Archived: Roshini Care Home

Updated 27 April 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 29 and 30 March 2017. The visit on 29 March was unannounced and we told the provider we would return on 30 March to complete the inspection. One inspector carried out the inspection.

Before the inspection we reviewed the information we held about the provider and the service, including the last inspection report and statutory notifications the provider sent us about significant incidents and events that affected people using the service. We also contacted the local authority’s commissioning and safeguarding teams for their views on the service.

During the inspection we spoke with five people using the service, the provider and three members of staff. We reviewed care records for two people, including their care plans and risk assessments and other records, including staff training, medicines records for nine people, records of social activities and the provider’s policies and procedures.

Following the inspection we spoke with the relatives of two people using the service and received comments from one health care professional.

Updated 27 April 2017

This inspection took place on 29 and 30 March 2017. The visit on 29 March was unannounced and we told the provider we would return on 30 March to complete the inspection. At our last inspection in October 2015 we found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 as the provider did not always ensure they followed legal processes when they deprived people using the service of their liberty. At this inspection we found the provider had taken action and, although there were restrictions on people using the service, the provider did not deprive them of their liberty unlawfully.

Roshini Care Home provides accommodation and personal care for up to 11 men and women with a mental illness. The provider, Mrs Birk, is registered with the Care Quality Commission as an individual and is in day to day charge of the service so it does not require a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider had a policy and procedures to keep people safe and staff understood these. Staff were able to tell us what they would do if they had concerns about people’s welfare.

There were enough staff to meet people’s care and support needs and the provider carried out checks on new staff to make sure they were suitable to work with people using the service.

People received the medicines they needed safely. When we pointed out some confusing information in the medicines records, the provider immediately contacted the GP and pharmacist to clarify guidance for staff.

Staff working in the service had the training and support they needed to work with people.

The provider understood their responsibilities under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. People were not deprived of their liberty unlawfully.

People told us they enjoyed the food provided in the service and they had access to the healthcare services they needed.

The staff who supported people were kind and caring. They knew people well and respected their privacy and dignity at all times.

People using the service were complimentary about staff working in the service and spoke positively about the care and support they received.

The provider assessed people’s care needs and reviewed these regularly to make sure people received the support they needed.

Staff delivered care and support in line with people’s preferences and their care plan.

People using the service enjoyed a range of activities, outings and holidays.

The provider had a complaints procedure and people told us they felt any concerns would be taken seriously and investigated.

The provider had managed the service for many years and we saw that they were passionate about the care and support people received and committed to improving the experience of people using the service.

The atmosphere in the service was relaxed and we saw that staff worked well together to meet people’s care and support needs.

The provider had systems in place to monitor quality in the service and make improvements.