Rockville Short Break

Updated 16 December 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 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 one inspector.

Service and service type

Rockville Short Break 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. Rockville Short Break 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 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

During the inspection we spoke with the registered manager, deputy manager and three care staff. We observed care to help us understand the experience of people who could not talk with us.

We reviewed a range of documents. This included three care files and medicine records. We looked at staff recruitment, induction and training files. A variety of records relating to the management of the service were also reviewed including audits, policies and procedures.

After the inspection

We spoke with five relatives about their experience of the care provided. We continued to seek clarification from the management team to validate evidence found. We requested feedback from four healthcare professionals.

Updated 16 December 2022

Rockville Short Breaks is a unit which offers respite day care and short breaks to six people with severe learning disabilities, high complex needs and/or autism. These people live at home with their families and come to the service for regular weekly respite care. Rockville Short Breaks provides the regulated activity of personal care up to the maximum of three people at any one time in an adapted house. At the time of our inspection there were two people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support

People's needs were met by suitable numbers of staff who knew them well. People brought their medicines in with them when they started their stay and staff supported them to take their medicines safely. People were protected from the risk of infection. People received the necessary nutritional support and meals were tailored to individual preferences. People’s independence was promoted. 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.

Right Care

People received care and support from skilled and knowledgeable staff. People’s care records reflected their individual needs and how to promote their well-being whilst providing care and support. People received personalised care which was responsive to their individual needs.

People were protected from poor care and abuse by staff who understood how to protect people from harm. People took part in a variety of activities that interested them.

Right Culture

People were supported to live as full a life as possible and achieve the best possible outcomes, that included choice, control and independence. People received kind and considerate care from staff who promoted and respected people’s dignity and privacy. Staff understood people’s varying needs and responded accordingly. The provider had a complaints procedure in place. The registered manager and deputy manager sought and listened to relatives and staff views and action was taken where required. This promoted an open, inclusive and empowering culture.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 10 December 2021).

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection we recommended the provider reviewed the service in line with best practice guidance such as Right support, right care, right culture. We also recommended the provider sought advice and guidance about identifying and developing people’s goals and aspirations. At this inspection we found the provider had acted on recommendations and made improvements.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 27 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the inspection to show what they would do and by when to improve safeguarding service users from abuse and improper treatment and good governance.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Rockville short breaks on our website at www.cqc.org.uk.

Follow up

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