Archived: Roclyns Rest Home

Updated 29 January 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 25 January 2022 and was announced. We gave the service 24 hours notice of the inspection.

Updated 29 January 2022

About the service:

Roclyns Rest Home provides support and accommodation for up to 19 people who require assistance due to frailty of old age and health care needs. There were 17 people living at the home at the time of the inspection; some were living with dementia and others needed support with daily living including washing, dressing and mobilising safely. The home has two communal lounges and a dining area, the bedrooms are on the ground and first floor and a passenger lift enables people to access all parts of the home. There is a large garden to the rear that is accessible to people using walking aids and wheelchairs.

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

Whilst the registered manager was experienced and was focused on continuously learning and making improvements to the home, some audit processes were not sufficiently robust and had not identified inconsistencies in some documentation and practice which were identified during the inspection. While we found no significant impact on people, this is an area that required improvement to ensure effective monitoring and quality assurance. The registered manager was responsive and took action immediately in response to our feedback.

The registered manager had created an open and positive culture and staff knew people well. Staff felt well supported and the home had a warm and welcoming atmosphere. One member of staff said, “The managers are very approachable, if they're not having a meeting, you'd think they were one of the carers. If something needs doing, they do it. They get their hands dirty.”

People told us they felt safe and knew who to contact if they had any concerns. People remained protected from avoidable harm. There was a safeguarding policy and staff received training. Staff knew how to recognise the potential signs of abuse and knew what action to take to keep people safe.

There was enough staff to support people safely and the registered manager had safe recruitment procedures and processes in place. People received care and support from trained staff who knew them well. People received their medicines safely from staff who were trained and competent to do so.

Risks to people were assessed to keep them safe. This included potential risks related to their health, or risks from the environment. The environment continued to meet people's needs. The home had sufficient room for people to move around safely and the provider had ensured the environment met the needs of people living with dementia. The provider was investing to improve the facilities and environment to ensure the service continued to meet people’s needs as these changed over time.

People were protected by the prevention and control of infection. Staff wore gloves and aprons when supporting people.

People were supported to maintain their health and had assistance to access health care services when they needed to. People had access to services such the GP, speech and language therapists (SALT), chiropodists, opticians, dentists and others. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People continued to have access to activities and people were happy with the variety on offer. People received compassionate and dignified end of life care that respected their wishes. People were proactively supported to maintain relationships with people who were important to them.

Staff knew people well and were able to deliver personalised care that was responsive to their needs. People were able to express their views and were actively involved in making decisions about their care, support and treatment, through reviews and daily interactions. One person said,” They are getting to know me well…. It’s totally up to me.” People received kind and compassionate care. People and relatives told us staff treated them with kindness and we observed warm friendly interactions throughout the inspection.

People were supported to eat and drink a healthy balanced diet to meet their individual needs and preferences. One person said, “The food is fantastic, no complaints about that.”

Systems and processes were in place to record and identify errors and improvements were made when things went wrong. People and relatives knew how to make a complaint and told us that they would be comfortable to do so if necessary. One person said, “I don't feel the need to complain but I'd speak to the boss, she's on it.”

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

Rating at the last inspection:

The last rating for this service was Good (report published 30 June 2017)

Why we inspected:

This was a planned comprehensive inspection scheduled to take place in line with Care Quality Commission (CQC) scheduling guidelines for adult social care.

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.