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Inspection Summary


Overall summary & rating

Good

Updated 7 July 2017

Robinson House is a care home with nursing for up to 70 people, many of whom are living with dementia. The home is split in to four houses, Blaise, Dundry, Clifton and Ashton.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

There was a registered manager in place. 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 our last inspection in March 2015, although the service was good overall, a breach of regulations relating to medicines was found. At this inspection we found that improvements had been made and the service was meeting the regulation. A new electronic system for administering medicines had been introduced and was in the process of being spread to all areas within the home. Since our last inspection, staff reported they had received medicines training to refresh their skills. Processes for administering covert medicines had been improved.

People reported feeling safe living in the home. Staff were trained in safeguarding vulnerable adults and confident about reporting any concerns they had. There were sufficient numbers of staff available to ensure people’s needs were met.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Where people lacked capacity to make decisions, the principles of the Mental Capacity Act were followed in making decisions in their best interests.

Staff received good support and training to carry out their roles effectively. New staff to the home completed the Care Certificate. This is a nationally recognised set of standards that staff in the care sector are expected to meet. Staff were supervised regularly so that their performance and development needs were monitored.

People were supported by kind and caring staff. Staff were respectful in their interaction and told us about the ways in which they supported people’s independence. The views of people and their relatives were taken in to consideration when making decisions about their care. Relatives were made welcome in to the home and able to visit as they wished.

Care was responsive and met people’s individual needs. Staff were knowledgeable about the people they supported. There were person centred care plans in place to guide staff in how people wanted to be supported. People could be assured their complaints and concerns would be listened to and action taken to resolve them.

The home was well led. Staff were positive about working in the home and felt that communication was good. There were systems in place to monitor the quality and safety of the service provided.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 7 July 2017

At our last inspection, the service was rated as required improvement. At this inspection the service was rated Good. This was because improvements had been made to the administration of medicines.

Staff were knowledgeable about how to protect people from abuse and knew the procedures to follow in reporting concerns.

There were risk assessments in place to guide staff in providing safe care.

There were sufficient numbers of staff to ensure people's safety and meet their needs.

Effective

Good

Updated 7 July 2017

The service remained Good

Caring

Good

Updated 7 July 2017

The service remained Good

Responsive

Good

Updated 7 July 2017

The service remained Good

Well-led

Good

Updated 7 July 2017

The service remained Good