Roche Abbey Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Since our last inspection the provider have recruited a manager, and they were in the process of registering with CQC. The management team worked well together and led the staff efficiently. The management team had been successful in meeting the local authority expectations and had complied with the previous warning notice served by CQC. The staff told us the manager was approachable and fair. People and relatives knew who the manager was, had confidence in her leadership and told us the service had improved. There was no change in our rating as a result of this inspection as we only looked at the previous are of concern. Systems and processes need embedding into practice ensure consistency.

This service scored 32 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff told us they had confidence in the management team and felt they were approachable. Staff told us the manager had made several improvements and they enjoyed working at the home. One staff member said, “Things have changed massively since last inspection. We have had proper document training, and we have a structure now and know what the manager expects. It’s a much happier place.” Another staff member said, “Staff morale has improved and it’s much better. [Manager] is a good manager and knows their stuff. It’s settled down a lot and the staff and residents are happy. It's their [residents] home we are just lucky we get to visit every day.” Another staff member said, “I have worked here 3 years and seen lots of changes. Things are 100% better since the new manager took over. She is approachable and I like her leadership style, she has changed lots of things in a positive way.”

The manager had utilised the providers governance systems, used them effectively and had begun embedded them into practice. New systems had also been introduced such a ‘Resident of the day,’ which focused on one person each day and ensured they were receiving care and support in line with their needs and preferences. The management team also demonstrated how they had learnt lessons and improved the service since we last inspected. Staff meetings were informative, recorded and showed actions agreed and who was responsible for leading on the action.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.