Roland Residential Care Homes - 231 North Circular Road

Updated 8 November 2023

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 Health and Social Care Act 2008.

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.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

Roland Residential Care Homes - 231 North Circular Road is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Roland Residential Care Homes - 231 North Circular Road is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This 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 the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people living at the service. We observed interactions between people and staff, including mealtimes. We walked around the premises while looking at aspects of health and safety and infection control.

We spoke with 3 care workers, the registered manager and 3 other managers. We also spoke with a therapist who was visiting the service during the inspection.

We reviewed a range of records. This included 4 people's care records and medicines records. We looked at 4 staff files in relation to safer recruitment and supervision. A variety of records relating to staffing and the management of the service, including quality assurance, staff training, accidents and incidents, policies and procedures, complaints, health and safety, and meeting minutes were also reviewed.

Updated 8 November 2023

Roland Residential Care Homes - 231 North Circular Road is a residential care home providing the regulated activity, accommodation for persons who require personal care, to up to 6 people. The service provides support mainly to people with mental health needs. At the time of our inspection, 6 people were using the service.

The care home accommodates people in 1 adapted house across 3 floors. People had access to communal bathrooms, living/dining room, kitchen and garden.

People’s experience of using this service and what we found

People received care and support according to their individual needs. However, we recommended the service to make sure staff fully understood the principles of person-centred care and how to apply them effectively.

People using the service felt safe and protected from abuse. Staff knew how to identify abuse and raise concerns. Risks to people’s health, care and safety were assessed and reduced. People received their medicines on time and as prescribed. Staff followed infection prevention and control measures to keep people safe from infections.

There were sufficient and suitably qualified staff on shifts. They received appropriate training and support to perform their work.

Manager’s assessed people’s needs prior to them moving to the service, and reviewed these as needed. People’s eating and drinking needs were met. Staff supported people to access healthcare services and to lead healthy lives.

Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff cared for people well and treated them with respect, while promoting their independence. People were involved in making decisions about their care as much as possible.

Staff supported people to remain socially engaged, which promoted their wellbeing. Staff also respected people’s equality and diversity needs. There was a system to record and investigate complaints.

Managers and staff were aware of their roles and responsibilities, and worked as a team. Staff carried out regular checks on different aspects of the service to monitor and improve the quality of care delivered to people. The service worked in collaboration with other organisations to provide effective joined-up care to people.

There was a positive atmosphere in the service and people were happy with the care and support they received.

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

Rating at last inspection

The last rating for this service was good (published 28 November 2017).

Why we inspected

This inspection was prompted by the time since the service was last inspected and rated.

We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Recommendations

We made a recommendation about person-centred care.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.