Updated 1 March 2022
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.
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 team comprised three 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 service.
Service and service type
Rokewood Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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
This inspection was unannounced. We informed the provider of our intention to return on the second day of the inspection. Inspection activity commenced on 15 December 2021 with a visit to the service and concluded on 7 January 2022.
What we did before the inspection
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 reviewed the information we held in relation to the service, for example notifications about events at the service which the provider is required by law to inform us about. We used all of this information to plan our inspection.
During the inspection
We spoke with two people living at the service and met other people when we spent time on the suites. We observed how staff supported and interacted with people at lunch time, at an activity session and at a celebratory festive supper. We spoke with eight relatives by telephone on 16 December 2021.
We spoke with 15 staff members including the deputy manager, the registered manager, five care assistants including seniors, two team leaders, the head chef, the administrator, the maintenance manager, the activities coordinator, the hospitality supervisor and the home admission advisor. We also spoke with the provider’s care and quality manager and an operations manager.
We reviewed a range of records. This included three people’s care and support plans, four medicine administration records and five staff files which contained documents relating to recruitment, training, supervision and appraisals. We also reviewed records related to the management of the service, which included complaints and compliments, quality monitoring checks, cleaning schedules for the building, accidents and incidents logs and a variety of health and safety records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke remotely with three people living at the service, who were supported by the activities coordinator to facilitate these discussions using a video enabled device. We also spoke with the deputy manager and received written information from the registered manager. We contacted three local health and social care professionals with knowledge of the service and received a written response from one professional.