Roden Court

Updated 17 June 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.

Inspection team

The inspection was conducted by 1 inspector.

Service and service type

Roden Court provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought or rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

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 announced. We gave the service 48 hours’ notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had about the service.

During the inspection

We spoke with 5 people using the service and 3 relatives. We spoke with 4 staff altogether, 2 care staff, 1 coordinator and the registered manager. We reviewed 4 people’s care records including risk assessments and 4 staff files in relation to recruitment. We also reviewed a range of management records including staff training, supervision, medicines, audits, and complaints.

Updated 17 June 2023

About the service

Roden Court is an Extra care service providing personal care for older people. People using the service lived in their own flats. At the time of our inspection there were 32 people using the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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

Under the previous provider the service was rated Requires Improvement, at their last inspection. There is an improvement plan in place and improvements have been made. There are still some areas which need improvement such as medicine management and some issues around staff culture.

We found that medicines were not always managed safely. We found errors had been made with medicines. For example, staff not signing the administrative chart. We have made a recommendation about the management of medicines. Staff were recruited safely and there was enough staff on duty to meet people’s needs. People had clear and detailed risk management plans in place for staff to follow. There were protocols in place to reduce the spread of infection, although some relatives told us that the cleanliness in flats was not always of the highest standard. There was a system in place to learn lessons when things went wrong.

People had care plans in place which had been developed from care needs assessments. People and relatives told us they were involved in care planning. Staff had training to do their job and had support from their managers when they needed it. Staff supported people to maintain a balanced diet where this was part of their care needs. People received support from health care professionals when needed. People’s consent was obtained in line with current legislation.

People and relatives told us most staff were kind and caring. However, 3 people and 1 relative told us some staff had poor attitudes and this needed to be addressed. We have made a recommendation about staff culture. People were treated with respect and dignity. Staff promoted people’s independence when it was appropriate.

People and relatives told us that they enjoyed the activities arranged by the service although they would like to see more activities. People's likes and preferences were recorded, and staff knew how to support people the way they wanted to be supported. People were able to make choices and decisions about their care.

People and their relatives praised the new registered manager and their approach to making improvements and listening to concerns. People told us they knew how and who to complain to if needed. Staff told us they felt valued and listened to by the leadership team.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

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

Rating at last inspection

This service was registered with us on 31 March 2023 and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on (16 February 2022).

Why we inspected

The inspection was prompted by a review of the information we had about the service.

Recommendations

We have made 2 recommendations about the management of medicine and staff culture.

Follow up

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