Updated 6 December 2022
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 was planned to check whether the provider is meeting the legal requirements and regulations associated with 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 2 inspectors and 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.
Service and service type
Rowena House 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. Rowena House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 CQC 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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
Inspection activity started on 25 October 2022 and ended on 22 November 2022. We visited the service on 25 October 2022. We spoke with 7 people who used the service about their experience of the care provided. We spoke with 9 members of staff including the acting manager, care team leaders, care workers and ancillary staff.
We observed staff interacting with people in all areas of the home and reviewed a range of records. This included 4 people’s risk assessments, care plans and care records. We saw records related to medicines for 5 people. We also reviewed monitoring records regarding people’s weight and accidents and incidents.
Following our inspection visit we continued to speak with the acting manager and regional manager. We reviewed further records remotely, to validate evidence found. This included information regarding infection prevention and control, quality and safety records, audits, policies and procedures and meeting minutes. We received further comments from 3 staff members regarding their experience of working at the service.