About the service Roshini Care Home is a residential care home which provides accommodation and personal care for up to 11 men and women with a mental illness in one adapted building. At the time of the inspection there were 11 people living at the home.
Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
Risk assessments and risk management plans in relation to specific issues were not in place to provide care workers with adequate information to enable them to reduce the risks.
Incident and accident records were not reviewed, and actions were not always identified to reduce potential risks to people using the service. This meant the provider could not ensure the learning from the investigation into incidents and accidents was used to reduce the risk of reoccurrence.
The provider had a policy in relation to safeguarding adults, but this was not always followed which resulted in a concern not being raised with the local authority, so they could ensure people were safe.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Records relating to people using the service did not always provide accurate information relating to the care and support they needed, so staff had all the information they needed to care for people.
The provider conducted a range of audits, but these did not provide appropriate information to identify where actions for improvement were required, for example in relation to care plans.
The provider had a robust recruitment process in place and staff received the training and supervision they required to provide them with the knowledge and skills to provide care in a safe and effective way.
People told us they felt safe living at the home. People were supported to eat healthy meals that met their dietary, cultural and religious needs.
People were happy with the care they received, and they felt staff treated them in a kind, caring way and respected their privacy and dignity.
People and relatives of people using the service told us they felt the service was well managed.
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 service was good (published 27 April 2017). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected
This was a planned inspection based on the date the service started operating. We have found evidence that the provider needs to make improvement. Please see the Safe, Effective, Responsive and Well Led sections.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roshini Care Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to person centred care, need for consent, safe care and treatment, safeguarding service users from abuse and improper care and good governance at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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.