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Rock Cottage Care Services Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 April 2019

About the service: Rock Cottage is a 36-bedded residential care home that was providing personal and nursing care to 32 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

The service had deteriorated in some areas since our last inspection.

People received their medicines safely. However, we found that protocols and risk assessments for specialist as and when medication was lacking.

Staff were not effectively deployed. People told us that although staff treated them with kindness, there were not able to spend time with them that was not related to a care task. We recommend that the provider source a dependency tool to inform their staffing levels.

People’s support needed were planned and assessed for, however they lacked person centred detail and management of risks to people required strengthening.

Although the service was working within the principles of the Mental Capacity Act (2005), awareness around completing capacity assessments and completing best interest decisions needed strengthening. People had access to healthcare professionals.

Governance systems were not being applied consistently meaning that the services people received were not always effectively monitored.

People were supported by safely recruited staff and protected from potential abuse. Staff knew people well and the registered manager was approachable.

The previous inspection rating was displayed in the service.

Rating at last inspection: Requires improvement (19 January 2017). This service has been rated as requires improvement at the last two inspections.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: The next scheduled inspection will be in 12 months. We will continue to monitor information that we receive from and about the service. We may inspect sooner if we receive concerning information about the service.

Inspection areas

Safe

Requires improvement

Updated 11 April 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 11 April 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 11 April 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 11 April 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 11 April 2019

The service was not always well-led.

Details are in our well-led findings below.