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Rothsay Grange Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 October 2020

About the service

Rothsay Grange is a residential care home providing personal and nursing care to 53 people at the time of the inspection. The service can support up to 60 people in one purpose-built three-story premises. The first floor, Memory Lane, provides more specialist services to people living with advancing dementias.

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

The service was not always safe.

We were not assured that medicines administered were monitored safely and improvements are required.

There were not sufficient staff deployed to maintain peoples safety in all areas of the service, in particular, the Memory Lane floor lacked staff in communal areas meaning people were at increased risk of harm. Improvements are required to ensure there are sufficient staff deployed.

There have been no cases of COVID-19 at Rothsay Grange, however we found that infection prevention and control practice, (IPC), was not always as robust as it should be. We have made a recommendation for the provider to review good practice and government guidance around IPC.

Links to health care professionals had been maintained through the pandemic.

Risk assessments had been completed however we were not assured that risks were effectively managed. We have recommended that the provider reviews practice around managing risks.

People were safeguarded from the risk of abuse by staff trained to identify and report potential concerns.

Accidents and incidents were analysed, and learning was taken from them to minimise future occurrences.

The service was not always well-led. Monitoring of systems such as medicines and care plans did not identify the issues we found. Current good practice and government advice was not always adhered to.

Staff did not always feel supported by the management team however relatives we spoke with were mostly happy with the service provided.

Complaints and concerns were dealt with promptly and there was ongoing work to improve the service.

The provider acted on the duty of candour and was open with relevant partied when things went wrong.

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

Rating at last inspection

The last rating for this service was good (published 4 July 2018).

Why we inspected

The inspection was prompted when we received concerns in relation to the management of medicines, staffing levels, care delivered, how incidents were recorded and use of personal protective equipment, (PPE). As a result, we undertook a focused inspection to examine the risks and to review the key questions of safe and well-led only.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can also see what action we have asked the provider to take at the end of this full report.

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

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the safe administration of medicine

Inspection areas

Safe

Requires improvement

Updated 1 October 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 1 October 2020

Caring

Good

Updated 1 October 2020

Responsive

Good

Updated 1 October 2020

Well-led

Requires improvement

Updated 1 October 2020

The service was not always well-led.

Details are in our well-led findings below.