Rotherbank

Updated 17 September 2019

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.

Inspection team

The inspection was carried out by one inspector on both days.

Service and service type

Rotherbank 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 on the first day meaning the home did not know we were coming. The second day was announced.

What we did before 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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with six people who lived in the home and four relatives about their experience of the care provided. We spoke with eleven members of staff including the registered manager, manager, team leaders, senior care workers and care workers. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included four people’s care records and eight medicines records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.

Updated 17 September 2019

About the service

Rotherbank is a family owned and run residential care home providing personal care and accommodation to 20 people aged 65 and over at the time of the inspection. The service can support up to 21 people in single rooms in one adapted building. The registered manager was assisted by the manager in the day to day running of the home.

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

People were safe living at Rotherbank. The practices adopted by the home protected people from harm. Enough staff were on duty to meet the needs of people and robust recruitment practices were in place. People were relaxed in the company of staff and relatives confirmed they felt people were safe living at Rotherbank.

Staff received induction and training appropriate to their job role. People were appropriately assessed to ensure the home could meet their needs. People had access to health and medical support when they needed. Relatives were kept up to date with changes to people's health. People's capacity to consent to care and treatment was assessed, and applications were made to deprive people of their liberty to keep them safe.

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 home supported this practice.

People received good care. Their preferences and wishes were respected by the management team and staff. People were treated with dignity and respect and were involved in the decision-making process about their care. Care files were person centred. Clear guidance was available about how to communicate with people effectively and independence was promoted. A range of activities were provided.

The registered manager and the manager were actively involved in the running of the home. Staff told us they were well supported by both and received regular supervision and appraisal. Team meetings took place regularly. The registered manager was aware of their responsibilities of being registered with the Care Quality Commission (CQC). Audits to monitor and improve the service were in place.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this home was Good, report published (10th February 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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.