Background to this inspection
Updated
31 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Rookwood Residential Home is a ‘care home’. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. Registering with the CQC means that a registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of the inspection, the manager was about to start the process of registering with the CQC.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We looked at other information we held about the service. This included notifications. Notifications are changes, events or incidents that the service must inform us about. We used this information to plan our inspection.
During the inspection
We spoke with seven people who used the service and three relatives about their experience of the care provided. We spoke with eleven members of staff including the director, manager, deputy manager, one senior carer, three care assistants, two activities coordinators, one cook and one cleaner. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included ten people’s care records and medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We sought feedback from the local authority commissioning and three health professionals who work with the service.
Updated
31 December 2019
About the service
Rookwood Residential Home is a residential care home providing personal care to 22 people aged 65 and over at the time of the inspection. The service can support up to 25 people.
The home is a large detached property spread over two floors with a large well-maintained garden and patio. The home provides care and support to some people living with dementia.
People’s experience of using this service and what we found
People were cared for by staff who knew how to keep them safe and protect them from avoidable harm. There were enough staff available to meet people’s needs promptly. People received their medicines safely. Incidents and accidents were investigated, and actions taken to prevent a reoccurrence. Infection control procedures were followed by 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.
People were supported to eat and drink well and were provided with healthy choices. People were supported by staff who received regular training to meet their needs. Health needs were acted upon and referrals were made promptly to other services.
People received kind and compassionate care. Comments from people included, “I’m as happy as I’ll be. Staff are very kind. They always greet me as if I’m an old friend” and “I can’t fault it here. They are all so caring and helpful.” People’s independence was promoted by staff. People were treated with respect and dignity and supported to make decisions about their care.
People received personalised care that was tailored to meet their individual needs, preferences and choices. Care plans were detailed and guided staff about people's needs and how to meet them. People’s concerns and complaints were listened to and used to improve the service they received. People received compassionate support at the end of their lives.
The manager was well regarded and had a clear vision for the service which was understood by the staff. One person said, “She’s very nice, precise and correct. She knows what she’s doing.”
There were effective quality assurance systems in place that were used to drive service improvements.
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 28 June 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.