Background to this inspection
Updated
5 March 2021
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.
The service had been identified for use by the Local Authority as a designated care setting in response to the Winter Plan for people discharged from hospital with a positive Covid-19 status. This targeted inspection was to ensure that the service was compliant with infection control and prevention measures. This inspection was to look specifically at an extension to the designated unit that had already been approved by CQC.
This inspection took place on 22 January 2021 and was announced.
Updated
5 March 2021
About the service
Roden Hall Nursing Home is a residential care home registered to provide personal and nursing care for up to 68 people. At the time of our inspection the service was supporting 38 people across three separate areas, each of which had separate adapted facilities.
People’s experience of using this service and what we found
Since our previous inspection the home had moved into a purpose-built building and improvements had been made to the home.
We found the recruitment process had improved to ensure the suitability of staff working in the home. People were supported by enough staff who were trained to recognise and report abuse. There were effective procedures to assess and manage risks. Improvements had been made to ensure medicines were managed in line with policies and procedures. The new purpose-built building mitigated previous infection control risks and when concerns were identified, they were addressed.
People’s needs were assessed, and their care was delivered in line with their preferences. People were supported by staff who were trained and had the skills to meet their needs. People were supported to eat and drink to maintain a healthy diet. People had access to healthcare services and were supported by a range of healthcare professionals to meet their needs. The home was adapted to meet people’s needs and offered a range of onsite facilities.
Care was delivered in accordance with the Mental Capacity Act 2005 (MCA) principles. 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.
People were well treated and respected and had their views and input into their care. People’s privacy and dignity was respected, and they were promoted to maintain their independence.
People’s care was personalised and included their choice, preference and control. We found the home met people’s communication needs and followed the Accessible Information Standard (AIS). People were supported to maintain and develop relationships and quality of care was improved in response to complaints or concerns.
Improvements had been made to the governance systems to ensure the safety of the environment. The home promoted a positive person-centred culture and staff were supported to be open and honest when things went wrong. Managers and staff were clear about their roles and legal responsibilities. Management considered the views of staff, people living in the home and their relatives and worked together with health and social care professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 4 June 2019) and there were breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. The home had moved into a purpose-built building therefore we carried out a comprehensive 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 coronavirus and other infection outbreaks effectively.
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.