We carried out a review of the data available to us about Roby House Care Centre 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 Roby House Care Centre, you can give feedback on this service.
Roby House Care Home provides accommodation, personal and nursing care for up to 55 people in one adapted building over two floors with lift access to the upper floor. At the time of our inspection 52 people were living at the service.
People’s experience of using this service and what we found
The systems in place for checking the quality and safety of the service and making improvements had been strengthened since the last inspection. Risks to people’s health and safety were now identified and safely managed. People were supported by the right amount of suitably skilled and experienced staff and safe recruitment procedures were followed. Medicines were safely managed by skilled and competent staff. There were systems in place for reporting accidents and incidents and learning from them. Managers and staff understood their responsibilities for protecting people from the risk of abuse and harm. Staff followed safe procedures to minimise the risk of the spread of infection. There was a high standard of cleanliness and hygiene throughout the premises.
People’s needs and choices were assessed, and a care plan was developed detailing how their needs were to be met. Staff received the training and support they needed for their role. People’s dietary and healthcare needs were understood and met. The environment was adapted and decorated to meet people’s needs.
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.
People were treated well, and their privacy, dignity and independence was promoted and respected. Staff had formed positive relationships with people and their family members. People and family members were given opportunities to openly express their views and opinions and they felt listened to.
Care plans included people’s wishes and preferences about how their care and support was to be provided. People told us they received the right care and support to meet their needs. People and family members were provided with information about how to complain and they were confident about complaining if they needed to. Complaints were used to improve the quality of the service.
The registered manager was clear about their role and responsibilities and they promoted a positive and person-centred culture. The manager was described as supportive and approachable. Staff worked well together as a team to achieve the best possible outcomes for people. Staff morale was good, and staff felt well supported. There was good partnership working with others to meet people's needs.
Rating at last inspection and update
The provider had made a change to their registration since the last inspection. This is the first inspection under the providers new registration. The last rating for this service was requires improvement (published 17 September 2021) and there were breaches of regulation.
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.
At our last inspection we recommended that the provider review staffing arrangements in line with people’s care and support needs. At this inspection we found the provider had acted on this recommendation and they had made improvements to how staff were deployed.
Why we inspected
This was a planned inspection.
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.
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 good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Roby House Care Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Roby House Care Home provides accommodation, personal and nursing care for up to 55 people in one adapted building over two floors with lift access to the upper floor. At the time of our inspection 52 people were living at the service.
We found the following examples of good practice
Records showed that staff were not always following current guidance in relation to COVID-19 testing. Whilst we were assured that staff were accessing regular PCR tests in line with guidance, records relating to lateral flow tests showed staff were either not accessing or providing confirmation of test results. This was discussed with the registered manager who acknowledged this was an issue and was working to address it.
Whilst the home and equipment used by people appeared clean and hygienic, cleaning schedules were not always completed by staff. This meant it was difficult to establish which areas had been cleaned and when. This was discussed with the registered manager who told us they were in the process of addressing recording issues with staff.
The service followed safe visiting procedures to minimise the spread of infection and people were supported to maintain regular contact with family and friends.
Staff followed shielding and social distancing rules and encouraged people to maintain social distancing where able to. Where social distancing was not possible due to the level of care required, staff followed correct guidance in the use of PPE.
Safe procedures were in place for admitting people into the service. Staff ensured people newly admitted were given additional support to maintain their health and wellbeing.
There was a good stock of the right standard of PPE and staff used and disposed of it correctly. The registered manager and provider shared infection prevention and control (IPC) guidance, updates and good practice across the staff team. Current IPC and PPE procedures were clearly visible across the service.