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Royley House Care Home Requires improvement

We are carrying out a review of quality at Royley House Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 November 2019

About the service

Royley House is a residential care home providing accommodation and personal care to 38 people aged 65 and over at the time of the inspection. The service can support up to 41 people. Royley House accommodates people in one adapted building over two floors; each floor has a lounge and dining room.

People’s experience of using this service and what we found

The provider had consistently failed to ensure safe and effective governance of the service. This inspection rating demonstrates a fourth consecutive overall rating of requires improvement.

Audit systems and processes had been established. However, the provider had not ensured they were robust enough to operate effectively to ensure compliance with the regulations.

Mandatory training was not up-to-date for all staff and we found gaps in staff training.

We found concerns regarding the safe management and administration of medicines.

Improvements were needed to the décor and we have made a recommendation to make the home more dementia friendly.

There were good, established working partnerships with other healthcare professionals. People received timely medical assistance where necessary.

Accidents and incidents were managed well, and action was taken to help lower future risks.

Feedback from people and their visitors told us they felt staff were caring and kind. Observations showed us people were treated with dignity and respect.

Care plans were very person-centred and reflected people’s choice and preferences.

People and their families received good end of life care from compassionate and caring staff.

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.

The registered manager was visible around the home. Our observations and feedback received, showed us the manager was approachable and keen to ensure people were happy living at Royley House.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (8 October 2018) and we found one breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough not improvement had been made and the provider was still in breach of regulations. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Royley House on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to the safe management of medicines, staff training and good governance of the service.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the 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.

Inspection areas

Safe

Requires improvement

Updated 15 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 15 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 November 2019

The service was not always well-led.

Details are in our well-Led findings below.