2 November 2021
During a routine inspection
Roebuck Nursing Home is a care home providing nursing care and accommodation for up to 63 older people, including people living with dementia. At the time of the inspection there were 34 people living at the home.
People’s experience of using this service and what we found
People felt they were safe and well supported by the service. Individual risks were assessed in some cases, and staff were aware of these. However more detail was needed to ensure staff could work safely. Some practices in the home placed people at risk of harm from choking or moving and handling practice. Action was taken by the new manager at the time of our visit.
There were monitoring processes in place to help promote a good standard of service and the quality assurance systems identified some areas that needed further development. However, these systems had not identified all areas that needed to be addressed. This included risks, staffing deployments and preventing the risk of social isolation.
The manager was new to the service as had only started the day before our inspection visit, the home had recently been managed by the provider after undergoing significant changes to the management team. The provider had needed to carry out many roles to support the home until such time as the new manager started. People, relatives and staff were positive about the recent management changes and how the provider had managed to keep the service running.
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 in most cases. The policies and systems in the service did not always support this practice as mental capacity and best interest records needed to be more personalised.
People and relatives told us staff were kind, caring and praised the home for the attention they received. Staff enjoyed working for the service and told us the culture was to ensure care was person centred. Staff told us they would be happy to have a relative of theirs living at the service. Care plans included information to help support people safely in most cases. However, some of these plans needed more work to ensure they were reflective of all aspects of the person’s needs. Further checks were needed to monitor the dining experience, to ensure people did not become socially isolated and to ensure people’s dignity was promoted consistently.
Reviews of events and accidents were carried out and any actions needed were completed. Medicines were managed well, and staff knew how to report any concerns about a person’s safety or welfare. People told us staff were kind and helpful, but often busy.
Staff received training for their role and people and their relatives felt they had good knowledge and skills. Staff felt supported by the provider and management team. People told us they felt their needs were met. Relatives also felt care was to a good standard.
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 28 April 2021) This was a focused inspection only reviewing safe and well led.
Why we inspected
The inspection was prompted in part due to concerns received about people’s welfare due to the changes of management and staff in the service. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, caring, responsive and well led sections of this full report.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
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.