Roselands Residential Home

Updated 16 June 2021

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 inspection was undertaken by one inspector.

Service and service type

Roselands Residential Home 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.

What we did before the inspection

Before the inspection we reviewed the information, we held about the service and the service provider. We sought feedback from the local authority. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law. We used all of this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with five people who used the service about their experience of the care provided. We spoke with ten members of staff including the registered manager and the operations manager. We spent time in communal areas observing interactions between people and staff.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, quality assurance records and audits were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found and reviewed training data and quality assurance records. We contacted two professionals who regularly visit the service and six relatives.

Updated 16 June 2021

About the service

Roselands Residential Home is a residential care home providing accommodation and personal care to 28 older people, some of whom were living with dementia. The service can support up to 35 people.

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

The registered manager and staff team had worked hard to address the areas for improvement following the last inspection. Although improvements had been made, further time was needed to fully embed these changes into day to day practice.

Changes had been made to record keeping, but further improvements were required to ensure that records fully reflected people’s needs and contained all the information staff may need. Quality assurance systems identified areas for improvement, but further time was needed for these areas to be fully addressed.

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. However, further improvements were needed to ensure mental capacity assessments and best interest decisions were recorded, and included peoples, and their relative’s involvement.

There were systems in place to ensure people were safe. Infection prevention control measures meant people were protected, as far as possible, from the risk of COVID-19. The registered manager and staff were proud there had not been an outbreak at the home. During the pandemic staff had moved into the home for a short while to help protect people from the risk of infection. Visitors were welcomed back to the home in line with government guidelines. Throughout the pandemic visits for people receiving end of life care had been supported.

People were treated with kindness and care. One relative told us their loved one was, “Happy, well fed, warm and safe.” Staff knew people well, understood their care needs and interests. People were involved in making decisions about their day to day care and support. People’s privacy was respected, and dignity upheld. People received care and support that was person-centred and met their needs. They were supported to take part in a range of activities throughout the day.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions to take if they identified concerns. There were enough staff working to provide the support people needed. Staff received regular training and supervision which enabled them to provide the care and support people needed.

Staff knew people well and understood the risks associated with their support. Risk assessments provided guidance about individual and environmental risks. People received their medicines safely, when they needed them. Recruitment procedures ensured only suitable staff worked at the service. Peoples nutritional needs were met. They were supported to eat and drink and variety of homecooked meals throughout the day. People were supported to access healthcare as needed.

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 19 November 2019). There were four breaches of regulation. The provider completed an action plan after the last inspection to show what they would do to improve.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations. However, the service remains rated Requires Improvement. Further time is needed to allow these improvements to be fully implemented and embedded into everyday practice.

Why we inspected

This inspection was prompted by our data insight that assesses potential risks at services, concerns raised and based on the previous rating. This enabled us to review the previous ratings.

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.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.