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Archived: Rosecroft Residential Care Home Inadequate Also known as Rosecroft Residential Care Home

Inspection Summary


Overall summary & rating

Inadequate

Updated 16 March 2017

This unannounced inspection was carried out on 16 and 17 January 2017. This inspection was prompted in part by a notification of incidents and concerns regarding people’s care and welfare. These incidents are subject to a criminal investigation and as a result this inspection did not examine the circumstances of these incidents. However, the information shared with CQC about the incidents indicated potential concerns about the management of risk and safe care and treatment of people using the service. This inspection examined those risks.

Rosecroft Residential Care Home is a small care home that provides personal care and support for up to 20 people and it is located in the London Borough of Bromley. At the time of our inspection the home was providing care and support to 13 people. The home had a registered manager in post who was not present at the time of the inspection; however an acting manager was in place at the time of our inspection. 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.

At this inspection we found breaches of the regulations of the Health and Social Care Act 2008 (Regulated Activities), Regulations 2014. We took urgent enforcement action to impose conditions to restrict new admissions to Rosecroft Residential Care Home. We required the provider undertakes audits of medicines, risk assessments, care plans and records of care delivery for people using the service, systems for staff recruitment and an action plan of the training of all staff at Rosecroft Residential Care Home. The provider must tell CQC any action they have taken or will take as a result of the audits. The provider must continue to provide us with such reports following each and every audit undertaken in respect of these matters.

For time periods since the last inspection we found that medicines were not managed, administered, recorded and stored safely and appropriately. Risks to people’s physical and mental health needs were not assessed, monitored and reviewed in line with the provider’s policy. Accidents and incidents were not recorded and acted on appropriately. Safeguarding adult’s policies and procedures were in place to help protect people from possible harm; however concerns had not been reported to local authorities and the CQC in line with best practice and the law. Staff recruitment practices in place were not robust and appropriate recruitment checks were not always conducted before staff started work to ensure applicants were suitable to be employed in a social care setting. There were arrangements in place to deal with foreseeable emergencies and staff knew what to do in the event of a fire or a medical emergency, however there were no up to date fire drills and evacuations conducted. There were no records of maintenance checks or repairs in place to monitor the safety of the environment and equipment.

Staff had not received appropriate regular training to meet the needs of people using the service. There were no records or systems in place to show that staff new to the home had completed an induction into the service in line with the Care Certificate. The Care Certificate sets out learning outcomes, competencies and standards of care that are expected of all care workers. Staff had not received appropriate support, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform. People’s mental capacity and consent was not always assessed in line with the MCA and were not always decision specific. People’s nutritional needs were not always assessed and met appropriately. People did not always receive the support they required to access health and social care services.

People's care and suppo

Inspection areas

Safe

Inadequate

Updated 16 March 2017

The service was not safe.

Medicines were not managed, administered, recorded and stored safely and appropriately for substantial periods of time.

Risks to people’s physical and mental health needs were not assessed, monitored and reviewed in line with the provider’s policy.

Accidents and incidents were not recorded and acted on appropriately.

Systems were not in place to protect people from abuse and concerns had not been reported to local authorities.

Staff recruitment practices were not robust and appropriate recruitment checks were not always conducted before staff started work to ensure applicants were suitable to be employed in a social care setting.

There were arrangements in place to deal with foreseeable emergencies; however there were no up to date fire drills and evacuations conducted.

There were no records of maintenance checks or repairs in place to monitor the safety of the environment and equipment.

Effective

Inadequate

Updated 16 March 2017

The service was not effective.

Staff had not received appropriate regular training to meet the needs of people using the service.

There were no records or systems in place to show that staff new to the home had completed an induction into the service in line with the Care Certificate.

Staff had not received appropriate support, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.

People’s mental capacity and consent was not always assessed in line with the Mental Capacity Act 2015 (MCA). The MCA provides protection for people who do not have capacity to make decisions for themselves.

People’s nutritional needs were not always assessed and met appropriately.

People did not always receive the support they required to access health and social care services.

Caring

Requires improvement

Updated 16 March 2017

The service was not consistently caring.

People told us that the current staff team were kind and respectful and supported them appropriately however this had not been the case consistently.

The current staff team respected people's choice for privacy and promoted their dignity when offering support.

People were supported to maintain relationships with their families and friends.

People and their relatives told us they were provided with information about the home in the form of a service user guide.

Responsive

Requires improvement

Updated 16 March 2017

The service was not consistently responsive.

People's care and support needs were not always reviewed in line with the provider’s policy on a monthly basis and in response to people’s identified needs.

People and their relatives told us there was not always enough stimulation and activities on offer at the home.

Although there were policies in place to manage and responded to complaints, complaints were not appropriately recorded or maintained.

Well-led

Inadequate

Updated 16 March 2017

The service was not well-led.

There was an acting manager in post at the time of our inspection.

People and their relatives told us of the recent instability in staffing and leadership at the home and how this had an impact on the care provided. Staff meetings were not held and recorded on a regular basis to ensure safe practice and leadership.

Resident meetings were not held on a regular basis and there were no action plans or records in place to show how people’s comments had been addressed.

Audit checks had not been conducted within the home for many aspects of the service prior to the arrival of the acting manager and current staff. Audits that were conducted failed to identify and address concerns and issues we found during our inspection.

The provider sought feedback from people using the service, however there were no action plans in place or records to show that people’s comments or requests for service improvements had been addressed.

The provider had not notified CQC as they are required to do, of significant events and deaths in order that CQC can monitor the service.