Archived: Rowley House Limited

Updated 11 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 was planned to check 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 2 March 2017 and was unannounced. It was undertaken by two inspectors and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

We looked at the information we held about the service. This included notifications the home had sent us and the previous inspection report. A notification is information about important events which the provider is required to send us by law. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with 10 people who used the service and two visiting relatives. We spoke with the registered manager, matron, deputy manager, a nurse and four care staff. We did this to gain people’s views about the quality of care.

We looked at six people’s care records, staff rosters, staff training records, two staff recruitment files and the quality monitoring audits. We did this to check that there were effective systems in place to monitor and improve the quality of service for people.

Updated 11 April 2017

This inspection took place on 2 March 2017 and was unannounced. At our last inspection in October 2015 we had concerns that the service was not consistently safe, effective, responsive or well led. At this inspection we found that some improvements had been made, however we had concerns that the service was still not consistently safe or well led.

Rowley House provides accommodation and nursing care for up to 36 people. At the time of this inspection there were 30 people using the service.

There was a registered manager in post. 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.

People's medicines were not always managed safely. The provider could not be sure that people had their medicines as medicine records did not correspond with the balance of stock.

The systems the provider had in place to monitor the management of medicines were not effective. The home's rating from the last inspection was not displayed in a way in which people could see it clearly.

People were safeguarded from the risk of abuse as staff knew what constituted abuse and who to report it to if they suspected abuse. The registered manager referred safeguarding concerns to the local authority for further investigation.

Risks of harm to people were assessed and action was taken to minimise the risk of further harm. Staff knew people's risks and how to keep them safe.

There were sufficient numbers of suitably trained staff to keep people safe. New staff were employed using safe recruitment procedures to ensure they were of good character and fit to work with people.

People were cared for by staff who were supported by the management team and trained to fulfil their roles.

The principles of The MCA 2005 and DoLS were being followed to ensure that people who lacked mental capacity were being supported to consent to their care at the service in their best interests.

People were encouraged to maintain a healthy diet. If people lost weight or they became unwell, professional health care advice was sought in a timely manner.

People were treated with dignity and respect and their right to privacy was upheld. People were able to make choices about their care and be as independent at they were able to be.

People received personalised care that met their individual needs and preferences. People knew how to complain if they had any concerns about their care.

People, their relatives and the staff liked and respected the registered manager and management team. Some improvements to the quality of the service had been made since the last inspection.