Background to this inspection
Updated
3 February 2021
The inspection
This was a targeted inspection to check on a specific concern we had about the fabric and maintenance of the building, in particular the deterioration of the premises.
Inspection team
A specialist advisor visited the service on 23 November 2020. An inspector visited the service on 13 January 2021.
Service and service type
Roop Cottage Nursing and 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 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
We gave the service 24 hours’ notice of the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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. We used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager. We looked at records relating to infection prevention and control (IPC). We looked at checks the registered manager undertook to ensure correct IPC processes were followed. We looked at records and checks relating to the environment.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
3 February 2021
Roop Cottage provides accommodation, personal care and nursing for up to 35 people, some of whom may also have physical disabilities. The accommodation is over two floors and there is a passenger lift. There were 32 people living there at the time of the inspection.
The last inspection was in June 2016 and the service was rated ‘requires improvement’ at that time. This was because the premises were in need of refurbishment and better cleaning and medicines were not always managed well. Some risk assessments had not been reviewed and some equipment had not been sufficiently assessed for safety. The provider had addressed most aspects of the concerns, although progress was slow to refurbish the premises and there was still further work required to bring them to a better standard of repair and décor.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
There was a welcoming, friendly atmosphere and people told us they were happy living at Roop Cottage. There had been some improvements to the premises and décor since the last inspection and the registered manager had prioritised main areas such as bathrooms and we were advised this work was ongoing, subject to the provider’s agreement. We have made a recommendation the provider improves the premises.
People said they felt safe and there were routine safety checks carried out. Individual risk assessments for people were in place and had improved in detail and accuracy since the last inspection.
Staff understood how to ensure people were protected against possible abuse and they knew how to report any safeguarding concerns.
People said they received their medicines on time, and systems for managing medicines were safely in place.
Staff felt supported in their role, there was clear direction for the team and there was regular staff training and supervision.
People enjoyed the meals and the food and drink provision was suitable for people’s needs.
Staff interaction with people was kind and caring and staff knew people well. People were encouraged to retain their independence and they told us they felt this was their home.
The activities staff knew people’s needs and individual interests. Activities provided meaningful engagement for people on an individual basis and in groups where appropriate.
Care records were maintained with sufficient information for staff to understand all aspects of people’s care needs and these were regularly reviewed. Care practice reflected what was written in people’s care records.
People knew how to make a complaint and there was a system for recording complaints and compliments.
The registered manager was experienced in providing care at Roop Cottage. People, relatives and staff felt supported and they were confident their views were valued. Systems were in place for monitoring the quality of the provision. The registered manager was aware of the strengths of the service and the areas to improve.