported their loved ones were kind and caring.
The managers of the service actively sought the views of people and their relatives about the running of the service and they dealt promptly with any concerns that people raised.
The provider had systems in place to monitor and improve the quality and safety of the service provided.
The home was clean and odour free. There were increased infection control measures in response to the coronavirus outbreak. The provider reacted appropriately to keep people safe.
Staff received the training and support to carry out their role effectively. Support staff told us that the current management team were very supportive especially during the recent months of the pandemic.
There was a positive culture throughout the service which focused on providing care that was personalised.
Rating at last inspection
At the last inspection we rated this service Good. The report was published on 26 September 2017.
Why we inspected
We carried out a focused inspection of this service on 15 June 2021This was because the location had not been inspected since there was a change to the registered manager. This report only covers our findings in relation to the Key Questions safe, effective and well led as we were mindful of the impact and added pressures of Covid-19 pandemic on the service.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information, we may inspect sooner
For more details, please see the full report which is on the CQC website at www.cqc.org.uk