We carried out a review of the data available to us about Roshini Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Roshini Care Home, you can give feedback on this service.
Roshini Care Home is a residential care home which provides accommodation and personal care for up to 12 adults with mental health needs in one adapted building. At the time of the inspection there were 12 people living at the home. The home is owned by a private limited company and is the only registered care home for this company.
People’s experience of using this service and what we found
We identified a small number of potential hazards. We discussed these with the provider, and they took immediate action.
People received their medicines safely and as prescribed. However, records relating to medicines were not always clear and this could lead to errors. The staff addressed this when we discussed it with them.
People using the service were happy there and received personalised care which met their needs and reflected their preferences. They maintained relationships outside the home and used the local community for leisure, shopping and to meet their needs. People were supported to move to more independent settings by learning new skills.
The staff felt supported and were happy working at the service. They had the information and training they needed to understand how to care for people well.
There were suitable systems for monitoring and improving quality and safety, as well as responding to complaints and incidents. The service was appropriately managed and people using the service felt involved and able to contribute their ideas.
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.
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 rating at the last inspection was requires improvement (Published 8 July 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 prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Roshini Care Home is a residential care home which provides accommodation and personal care for up to 11 men and women with mental health needs 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
Individual risks management plans for specific risks relating to people’s health and wellbeing were not always in place. This meant care workers were not always provided with adequate guidance as to how they could reduce possible risks to people.
The provider had an infection control process in place but this was not always followed to ensure infection control practices were implemented effectively.
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.
People’s care plans did not always provide accurate and up to date information in relation to their care and support needs. This meant there were risks that people’s needs would not always be met.
The provider had a range of quality assurance processes, but these did not always assist the provider to identify areas requiring improvement.
The provider did not ensure notifications were sent to the Care Quality Commission in line with regulatory requirements.
The provider had made improvements to the reporting of safeguarding so that where a safeguarding concern had been identified it had been reported to the local authority safeguarding team.
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 25 December 2019). 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 and the provider was still in breach of regulations.
Why we inspected
We undertook this targeted inspection to check whether the provider had met the breaches of regulation 9 (Person centred care), regulation 11 (Need for Consent), regulation 12 (Safe Care and Treatment), regulation 13 (safeguarding service users from abuse and improper treatment) in addition to checking whether the provider had met the requirements of the Warning Notice in relation to regulation 17 (Good Governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. 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.
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 will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to person centred care, need for consent, safe care and treatment and good governance.
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 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.
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.