Roby Lodge

Updated 18 March 2023

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 carried out by 2 inspectors.

Service and service type

Roby Lodge 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.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed all the information we held about the service since it registered with the Commission. We also obtained information about the service from the local authority and local safeguarding teams. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection visit

We spoke with 4 people and 5 family members about their experience of the care provided. We also spoke with the registered manager, deputy manager, care staff, housekeepers, cook and kitchen assistant.

We reviewed a range of records. This included 5 people’s care records and a selection of people’s medication records. We looked at recruitment records for 3 staff members employed since the last inspection. A variety of other records relating to the management of the service, including audits and checks were reviewed.

Updated 18 March 2023

About the service

Roby Lodge Care Home provides accommodation and personal care for up to 40 people in an adapted building over 2 floors. At the time of our inspection 39 people were living at the service.

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

Risks to people’s health, safety and welfare were assessed and measures put in place to minimise the risk of harm to them and others. We were assured that infection, prevention and control measures were followed at the service to minimise the risk of the spread of infection. The cleanliness and hygiene of the premises was maintained to a high standard. People were kept safe and received care and support from the right amount of suitably skilled and experienced staff. Safe recruitment processes were followed. Medicines were used safely by staff who were appropriately trained and competent. Incidents and accidents were reported and investigated in a timely way and lessons were learnt from them to help reduce the risk of them reoccurring.

Assessments were completed to determine people’s needs and how they were to be met. Staff received the training and support they needed for their role. The support people needed and received to maintain a healthy diet and good health was well documented. Staff quickly recognised and made appropriate referrals when people's health declined. The premises were maintained to a good standard and adapted and designed to meet people's needs.

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 were kind, patient and respectful towards people. People’s dignity and independence was promoted. Staff were compassionate towards people, they used effective techniques to reassure and comfort people helping them overcome negative feelings and emotions. Staff had built trusting and positive relationships with people and their family members. People and relevant others were involved in decisions about the care provided.

There was a personalised approach to planning and delivering people’s care. Staff were knowledgeable about people’s needs and provided them with the right care and support. People were supported to take part in meaningful activities and to maintain and develop important relationships. People and family members were provided with information about how to make a complaint or raise a concern. Complaints were taken seriously and used to improve the service people received.

The registered manager and staff had a clear understanding of their roles and responsibilities. The providers systems and processes were used effectively to measure and improve the quality and safety of the service. The registered manager promoted a positive culture which was person-centred, open and inclusive which led to good outcomes for people. There was good working partnership with others to make sure people received all the care and support they needed.

Rating at last inspection and update

The provider had made a change to their registration since the last inspection. This is the first inspection under the providers new registration. The last rating for the service under the previous provider was good (published 6 December 2017).

Why we inspected

This was a planned inspection.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roby Lodge 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.