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.