Roseville Care Centre

Roseville Care Centre is a residential care home that was providing personal and nursing care to 88 people older people and people living with a dementia at the time of the inspection. The service can support up to 103 people across five areas, each of which has separate adapted facilities. One of the areas specialises in providing care to people living with a dementia.

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

Risks to people were safely managed. Staffing levels were monitored and the provider had safe recruitment processes. People were safeguarded from abuse. Accidents and incidents were monitored to see if lessons could be learnt to improve the service. Effective infection prevention and control processes were in place. Plans were in place to support people in emergencies.

We have made a recommendation about the management of some medicines.

People received kind and caring support from staff who knew them well. People and relatives said staff helped people to achieve good care outcomes. People were supported to make their voices heard.

Staff received regular training, supervision and appraisal. People’s needs and choices were assessed and monitored. 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. The service was adapted for people’s comfort and convenience. People received effective support with eating and drinking.

People received personalised care based on their decisions and needs. A range of activities was made available to people, which they enjoyed. Staff were able to communicate with people effectively. Systems were in place to investigate and respond to complaints.

Good governance systems were in place to monitor and improve standards. People, relatives and staff spoke positively about the leadership of the service. Feedback was sought and acted on. Staff worked effectively with a wide range of external 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 22 May 2019). A further inspection took place but the rating was not reviewed (published 23 March 2021).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. 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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseville Care Centre on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Roseville Care Centre is a residential care home providing personal and nursing care to 87 people aged 65 and over at the time of the inspection. The service can support up to 103 people across five areas, each of which has separate adapted facilities. One of the wings specialises in providing care to people living with dementia. Another area was being developed to care for people who were isolating due to COVID-19.

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

Medicines were not always managed safely.

Effective infection prevention and control systems were in place. One relative told us, “We met [relative] in reception, [relative] sat at one side and I was at the other. We had to wear masks and wash our hands. They have done a good job of keeping everyone 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; however, the policies and systems in the service did not always support this practice. Records relating to people’s capacity to make decisions was not always in place or completed correctly.

Quality assurances processes were in place but had not identified or resolved all of the issues we found during our inspection. Some records were not up to date or accurate.

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 22 May 2019) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made/ sustained and the provider was still in breach of regulation.

Why we inspected

We undertook this targeted inspection to check whether the breach of regulation and other concerns identified at the last inspection had been addressed. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

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.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection.

We have identified continuing breaches of regulation in relation to safe care and treatment. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roseville Care Centre on our website at www.cqc.org.uk.

Roseville Care Centre is a care home which provides nursing and residential care for up to 103 people. Care is primarily provided for older people, some of whom are living with a dementia or related condition. At the time of this inspection there were 96 people using the service.

The service accommodates people across five separate units. Each unit has their own communal lounge, dining facilities and bathing facilities.

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

Medicines were not always managed safely. The providers auditing of medicines was not robust as this had not identified the issues we found at the inspection.

People and relatives were positive about the caring nature of staff and the service they received. Comments included, “The staff are all very thoughtful. I’m very happy here” and “I am very well looked after and supported by kind staff.”

There were enough staff employed and on duty at any one time to meet the needs of people. The provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff.

Accidents and incidents were recorded and analysed, and risk assessments were in place. The registered manager and staff understood their responsibilities about safeguarding.

Staff had the skills and knowledge to deliver care and support in a person-centred way. People were supported to have maximum choice and control of their lives and staff did support them in the least restrictive way possible; the policies and systems in the service did support this practice. At the time of the inspection work was ongoing to strengthen their documentation relating to mental capacity to ensure that records evidenced how staff were following the principles of the Mental Capacity Act 2005.

People told us their privacy and dignity were respected and their independence encouraged. People were able to participate in a range of activities if they chose to do so.

The provider was open and approachable which enabled people to share their views and raise concerns. People told us if they were worried about anything they would be comfortable to talk with staff or the registered manager.

The provider monitored quality, acted quickly when change was required, sought people's views and planned ongoing improvements.

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

Rating at last inspection

This is the first rated inspection of an already established service with a new legal entity.

Why we inspected

This was a planned inspection.