• Care Home
  • Care home

Archived: Roseland

Overall: Inadequate read more about inspection ratings

Garratts Lane, Banstead, Surrey, SM7 2EQ (01737) 355022

Provided and run by:
Banstead, Carshalton And District Housing Society

Latest inspection summary

On this page

Background to this inspection

Updated 5 September 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 3 inspectors.

Service and service type

Roseland is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Roseland is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. However, there was a manager at the service who supported us with the inspection. They had not submitted an application to register.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and requested information from the provider in relation to accidents and incidents.

We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service, 3 relatives and 1 visitor about their experience of the care provided. We also observed interactions between staff and a number of other people who used the service. We spoke with 10 members of staff including the manager, senior carers, care workers, chef, and housekeeping staff. We spoke with 2 visiting professionals.

We reviewed a range of records. This included 6 people's care records and multiple medication records. We looked at five staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection

Inadequate

Updated 5 September 2023

About the service

Roseland is a residential care home providing support for up to 39 older people. The service provides support to people who have frailty, disabilities and may be living with dementia. At the time of our inspection there were 24 people using the service.

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

The management of risks to people were unsafe which included people’s nutrition, hydration, health, and mobility risks. People did not all have fire evacuation plans in place and the environment was not always safe for people. People were having frequent incidents and accidents and insufficient steps were being taken to mitigate these risks. People’s medicines were not being managed in a safe way which put people at risk of harm.

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.

The provider failed to ensure that safeguarding concerns were investigated and reported appropriately. There were not sufficient staff to support people at the service. The recruitment of staff was not robust.

There was a lack of provider oversight of care at the service. The provider failed to have a registered manager in place which is a requirement of their registration. Audits were not effective in identifying shortfalls. Staff did not always feel valued or listened to.

There were people who felt they were safe with staff. People, relatives and staff fed back positively about the manager at the service.

Rating at last inspection and update

The last rating for this service was requires improvement (published 23 December 2023)

Why we inspected

We received concerns in relation to the management of risks associated with people’s care. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to inadequate based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the relevant key question safe and well led sections of this full report.

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

Enforcement and Recommendations

We have identified breaches in relation to the unsafe management of risks to people, poor management of medicines, safeguarding concerns not being investigated and reported, deployment of staff not being effective and poor leadership and oversight.

Please see the action we have told the provider to take at the end of this report.

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

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.