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Roseland Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 15 January 2020

About the service

Roseland is a residential care home providing personal care to 33 people aged 65 and over at the time of the inspection. The service can support up to 39 people. Care was provided across two floors in one purpose built building, with communal lounges, gardens and a dining area.

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

People told us they felt safe but we found shortfalls with furniture and equipment that could impact on people’s safety. Restrictions had been placed upon people without the correct legal process being followed. This meant people were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

The provider’s auditing and governance systems had not identified or addressed the shortfalls we found on this inspection and the provider was not notifying CQC of incidents and events that they were legally required to do so.

There was not always sufficient information in records to inform staff about how to administer medicines to people safely. Improvements to medicines and incidents were made after the inspection. People had detailed care plans in place but work was in progress to move these to a new system. People's access to activities and outings was limited, so we made a recommendation about activities.

Care plans and assessment documented information about people’s routines and preferences and people liked the food that was provided to them. People were supported by caring staff who they got on well with and staff provided care in a way that encouraged them to be independent. Care delivery was dignified with people’s privacy being respected.

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 25 May 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to furniture, equipment, consent, reporting and governance.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and 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 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 15 January 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 15 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 15 January 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 15 January 2020

The service was not always well-led.

Details are in our well-Led findings below