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Inspection Summary


Overall summary & rating

Good

Updated 19 August 2017

The inspection was unannounced and took place on 25 July 2017. At our previous inspection in March 2017 the service was not meeting legal requirements relating to Safe care and treatment. Following that inspection the provider had sent us their action plan and at this inspection we found that significant improvements had been made.

Rowallan House is registered to provide accommodation for persons who require nursing or personal care for 41 older people, some of whom have dementia. At the time of the inspection there were 34 people using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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.

Staff stored, administered and audited medicines to ensure that people received their medicines as prescribed by their doctors. People and their relatives felt that the service was safe. Each person had a care plan and risk assessment, which were regularly reviewed. People could move into the service only if there were suitable facilities to meet their needs. This ensured that people who moved into the service had appropriate facilities to meet their needs.

The staff recruitment processes were robust. This allowed people to be supported by staff who were properly checked and had the right knowledge and experience to deliver care. The training programmes staff attended were varied and relevant to their roles, and included adult safeguarding and Mental Capacity Act 2005. Staff also had support and supervision from management. We noted they had read the provider's policies and procedures and were confident to manage matters relating to adult safeguarding, whistle blowing and complaints.

People were confident that they had access to health care. A GP visited the service at least once a week to review people's medicines. Staff referred people to specialist healthcare providers as and when required. People had nutritious food and fluids.

Staff had good relationships with people living in the service and we observed caring and positive interactions. Staff respected people’s privacy and encouraged them to be as independent as possible. There were arrangements in place to be engaged with various activities.

The service was clean and tidy, and arrangements were in place for controlling infections and using appropriate equipment to ensure people's health and safety was not at risk.

The provider had good systems in place to ensure that people and their relatives' views about the service were listened to and acted on. The feedback the provider sought from people and relatives and the complaints procedure allowed people to share their views to influence the quality of the service.

Inspection areas

Safe

Good

Updated 19 August 2017

The service was safe. Staff managed medicines appropriately to ensure that people received their medicines on time.

Staff had awareness and knowledge about adult safeguarding and how to report incidents, accidents and abuse.

The service had enough staff who were appropriately vetted to provide care and support people needed.

People’s risk assessments and care plans were completed and reviewed to ensure risks to their health and safety were managed.

Effective

Good

Updated 19 August 2017

The service was very effective. Staff attended induction programmes and undertook training in different areas relevant to their roles.

People’s rights to make their own decisions were promoted.

Staff worked well with health professionals to ensure people had access to appropriate medical care.

The principles of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) were being followed.

People were satisfied with the food provided at the service.

Caring

Good

Updated 19 August 2017

The service was caring. People and their relatives were satisfied with care staff provided.

Staff knew people's likes, dislikes and preferences. This enabled them to provide care that reflected people's needs.

Staff encouraged and supported people to live as independently as possible.

Responsive

Good

Updated 19 August 2017

The service was responsive. People's needs assessments were completed before they moved into the service. This ensured that the service had appropriate facilities to meet people's needs.

There were systems in place to monitor and respond to people's health and social care needs.

People and their relatives knew about the complaints processes.

Well-led

Good

Updated 19 August 2017

The service was well-led. There was a registered manager in place. People, relatives and visitors were satisfied with the management of the service.

People and relatives' views were actively sought to help improve the quality of the service.

There were effective auditing systems in place to ensure care delivered and the facilities were safe and meeting people's needs.