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Rotherlea Requires improvement

We are carrying out a review of quality at Rotherlea. 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 16 January 2020

About the service

Rotherlea is situated in Petworth, West Sussex and is one of a group of homes owned by a national provider, Shaw Healthcare Limited. It is a residential ‘care home’ for up to 70 people some of whom are living with dementia, physical disabilities, older age and frailty. At the time of the inspection there were 57 people living in the home.

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

The provider had not always fully considered people’s assessed needs when allocating and deploying staff. People, relatives and staff told us that there was insufficient staffing to meet people’s needs and our observations and findings confirmed this. Medicines management had improved and people received their medicines as prescribed. People received safe care and treatment to meet their assessed needs. There was good oversight of people’s hydration and nutrition to ensure they maintained good health. People were safeguarded from abuse and improper treatment and risks were managed. When there were concerns the registered manager had liaised with external health and social care professionals. People were protected from the risk of infection and staff ensured good infection control was maintained. Incidents and concerns found at the previous inspections were used as opportunities to learn and improve practice.

There are concerns about the provider’s abilities to sufficiently improve the service. The provider’s values were not always demonstrated through their practice. Decisions that had been made had not always considered the impact on people's experiences and the quality of care they received. People, relatives and staff were complimentary about the registered manager and management team. They told us the home was well-led and they had confidence in the registered manager's abilities. The registered manager and her team had worked hard to make improvements to people’s experiences and had plans to improve this even further. They had worked alongside health and social care professionals to improve staff’s understanding and the quality of care that they provided.

We recommended that the provider continued to seek support from reputable sources to ensure that they provided accessible information to meet peoples needs.

Work was on-going to further improve person-centred care and people’s access to sources of stimulation and interaction to occupy their time. Some people spent extended periods of time without interaction or stimulation with others. The provider and registered manager had embraced support they had received from external professionals to help ensure that people’s needs were appropriately assessed and planned for. People had received appropriate end of life care to maintain their comfort.

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 by skilled and experienced staff who demonstrated good practice when supporting people. People had access to external health care professionals and were supported to maintain their health. People had access to sufficient food to ensure they received a balanced diet.

People’s privacy and dignity was maintained, and they were treated in a respectful way. People told us that staff were kind and caring and they were complimentary about staffs’ compassionate nature. Observations showed staff knew people well and they were considerate and caring.

Rating at last inspection and update

The last rating for this home was Requires Improvement. (Published 10 August 2019). There were breaches of regulation. We served two Warning Notices and the provider was required to become compliant. At this inspection, significant improvements had been made in relation to people’s safety and the provider was no longer in breach of one of the Regulations. We continue to have concerns about

Inspection areas

Safe

Requires improvement

Updated 16 January 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 16 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 16 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 16 January 2020

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 January 2020

The service was not always well-led.

Details are in our well-led findings below.