Roland Residential Care Homes - 27 Bush Hill

Roland Residential Care Homes - 27 Bush Hill is a residential service providing personal care for up to 10 people with mental health support needs. The service consists of one adapted building, which includes individual bedrooms and communal spaces spread over two floors and an accessible garden. At the time of our inspection there were 9 people using the service.

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

People and their relatives told us they felt safe with the care and support they or their relative received. Despite this positive feedback, we found risks relating to the premises were not being safely managed. We found concerns with the management of medicines and incidents which placed people at increased risk of harm.

The provider had systems in place to monitor the quality and safety of the service, however they did not identify the issues we found during the inspection. We found CQC had not been notified of several incidents as required.

We have made a recommendation around safeguarding adults.

We have made a recommendation around staff training and support.

We have made a recommendation around offering food choices to people.

We have made a recommendation around managing complaints.

People were supported by staff who had been assessed as safe to work with vulnerable adults. People were kept safe from the risk of infection and COVID-19.

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.

People were supported by kind and caring staff who supported their independence. People were supported by staff who knew them well and understood their likes and dislikes.

Staff told us they were well supported by the management team. People and their relatives told us they were satisfied with the service provided.

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 5 February 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service. We have found evidence that the provider needs to make improvements. Please see the safe, effective and well led sections of this full report.

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.

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to safe care and treatment and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.