Archived: Roseland Care Limited

Updated 7 July 2021

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

Two inspectors carried out this inspection.

Service and service type

Roseland Care 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 did not have a manager registered with the Care Quality Commission. This means 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.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We had not requested the provider send us a provider information return as this inspection was completed in response to information of concern that the commission had received. We used all this information to plan our inspection.

During the inspection-

We spoke with five people who used the service about their experience of the care provided. We spoke with eight members of staff including the area director, the newly appointed manager, deputy manager, a trainer in manual handling, care workers, catering staff and the chef.

We reviewed a range of records. This included one person’s care records and multiple medication records. A variety of records relating to the management of the service including audits on medicines, equipment and infection control.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 7 July 2021

About the service:

Roseland Care provides accommodation with personal and nursing care for up to 55 people. There were 36 predominantly older people using the service at the time of our inspection.

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

Infection control measures were in place to prevent cross infection. The service held good stocks of Personal Protective Equipment (PPE) and staff had been trained in the safe use of this. The service had implemented regular testing for people and staff in accordance with Public Health England guidance. The service had experienced a significant impact from the Covid-19 virus. At the time of this inspection all people and staff had tested negative.

Since the last inspection improvements had been made to the cold storage of medicines. People received their medicines safely and on time from staff who had received training in medicines administration.

Staff were recruited safely in sufficient numbers to ensure people’s needs were met. Staff were well supported by a system of induction, training and supervision. Staff told us they felt well-supported by senior staff and the management team.

Staff understood risks to people and how to help reduce them. Systems were in place to safeguard people. People and relatives told us of the negative impact of the necessary visiting restrictions due to the Covid-19 pandemic. Some told us that technology had not been utilised as a way of keeping in touch, such as Skype. Some relatives told us that it was often difficult to get through on the telephone. Visiting in person was being offered outside with social distancing and full PPE was in place. The provider was planning inside visiting in line with current guidance. There were plans in place to allow families to see people in a relaxed convivial environment in poor weather.

Some relatives told us they felt they had not been kept informed of the extent of the outbreak of Covid-19 at the service. Whilst families were made aware of the outbreak, it was not possible for the registered manager to give continuous updates during the unprecedented pressure at that time. This unfortunately led to families hearing information for the first time through the media.

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. Any restrictive practices were regularly reviewed to ensure they remained the least restrictive option and were proportionate and necessary.

There were systems and processes in place to monitor the Mental Capacity Act, and associated Deprivation of Liberty Safeguards assessments and records. People were able to make choices about their life and how their care and support were provided.

People and relatives agreed the staff were kind and caring. Staff respected people’s diverse characteristics and were clear that each person’s individual needs were their priority. People told us they felt listened to and their privacy and dignity were respected. Families told us, “We are very happy, Mum seems to have settled well” and “I cannot praise them enough, they are so good with Dad. They are straight on to everything and nothing is too much trouble for the staff.”

Everyone had a care plan which was regularly reviewed and updated. Since the last inspection improvements had been made to how changes in people’s needs were managed and recorded. Care plans provided staff with guidance and direction to enable them to meet people’s needs. People’s preferences were sought and respected.

A programme of activities was provided for people. Wellbeing co-ordinators supported staff to provide activities for people. Whilst the Covid 19 pandemic had restricted people’s movements around the service, staff held games and quizzes in the corridors, which people could join from their room doorways.

Since the last inspection action had been taken to improve the effectiveness of the audit process. Audits were carried out regularly to monitor the service provided. Actions from these audits were being followed up to further improve the service.

Systems were in place to deal with concerns and complaints. This enabled people to raise concerns about their care if they needed to. People and relatives told us they were confident that any issues raised would be addressed.

People and staff told us the service was well led. People were given various opportunities to provide feedback about the service.

Staff told us they enjoyed working at the service and that the team worked well together.

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:

At the last comprehensive inspection the service was rated as requires improvement (report published 24 February 2020). Requirement notices were issued.

This was a focused inspection carried out to review the enforcement action taken following the last inspection. We found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected:

This was a scheduled inspection /to review the action taken by the provider following our previous inspection.

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.