31 January 2022
During a routine inspection
Roky Care Ltd provides care and support to people in a supported living accommodation for up to five people. The supported living accommodation comprised a terraced house with a rear garden. Each person had their own bedroom, en-suite and kitchenette. There was a large staff office at the rear of the house. The service worked with people living with a mental health condition. At the time of the inspection the service was supporting one person.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Feedback from relatives was positive about the quality of care the service provided. Staff showed a caring and kind attitude and were passionate about working at the service.
We found that people’s personal risks were not adequately assessed, and not enough guidance was provided to staff to ensure they were aware of how to minimise the known risks. Systems and processes to monitor fire equipment were not in place. Recruitment processes were not robust, and we were not assured staff recruitment was safe. There were multiple audits to monitor the quality of care. However, audits failed to identify the issues found during the inspection.
Following the inspection, the provider submitted updated risk assessments and had addressed the issues found around fire safety. We also reviewed an updated risk assessment which provided more detail and guidance for staff.
Care plans were person centred as they contained people’s views and opinions. However, they failed to explain how staff could support people to achieve these goals.
We have made a recommendation around person centred care planning.
There were systems and processes in place to ensure people received their medicines safely and on time. Staff had been trained in safeguarding and were able to explain to us how they would keep people safe from abuse and how to report any concerns. Overall infection control procedures were in place and we observed staff wearing masks appropriately. Staff had been trained in infection control. There were systems and processes in place to ensure people received their medicines safely and on time.
Staff received a comprehensive induction when they started work. Staff were supported through regular training and supervision. People were supported to eat and drink and maintain a balanced diet. 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.
Staff felt the service was a good place to work and were fully supported by the registered manager. There was an open and inclusive environment which allowed people and staff to share their views and opinions. The service worked in partnership with other agencies to support people’s wellbeing.
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 27 April 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 found three breaches of regulation with regards to assessing risk, staff recruitment and good governance.
You can see what action we have asked the provider to take at the end of this full 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.