28 September 2022
During an inspection looking at part of the service
Robin Hood House is a residential care home providing personal care to 19 people aged 65 and over at the time of the inspection. The service can support up to 23 people.
The home accommodates people over three floors. People had access to various communal areas, such as lounges and dining rooms, where they could spend their time in private or with others. The home had a generous garden and surrounding countryside views which people could enjoy from their bedroom windows.
People’s experience of using this service and what we found
Risk to people were not always fully mitigated. Risk assessments in place were not always completed fully to indicate the level of risk to people’s health or well-being. Guidance for staff was not always in place to help support people safely to manage the medical conditions they lived with. Medicines were not always managed safely. There were not enough staff to keep people safe. Staff were allocated additional tasks like meal preparation which took the support away from people in the communal areas. We found a high number of falls in the home were unwitnessed and in communal areas.
Care records were not always up to date and not completed in enough detail to ensure staff could fully meet people’s needs. Governance systems in place were not always effective in identifying areas in need of improvement. Lessons learnt process was not embedded in daily practice to ensure continuous learning and improvement of care practices.
People and relatives were positive about the staff team and management in the home. People told us they felt safe. However not all safeguarding incidents were reported to the local authority or CQC.
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, a detailed record of the least restrictive methods considered for people who had one to one support in place was not kept.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection the service was not rated (published 22 March 2022.). The last rating for this service was good (published 08 August 2020).
Why we inspected
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.
The inspection was prompted in part due to concerns received about medicines, pressure care, falls and staffing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only and examine those risks.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
You can see what action we have asked the provider to take at the end of this full report.
The provider developed a service improvement plan following the inspection to ensure they effectively planned the improvement needed. They also increased staffing for day and night shift to ensure the safety of the people in Robin Hood House.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.